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AVAXIM Injectable Suspension in Pre-filled Syringe

AVAXIM Injectable Suspension in Pre-filled Syringe

Ask a doctor about a prescription for AVAXIM Injectable Suspension in Pre-filled Syringe

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use AVAXIM Injectable Suspension in Pre-filled Syringe

Introduction

Package Leaflet: Information for the User

AVAXIM, suspension for injection in pre-filled syringe

Hepatitis A vaccine (inactivated, adsorbed)

Read all of this leaflet carefully before you are vaccinated because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This vaccine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the package leaflet:

  1. What is Avaxim and what is it used for
  2. What you need to know before you use Avaxim
  3. How to use Avaxim
  4. Possible side effects
  5. Storage of Avaxim
  1. Contents of the pack and other information

1. What is Avaxim and what is it used for

Avaxim is a vaccine. Vaccines are used to protect you against infectious diseases. This vaccine helps protect against hepatitis A infection in people aged 16 years and older.

Hepatitis A is an infection caused by a virus that attacks the liver. It can be caught from food or drinks that contain the virus. Symptoms include jaundice (yellowing of the skin) and general feeling of being unwell.

When you receive an injection of Avaxim, your body's natural defenses will produce protection against hepatitis A infection.

2. What you need to know before you use Avaxim

Do not use Avaxim:

  • If you are allergic:
    • to the active substance or any of the other ingredients of Avaxim (listed in section 6).
    • to neomycin, an antibiotic used during vaccine production and which may be present in the vaccine in small amounts.
    • to Avaxim

If you are ill and have a high temperature. You should delay your vaccination until you have recovered.

Warnings and precautions

Tell your doctor or nurse before using Avaxim if you have:

  • Liver disease.
  • A weakened immune system due to:
  • corticosteroids, cytotoxic drugs, radiotherapy, or other treatments that can weaken the immune system. Your doctor or nurse may want to wait until your treatment is finished.
  • HIV infection or any disease that weakens the immune system. It is recommended to administer the vaccine even if it may not protect you as well as people with a normal immune system.
    • Hemophilia or other conditions where bruising or bleeding can occur easily.

Fainting can occur after any injection, especially in adolescents. Tell your doctor or nurse if you or your child have fainted after a previous injection.

This vaccine will not protect you against other viruses that attack the liver (such as hepatitis B, hepatitis C, or hepatitis E).

If you are already infected with hepatitis A virus at the time of vaccination, the vaccine may not be effective.

The vaccine cannot cause the infection it is meant to protect against.

As with any vaccine, not everyone who receives Avaxim will be fully protected against hepatitis A infection.

Using other vaccines or medicines and Avaxim

This vaccine can be given at the same time as the following vaccines, but in different parts of the body (e.g., the other arm or leg) and not mixed in the same syringe:

  • Typhoid polysaccharide vaccine
  • Yellow fever vaccine
  • Immunoglobulins (antibodies obtained from blood donors)

Avaxim may not work if given at the same time as immunoglobulins. However, you will likely still be protected against hepatitis A infection.

Tell your doctor, nurse, or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor or nurse before using this vaccine. They will decide whether vaccination should be delayed or not.

It is possible to use this vaccine during breastfeeding.

Driving and using machines

It is unlikely that this vaccine will affect your ability to drive or use machines.

However, no studies have been conducted.

Avaxim contains ethanol, phenylalanine, potassium, and sodium.

Avaxim contains 2 mg of alcohol (ethanol) per 0.5 ml dose. The small amount of alcohol in this medicine is unlikely to have any noticeable effects.

Avaxim contains 10 micrograms of phenylalanine per 0.5 ml dose, which is equivalent to 0.17 micrograms/kg for a 60 kg person. Phenylalanine may be harmful to people with phenylketonuria (PKU), a rare genetic disorder in which phenylalanine accumulates because the body cannot eliminate it properly.

Avaxim contains less than 1 mmol of potassium (39 mg) and sodium (23 mg) per dose, and is therefore considered essentially "potassium-free" and "sodium-free".

3. How to use Avaxim

The vaccine will be administered by a doctor or nurse who has been trained in the use of the vaccine and is used to treating severe allergic reactions that may occur after injection

Dosage

Avaxim is administered by injection of 0.5 ml of vaccine for people aged 16 years and older.

You will be protected against hepatitis A from around 14 days after receiving the first single dose of Avaxim. This protection will last for up to 36 months.

If you need protection against hepatitis A for a longer period, you will need a second dose (booster) of inactivated hepatitis A vaccine.

The second dose is preferably given between 6 to 12 months after the primary immunization but can also be given up to 36 months after.

This booster dose will protect you against hepatitis A for at least 10 years.

Avaxim can be given as a booster dose if you have received a first dose of a different hepatitis A vaccine (including vaccines that protect against hepatitis A and typhoid fever).

Method of administration

The doctor or nurse should shake the syringe immediately before use and check that the liquid is white and cloudy, and that there are no foreign particles.

Avaxim should be injected into the muscle in the upper outer part of the arm. If you have a bleeding disorder, the injection can be given under the skin. The doctor or nurse should not inject the vaccine into the skin or into a blood vessel.

Avaxim should not be administered in the buttocks.

4. Possible side effects

Like all medicines and vaccines, Avaxim can cause side effects, although not everybody gets them.

Severe allergic reactions

Although very rare, these severe allergic reactions or even life-threatening reactions (anaphylactic reactions, including shock) can occur.

If you experience an allergic reaction, contact your doctor or healthcare professional immediately or go to the emergency department of the nearest hospital.

Allergic reactions can occur immediately or several days after vaccination, and symptoms may include:

  • difficulty breathing, blue discoloration of the tongue or lips
  • dizziness (low blood pressure) and possibly fainting
  • rapid heartbeat and weak pulse, cold skin
  • swelling of the face and neck
  • itching and skin rash

Other side effects

Very common side effects (reported in more than 1 in 10 people):

  • mild pain at the injection site
  • general feeling of weakness (asthenia)

Common side effects (reported in less than 1 in 10 people but more than 1 in 100 people)

  • headache
  • nausea and vomiting
  • loss of appetite
  • diarrhea and/or stomach pain (abdominal pain)
  • muscle and joint pain (myalgia, arthralgia)
  • mild fever

Uncommon side effects (reported in less than 1 in 100 people but more than 1 in 1,000 people)

  • redness (erythema) at the injection site

Rare side effects (reported in less than 1 in 1,000 people but more than 1 in 10,000 people)

  • lumps at the injection site (nodule at the injection site)
  • mild and temporary changes in liver function tests (increased transaminases)

Unknown frequency (cannot be estimated from the available data):

  • fainting as a response to the injection
  • rashes that have sometimes caused lumps and itching (including urticaria)

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Avaxim

Keep this vaccine out of the sight and reach of children.

Do not use the vaccine after the expiry date stated on the carton and on the label of the syringe after EXP. The expiry date is the last day of the month stated.

Do not use this vaccine if foreign particles are visible in the suspension.

Store in a refrigerator (2°C - 8°C).

Do not freeze. If frozen, the vaccine should be discarded.

Store in the original packaging to protect from light.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Avaxim

  • The active substance is
  • Hepatitis A virus strain GBM (inactivated) 1,2............160 EU

1 produced in human diploid cells (MRC-5)

2 adsorbed on hydrated aluminum hydroxide (0.3 milligrams of Al3+)

  • The other ingredients are
  • 2-phenoxyethanol
  • anhydrous ethanol
  • formaldehyde
  • Hanks' 199 medium*
  • water for injections
  • polysorbate 80
  • hydrochloric acid and sodium hydroxide for pH adjustment.
  • *Hanks' 199 medium (without phenol red) is a complex mixture of amino acids (including phenylalanine), mineral salts, vitamins, and other components.

Appearance and pack contents

The inactivated hepatitis A vaccine is a white, cloudy suspension.

The vaccine is presented as a suspension for injection in a pre-filled syringe (0.5 ml of inactivated hepatitis A virus) with or without a fixed needle (pack sizes of 1, 5, 10, or 20) or with 1 or 2 separate needles (pack sizes of 1 or 10).

Not all presentations are marketed.

Marketing authorisation holder

Sanofi Winthrop Industrie

82 avenue Raspail

94250 Gentilly

France

Manufacturer responsible for batch release

The manufacturer responsible for batch release is:

Sanofi Winthrop Industrie - 1541 avenue Marcel Mérieux - 69280 Marcy l’Etoile - France

Sanofi Winthrop Industrie - Voie de l’Institut – Parc Industriel d’Incarville B.P 101 - 27100 Val de Reuil - France

Sanofi-Aventis Zrt. Bdg. DC5 - Campona Utca 1. Budapest XXII - 1225 Budapest – Hungary

Local representative

sanofi-aventis, S.A.

C/ Rosselló i Porcel, 21

08016 Barcelona

Spain

Tel: +34 93 485 94 00

This medicine is authorised in the Member States of the European Economic Area under the following names

Avaxim - Austria, Belgium, Germany, Denmark, Greece, Spain, Finland, Ireland, Italy, Luxembourg, Netherlands, Portugal, Sweden, United Kingdom.

Date of last revision of this leaflet: September 2021

Other sources of information

Detailed and up-to-date information on this medicine is available on the website of the Spanish Medicines and Healthcare Products Agency (AEMPS) http://www.aemps.gob.es/

About the medicine

How much does AVAXIM Injectable Suspension in Pre-filled Syringe cost in Spain ( 2025)?

The average price of AVAXIM Injectable Suspension in Pre-filled Syringe in December, 2025 is around 45.27 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to AVAXIM Injectable Suspension in Pre-filled Syringe in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to AVAXIM Injectable Suspension in Pre-filled Syringe in Polónia

Dosage form: Suspensão, 25 U de vírus da hepatite A, estirpe CR326F/0,5 ml; 1 dose (0,5 ml), para crianças e adolescentes
Prescription required
Dosage form: Suspensão, pelo menos 720 unidades ELISA de vírus da hepatite A, estirpe HM175/0,5 ml; 1 dose (0,5 ml)
Prescription required
Dosage form: Suspensão, não menos de 1440 unidades ELISA de vírus da hepatite A, estirpe HM175/ml; 1 dose (1 ml)
Prescription required
Dosage form: Suspensão, 50 U de vírus da hepatite A, estirpe CR326F/ml; 1 dose (1 ml), para adultos
Prescription required
Dosage form: Suspensão, 160 unidades antigénicas ELISA do vírus da hepatite A, estirpe GBM/0,5 ml; 1 dose (0,5 ml)
Importer: Sanofi Winthrop Industrie Sanofi Winthrop Industrie Sanofi-Aventis Zrt.
Prescription required

Alternative to AVAXIM Injectable Suspension in Pre-filled Syringe in Ukraine

Dosage form: suspensão, 720 Unidades ELISA; 0.5 ml (1 dose)
Prescription required
Dosage form: suspensão, 1440 Unidades ELISA; 1 ml (1 dose)
Prescription required

Online doctors for AVAXIM Injectable Suspension in Pre-filled Syringe

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for AVAXIM Injectable Suspension in Pre-filled Syringe – subject to medical assessment and local rules.

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Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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General medicine43 years of experience

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His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Marta Reguero Capilla

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Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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Yevgen Yakovenko

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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