AVONEX 30 micrograms/0.5 ml SOLUTION FOR INJECTION IN PRE-FILLED PEN

Introduction

Package Leaflet: Information for the User

AVONEX 30 micrograms/0.5 ml solution for injection in pre-filled pen

(interferon beta-1a)

Pre-filled Pen

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

Even if you have used Avonex before, some of the information may have changed.

• Keep this leaflet, you may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.

• This medicine has been prescribed for you only, and you should not pass it on to others.

It may harm them, even if their signs of illness are the same as yours.

• If you experience any side effects, talk to your doctor or pharmacist, even if they are listed in this leaflet. See section 4.

(Information Notes)

This leaflet is updated from time to time.

Check for updates to this leaflet each time you renew your prescription.

(Information Notes)

If you have any further questions, ask your doctor or pharmacist.

Contents of the Package Leaflet

1. What is AVONEX and what is it used for
2. What you need to know before you start using AVONEX

1. How to use AVONEX PEN
2. Possible side effects

1. Storage of AVONEX PEN
2. Contents of the pack and further information

1. How to inject yourself using AVONEX PEN

1. What is AVONEX and what is it used for

What is AVONEX?

Avonex Pen is used to inject Avonex.The active substance of Avonex is a protein called interferon beta-1a.Interferons are natural substances produced by your body to protect you from infections and diseases. The Avonex protein is produced with exactly the same ingredients as the interferon beta present in the human body.

What is AVONEX used for?

Avonex is used to treat multiple sclerosis (MS).Treatment with Avonex may help prevent it from getting worse, although it will not cure MS.

Each patient has specific symptoms of MS.These may include:

• Feeling of instability or dizziness, walking problems, muscle stiffness and spasms, fatigue, tingling in the face, arms or legs
• Acute or chronic pain, bladder and bowel problems, sexual problems and vision problems
• Difficulty thinking and concentrating, depression.

MS also tends to flare up from time to time: this is what is known as a relapse.

Avonex may help reduce the number of relapses you may have and slow down the disabling effects of MS.Your doctor will explain how long you can use Avonex or when to stop treatment.

How does AVONEX work?

Multiple sclerosis is associated with nerve damage (in the brain or spinal cord). In MS, your body's defense system reacts against your own myelin, i.e., the insulation that surrounds nerve fibers. When myelin is damaged, messages between the brain and other parts of the body are disrupted. This is what causes the symptoms of MS. Avonex appears to work by preventing your body's defense system from attacking myelin.

2. What you need to know before you start using AVONEX

Do not use AVONEX

• if you are allergicto interferon beta or any of the other ingredients of this medicine (listed in section 6);
• if you have severe depressionor have suicidal thoughts.

Talk to your doctor immediately in any of these cases.

Warnings and precautions

Talk to your doctor before you start using Avonex if you have or have had in the past:

• Depressionor problems that affect your mood
• Suicidal thoughts.

You must inform your doctor immediately of any changes in your mood, suicidal thoughts, unusual feelings of sadness, anxiety or hopelessness.

• Epilepsyor other uncontrolled seizure disorders
• Severe kidney or liver problems
• Low white blood cell or platelet counts,which may increase the risk of infection, bleeding or anemia
• Heart problemsthat may cause symptoms such as chest pain (angina),especially after any activity; swelling of ankles, difficulty breathing (congestive heart failure)or an irregular heartbeat (arrhythmias).
• Irritation at the injection site that can cause skin and tissue damage (injection site necrosis). When you are ready to administer the injection, carefully follow the instructions in section 7 "How to inject AVONEX PEN" at the end of this leaflet. This will reduce the risk of injection site reactions.

Talk to your doctor if you have any of these conditionsor if they get worse while you are using Avonex.

During treatment, blood clots may form in small blood vessels. These clots could affect your kidneys. This can happen after several weeks or several years after starting treatment with Avonex.

Your doctor may want to check your blood pressure, blood (platelet count) and kidney function.

Tell your doctor that you are using Avonex:

• If you are going to have a blood test.Avonex may interfere with the results.

Pediatric population

Avonex is not recommended for use in children and adolescents as the data on the use of Avonex in this population are limited. Avonex must not be used in children under 10 years of age because it has not been established whether it would work for them and whether it would be safe.

Other medicines and AVONEX

Tell your doctorif you are using, have recently used or might use any other medicines, especially for the treatment of epilepsy or depression. Avonex may affect other medicines or be affected by them. This also includes any medicine obtained without a prescription.

Pregnancy and breastfeeding

If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

No harmful effects on the baby are expected. Avonex can be used during breastfeeding.

Driving and using machines

If you feel dizzy, do not drive.Avonex can make some people feel dizzy. If this happens to you or if you experience any other side effect that may affect your ability, do not drive or use machines.

Important information about some of the ingredients of Avonex:

This medicine is essentially sodium-free. It contains less than 23 mg (1 mmol) of sodium per weekly dose.

3. How to use AVONEX PEN

Recommended weekly dose

One injection using Avonex Pen, once a week.

Try to use Avonex at the same time on the same day each week.

Self-injection

You can self-inject using Avonex Pen without the help of your doctor if you have been taught how to do it. See the self-injection instructions at the end of this leaflet (see section 7, How to inject yourself using AVONEX PEN).

If you have problemshandling Avonex Pen, ask your doctor for help.

Duration of treatment with AVONEX

Your doctor will tell you how long you should use Avonex. It is important that you use Avonex regularly. Do not make any changes that your doctor has not told you to make.

If you inject more AVONEX than you should

You should administer the injection using only one Avonex Pen, once a week. If you have used more than one Avonex Pen within three days, contact your doctor or pharmacist immediately for advice.

If you miss an injection

If you miss your usual weekly dose,inject a dose as soon as possible. Then wait a week before using Avonex Pen again. Continue with your injection on that day of each week. If you have a preferred day for using Avonex, talk to your doctor to adjust the dose and get back to your preferred day. Do not administer two injections to make up for the missed injection.

4. Possible Adverse Effects

Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.

Severe adverse effects: seek medical help.

Severe allergic reactions

If you experience any of the following symptoms:

• Swelling of the face, lips, or tongue
• Difficulty breathing

• Rash.

Call a doctor immediately.Do not use Avonex until you have spoken with a doctor.

Depression

If you experience any symptoms of depression:

• Unusual feeling of sadness, anxiety, or hopelessness.

Call a doctor immediately.

Liver problems

If you experience any of the following symptoms:

• Yellowing of the skin or the white part of the eyes (jaundice)
• Generalized itching

• Feeling of discomfort (nausea and vomiting)
• Bruises that appear easily on the skin.

Call a doctor immediatelyas they may be manifestations of a possible liver problem.

Adverse effects observed in clinical trials.

Very common adverse effects(may affect more than 1 in 10 people)

• Pseudoflu-like symptoms: headache, muscle pain, chills, or fever: see Pseudoflu-like symptoms, below
• Headache.

Common adverse effects(may affect up to 1 in 10 people)

• Lack of appetite
• Feeling of weakness and fatigue
• Difficulty sleeping

• Depression
• Facial flushing

• Nasal discharge

• Diarrhea (soft stools)
• Feeling of discomfort (nausea or vomiting)
• Numbness or tingling of the skin
• Rash, skin bruising

• Increased sweating, night sweats
• Pain in muscles, joints, arms, legs, or neck

• Muscle cramps, stiffness in muscles and joints
• Pain, bruising, and redness at the injection site
• Changes in blood tests. The symptoms you may experience are fatigue, repeated infections, bruising, or bleeding without apparent cause.

Uncommon adverse effects(may affect up to 1 in 100 people)

• Hair loss

• Changes in menstruation

• Burning sensation at the injection site.

Rare adverse effects(may affect up to 1 in 1,000 people)

• Difficulty breathing
• Kidney problems, including scarring that can reduce kidney function

If you experience any of the following symptoms:

• Foamy urine
• Fatigue

• Swelling, especially of ankles and eyelids, and weight gain.

Inform your doctor as they may be manifestations of a possible kidney problem.

• Blood clots in small blood vessels that can affect your kidneys (thrombotic thrombocytopenic purpura or hemolytic uremic syndrome). The symptoms may include an increase in bruising, bleeding, fever, extreme weakness, headache, dizziness, or fainting. Your doctor may find changes in your blood and kidney function.

If you are concerned about any of the effects, talk to your doctor.

Other adverse effects

• Thyroid dysfunction or excess activity

• Nervousness or anxiety, emotional instability, irrational thoughts or hallucinations (seeing or hearing things that are not real), confusion, or suicide
• Numbness, dizziness, seizures, or epileptic fits, and migraines

• Perception of your heartbeat (palpitations), rapid or irregular heartbeat, or heart problems accompanied by the following symptoms: reduced exercise capacity, inability to stay lying down, difficulty breathing, or swelling of ankles
• Liver problems, such as those described previously
• Urticaria or pseudovesicular rash, itching, worsening of existing psoriasis

• Swelling or bleeding at the injection site, tissue destruction (necrosis), or chest pain after an injection
• Weight gain or loss

• Changes in test results, such as variations in liver function tests
• Pulmonary arterial hypertension: a disease in which there is a significant narrowing of the blood vessels in the lungs, causing an increase in pressure in the blood vessels that carry blood from the heart to the lungs. Pulmonary arterial hypertension was observed at different times, even several years after starting treatment with interferon beta-containing medications.

If you are concerned about any of the effects, talk to your doctor.

Injection site effects

• Fainting sensation:The first injection of Avonex may be administered by your doctor. You may feel dizzy. You may even faint. It is unlikely to happen again.

• Immediately after the injection, you may notice tense or very weak muscles,as if you were going to repeat the experience. It is rare. It only occurs when self-injecting, and the effects pass quickly. They can occur at any time after starting treatment with Avonex.
• If you notice any skin irritation or other skin problemafter an injection, talk to your doctor.

Pseudoflu-like symptoms

Some people report that after using Avonex Pen, they feel like they have the flu.

The signs are:

• Headache
• Muscle pain

• Chills or fever.

These symptoms do not actually correspond to the flu

You cannot transmit them to anyone. They are more frequent when using Avonex for the first time. The pseudoflu-like symptoms gradually decrease as more injections are administered.

Children (10 years of age or older) and adolescents

In clinical trials, some adverse effects were reported more frequently in children and adolescents than in adults, e.g., muscle pain, pain in a limb, fatigue, and joint pain.

Reporting adverse effects

If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

In order to improve the traceability of this medicine, your doctor or pharmacist must record the name and batch number of the medicine administered to you in your medical history. You may also want to take note of this information in case you are asked for it in the future.

5. Storage of Avonex Pen

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

Do not use this medicine after the expiration date shown on the label.

Avonex Pen contains a pre-filled syringe of Avonex. Store in the original packaging to

protect it from light.

Store in the refrigerator (between 2°C and 8°C). Do not freeze.

Avonex Pen can also be stored at room temperature (between 15°C and 30°C) for a

maximum of one week.

Do not use Avonex Pen if you observe that:

• The pen is broken.
• The solution has color and you can see particles floating.
• The closure guarantee capsule is broken.

Medicines should not be disposed of through wastewater or household waste. Ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Container Contents and Additional Information

Composition of AVONEX PEN

The active ingredientis: interferon beta-1a 30 micrograms/0.5 ml.

The other componentsare: sodium acetate trihydrate, glacial acetic acid, arginine hydrochloride, polysorbate 20, and water for injectables.

Appearance of AVONEX PEN and Container Contents

Each individual container contains an Avonex Pen, a needle, and a pen protector. Avonex Pen contains a pre-loaded Avonex syringe and should only be used after receiving proper training. Avonex Pen is available in packs of four or twelve, for one month or three months of injection.

Marketing Authorization Holder and Manufacturer

The marketing authorization holder is:

Biogen Netherlands B.V.

Prins Mauritslaan 13

1171 LP Badhoevedorp

Netherlands

Avonex is manufactured by:

FUJIFILM Diosynth Biotechnologies Denmark ApS

Biotek Allé 1,

DK-3400 Hillerød,

Denmark

Biogen Netherlands B.V.

Prins Mauritslaan 13

1171 LP Badhoevedorp

Netherlands

Contact your local representative if you want a version of this leaflet with larger text.

You can request more information about this medicine by contacting the local representative of the marketing authorization holder.

Date of last revision of this leaflet:08/2024.

Detailed information on this medicine is available on the European Medicines Agency website: https://www.ema.europa.eu.

This leaflet can be found in all languages of the European Union/European Economic Area on the European Medicines Agency website.

1. How to inject using AVONEX PEN

Avonex Pen (single use)

• Country of registration
  Spain
• Active substance
  interferon beta-1a
• Prescription required
  Yes
• Manufacturer
  Biogen Netherlands B.V.
• This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
• Alternatives to AVONEX 30 micrograms/0.5 ml SOLUTION FOR INJECTION IN PRE-FILLED PEN
  AVONEX 30 micrograms/0.5 ml INJECTABLE SOLUTION

  Dosage form: INJECTABLE, 30 µg

  Active substance: interferon beta-1a

  Manufacturer: Biogen Netherlands B.V.

  Prescription required

  REBIF 22 micrograms/0.5 ml Injectable Solution in Cartridge

  Dosage form: INJECTABLE, 22 µg

  Active substance: interferon beta-1a

  Manufacturer: Merck Europe B.V.

  Prescription required

  REBIF 44 micrograms/0.5 ml Injectable Solution in Cartridge

  Dosage form: INJECTABLE, 44 µg

  Active substance: interferon beta-1a

  Manufacturer: Merck Europe B.V.

  Prescription required

Online doctors for AVONEX 30 micrograms/0.5 ml SOLUTION FOR INJECTION IN PRE-FILLED PEN

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for AVONEX 30 micrograms/0.5 ml SOLUTION FOR INJECTION IN PRE-FILLED PEN – subject to medical assessment and local rules.

5.0(38)

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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.

Book a video appointment

€54

Today15:00

Today15:40

Today16:20

Today17:00

Today17:40

More times

5.0(130)

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.

Book a video appointment

€59

Today16:00

Today16:30

Today17:00

Today17:30

Today18:00

More times

5.0(12)

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.

Book a video appointment

€60

October 2806:40

October 2807:30

October 2808:20

October 2809:10

October 3007:00

More times

5.0(4)

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.

Book a video appointment

€55

October 2811:00

October 2911:00

October 3011:00

October 3111:00

November 311:00

More times

0.0(1)

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

• dyslipidaemia and lipid metabolism disorders
• prevention and management of atherosclerosis
• blood pressure monitoring and antihypertensive therapy
• arrhythmias: diagnosis, follow-up, and treatment adjustment
• cardiovascular care and recovery support after Covid-19

Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.

Book a video appointment

€50

October 2814:00

October 2814:50

October 2815:40

October 2816:30

October 2817:20

More times

5.0(1)

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.

Book a video appointment

€70

October 2915:00

October 2915:45

October 2916:30

October 3014:00

October 3014:45

More times

5.0(11)

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

• Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
• Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
• Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
• Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
• General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
• Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
• Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
• Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment

€60

November 109:00

November 109:30

November 809:00

November 809:30

November 1509:00

More times

0.0(0)

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

• General health concerns, prevention, and primary care.
• Hypertension, type 1 and type 2 diabetes, metabolic issues.
• Cold, cough, flu, respiratory infections, sore throat, fever.
• Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
• Skin rashes, mild allergic reactions, basic dermatological complaints.
• Medication guidance, treatment adjustments, prescription review.
• Paediatric concerns — fever, infections, general well-being.
• Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

Book a video appointment

€79

November 111:00

November 111:30

November 112:00

November 112:30

November 113:00

More times

5.0(14)

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

• Respiratory infections (cold, flu, bronchitis, pneumonia).
• ENT conditions such as sinusitis, ear infections, and tonsillitis.
• Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
• Urinary tract infections and other common infections.
• Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
• Acute conditions requiring urgent medical attention.
• Headaches, migraines, and minor injuries.
• Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

Book a video appointment

€55

November 113:30

November 114:15

November 115:00

November 813:30

November 814:15

More times

0.0(1)

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

• High blood pressure, headaches, dizziness, swelling, palpitations.
• Diagnosis and management of hypertension, arrhythmias, and tachycardia.
• Metabolic syndrome, excess weight, high cholesterol.
• Chronic fatigue, insomnia, poor concentration, anxiety.
• Respiratory symptoms: colds, flu, sore throat, cough, fever.
• Digestive issues: heartburn, bloating, constipation, IBS symptoms.
• Chronic conditions: diabetes, thyroid disorders.
• Interpretation of lab tests and medical reports, therapy adjustment.
• Second opinion and decision-making support.
• Cardiovascular disease prevention and metabolic risk reduction.
• Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

Book a video appointment

€50

November 309:00

November 310:05

November 311:10

November 312:15

November 313:20

More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Subscribe

Follow us on social media