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BYLVAY 1200 micrograms hard capsules

Ask a doctor about a prescription for BYLVAY 1200 micrograms hard capsules

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Doctor

Tarek Agami

General medicine11 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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 BYLVAY 1200 micrograms hard capsules

Introduction

Package Leaflet: Information for the Patient

Bylvay 200 micrograms hard capsules

Bylvay 400 micrograms hard capsules

Bylvay 600 micrograms hard capsules

Bylvay 1200 micrograms hard capsules

odevixibat

This medicinal product is subject to additional monitoring, which will allow for the quick identification of new safety information. You can help by reporting any side effects you may get. The last section of the leaflet contains information on how to report side effects.

Read all of this leaflet carefully before you start taking this medicine, 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 or pharmacist.
  • This medicine 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 get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet (see section 4).

Contents of the pack

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

1. What is Bylvay and what is it used for

Bylvay contains the active substance odevixibat. Odevixibat is a medicine that increases the elimination of substances called bile acids from the body. Bile acids are components of the digestive fluid called bile, which is produced by the liver and secreted into the intestine. Odevixibat blocks the mechanism that normally reabsorbs them from the intestine after they have done their job. This allows them to be eliminated from the body through the feces.

Bylvay is used to treat progressive familial intrahepatic cholestasis (PFIC) in patients aged 6 months or older. PFIC is a liver disease caused by the accumulation of bile acids (cholestasis) that worsens over time and is often accompanied by severe itching.

2. What you need to know before you take Bylvay

Do not take Bylvay

  • if you are allergic to odevixibat or any of the other ingredients of this medicine (listed in section 6)

Warnings and precautions

Consult your doctor or pharmacist before starting treatment with Bylvay:

  • if you have been diagnosed with a complete absence or lack of function of the bile salt export pump protein;
  • if you have severe liver dysfunction;
  • if you have reduced stomach or intestinal motility or reduced circulation of bile acids between the liver, bile, and small intestine due to medications, surgical interventions, or diseases other than PFIC, as in these cases the effect of odevixibat may be reduced.

Consult your doctor if you experience diarrhea while taking Bylvay. It is recommended to drink sufficient liquid to patients with diarrhea to avoid dehydration.

During treatment with Bylvay, elevated levels of liver enzymes may be observed in liver function tests. Before starting treatment with Bylvay, your doctor will measure your liver function to check the functioning of your liver. Your doctor will perform regular checks to monitor your liver function.

Before and during treatment, your doctor may also check your blood levels of vitamins A, D, and E and your INR (international normalized ratio, which measures your risk of bleeding).

Children

The use of Bylvay is not recommended in infants under 6 months, as it is not known whether the medicine is safe and effective in this age group.

Using Bylvay with other medicines

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

Treatment with odevixibat may affect the absorption of fat-soluble vitamins, such as vitamins A, D, and E, and some medicines.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, consult your doctor before using this medicine.

The use of Bylvay is not recommended during pregnancy or in women of childbearing potential who are not using contraceptive methods.

It is not known whether odevixibat can pass into breast milk and affect the baby. Your doctor will help you decide whether to stop breastfeeding or avoid treatment with Bylvay, taking into account the benefit of breastfeeding for the baby and the benefit of Bylvay for the mother.

Driving and using machines

Bylvay has no or negligible influence on the ability to drive and use machines.

3. How to take Bylvay

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

Treatment should be initiated and supervised by a doctor with experience in the treatment of progressive liver disease with reduced bile flow.

The dose of Bylvay depends on your weight. Your doctor will calculate the correct number of capsules you should take and their concentration.

The recommended dose is

  • 40 micrograms of odevixibat per kilogram of body weight once a day
  • If the medicine does not work well enough after 3 months, your doctor may increase the dose to 120 micrograms of odevixibat per kilogram of body weight (up to a maximum of 7,200 micrograms once a day).

Different doses are not recommended for adults.

Method of administration

Take the capsules once a day in the morning, with or without food.

All capsules can be swallowed whole with a glass of water or opened and sprinkled on some food or in a liquid suitable for the age (e.g., breast milk, formula milk, or water).

The larger capsules, 200 and 600 micrograms, are designed to be opened and sprinkled on some food or in a liquid suitable for the age, but can be swallowed whole. The smaller capsules, 400 and 1,200 micrograms, are designed to be swallowed whole, but can be opened and sprinkled on some food or in a liquid suitable for the age.

You will find detailed instructions on how to open the capsules and sprinkle the contents on some food or in a liquid at the end of this leaflet.

If the medicine does not improve your disease after 6 months of continuous daily treatment, your doctor will recommend an alternative treatment.

If you take more Bylvay than you should

Tell your doctor if you think you have taken too much Bylvay.

Possible symptoms of an overdose are diarrhea and stomach and intestine problems.

If you forget to take Bylvay

Do not take a double dose to make up for a forgotten dose. Take the next dose at the usual time.

If you stop taking Bylvay

Do not stop taking Bylvay without talking to your doctor first.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Side effects may occur with the following frequencies:

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

  • diarrhea, including bloody diarrhea, soft stools
  • vomiting
  • abdominal pain (stomach pain)

Common(may affect up to 1 in 10 people)

  • enlargement of the liver

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Bylvay

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

Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date is the last day of the month stated.

Store in the original package to protect from light. Do not store above 25°C.

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

6. Container Contents and Additional Information

Bylvay Composition

  • The active ingredient is odevixibat.

Each hard capsule of Bylvay 200 micrograms contains 200 micrograms of odevixibat (as sesquihydrate).

Each hard capsule of Bylvay 400 micrograms contains 400 micrograms of odevixibat (as sesquihydrate).

Each hard capsule of Bylvay 600 micrograms contains 600 micrograms of odevixibat (as sesquihydrate).

Each hard capsule of Bylvay 1,200 micrograms contains 1,200 micrograms of odevixibat (as sesquihydrate).

The other ingredients are:

  • Capsule content

Microcrystalline cellulose

Hypromellose

Capsule shell

Bylvay 200 micrograms and 600 micrograms hard capsules

Hypromellose

Titanium dioxide (E171)

Yellow iron oxide (E172)

Bylvay 400 micrograms and 1,200 micrograms hard capsules

Hypromellose

Titanium dioxide (E171)

Yellow iron oxide (E172)

Red iron oxide (E172)

Printing ink

Lacquer

Propylene glycol

Black iron oxide (E172)

Appearance and Container Contents

Bylvay 200 micrograms hard capsules:

Capsules of size 0 (21.7 mm × 7.64 mm) with an opaque ivory-colored cap and an opaque white body; with the inscription «A200» in black ink.

Bylvay 400 micrograms hard capsules:

Capsules of size 3 (15.9 mm × 5.82 mm) with an opaque orange-colored cap and an opaque white body; with the inscription «A400» in black ink.

Bylvay 600 micrograms hard capsules:

Capsules of size 0 (21.7 mm × 7.64 mm) with an opaque ivory-colored cap and body; with the inscription «A600» in black ink.

Bylvay 1,200 micrograms hard capsules:

Capsules of size 3 (15.9 mm × 5.82 mm) with an opaque orange-colored cap and body; with the inscription «A1200» in black ink.

The hard capsules of Bylvay are packaged in a plastic bottle with a polypropylene closure, with a security seal and child-resistant closure. Package size: 30 hard capsules.

Marketing Authorization Holder

Ipsen Pharma

70 rue Balard

75015 Paris

France

Manufacturer

Almac Pharma Services Limited

Seagoe Industrial Estate

Portadown, Craigavon

County Armagh

BT63 5UA

United Kingdom (Northern Ireland)

You can request more information about this medicinal product by contacting the local representative of the marketing authorization holder:

België/Belgique/Belgien/Luxembourg/ Luxemburg

Ipsen NV België/Belgique/Belgien

Tél/Tel: +32 9 243 96 00

Italia

Ipsen SpA

Tel: + 39 02 39 22 41

Text in Bulgarian Cyrillic with the name of the company Swixx Biopharma Eood and its phone number

Latvija

Ipsen Pharma representative office

Tel: + 371 67622233

Text indicating “Česká republika Ipsen Pharma sro Tel: +420 242 481 821” in black letters on a white background

Lietuva

Ipsen Pharma SAS Lietuvos filialas

Tel: +370 700 33305

Danmark, Norge, Suomi/Finland, Sverige, Ísland

Institut Produits Synthèse (IPSEN) AB Sverige/Ruotsi/Svíþjóð

Tlf/Puh/Tel/Sími: +46 8 451 60 00

Magyarország

IPSEN Pharma Hungary Kft.

Tel.: + 36 1 555 5930

Deutschland, Österreich

Ipsen Pharma GmbH Deutschland

Tel: +49 89 2620 432 89

Nederland

Ipsen Farmaceutica B.V.

Tel: +31 (0) 23 554 1600

Eesti

Centralpharma Communications OÜ

Tel: +372 60 15 540

Polska

Ipsen Poland Sp. z o.o.

Tel.: + 48 22 653 68 00

Ελλ?δα, Κ?προς, Malta

Ipsen Μονοπρ?σωπη EΠΕ

Ελλ?δα

Τηλ: +30 210 984 3324

Portugal

Ipsen Portugal - Produtos Farmacêuticos S.A. Tel: + 351 21 412 3550

España

Ipsen Pharma, S.A.U.

Tel: +34 936 858 100

România

Ipsen Pharma România SRL

Tel: + 40 21 231 27 20

France

Ipsen Pharma

Tél: +33 1 58 33 50 00

Slovenija

Swixx Biopharma d.o.o.

Tel: + 386 1 2355 100

Hrvatska

Swixx Biopharma d.o.o.

Tel: +385 1 2078 500

Slovenská republika

Ipsen Pharma, organizačná zložka

Tel: + 420 242 481 821

Ireland, United Kingdom (Northern Ireland)

Ipsen Pharmaceuticals Limited

Tel: +44 (0)1753 62 77 77

Date of Last Revision of this Prospectus:

This medicinal product has been authorized under exceptional circumstances. This authorization mechanism means that due to the rarity of this disease, it has not been possible to obtain complete information on this medicinal product.

The European Medicines Agency will review any new information on this medicinal product that may become available annually, and this prospectus will be updated as necessary.

Other Sources of Information

Detailed information on this medicinal product is available on the European Medicines Agency website: http://www.ema.europa.eu.

There are also links to other websites on rare diseases and orphan medicines.

Instructions

Instructions for opening the capsules and sprinkling the contents over some food:

Step 1. Place a small amount of soft food in a bowl (2 tablespoons/30 ml of yogurt, apple sauce, mashed banana or carrot, chocolate pudding, rice pudding, or oatmeal). The food should be at room temperature or cooler.

Hands holding a blue device with arrows indicating movement of separation to the sides

Step 2:

  • Hold the capsule horizontally by both ends and twist in opposite directions.

Two hands holding blue devices dispensing small circular particles over a white surface

Step 3:

  • Separate them to empty the contents into the bowl containing the soft food.
  • Gently tap the capsule to ensure all the granules come out.
  • Repeat the above step if more than one capsule is needed for the dose.

Needle inserting into a vial with gray liquid and a black arrow indicating the direction of insertion

Step 4:

  • Mix the capsule contents gently with the soft food.
  • Take the complete dose immediately after mixing. Do not store the mixture for later use.
  • Drink a glass of water after the dose.
  • Discard the empty capsule shells.

Instructions for opening the capsules and sprinkling the contents into a suitable liquid for the age:

Do not administer the medicinal product through a baby bottle or a medicine cup, as the granules will not pass through the opening. The granules will not dissolve in liquids.

Contact your pharmacy if you do not have an appropriate oral syringe to administer the medicinal product at home.

Hands opening a blue capsule with granular contents falling into a glass with transparent liquid

Step 1:

  • Hold the capsule horizontally by both ends and twist in opposite directions.
  • Separate them to empty the contents into a small cup or glass. Gently tap the capsule to ensure all the granules come out. Repeat this step if more than one capsule is needed for the dose.
  • Add 1 teaspoon (5 ml) of a suitable liquid for the age (e.g., breast milk, infant formula, or water).
  • Allow the granules to settle in the liquid for approximately 5 minutes to allow them to become completely wet (the granules will not dissolve).

Hands holding an oral syringe over a vial with gray liquid and an arrow indicating vertical movement

Step 2:

  • After 5 minutes, fully insert the tip of the oral syringe into the mixture cup.
  • Slowly pull the syringe plunger up to draw the liquid and granule mixture into the syringe. Gently press the plunger down again to return the mixture to the cup. Repeat this process 2 or 3 times to ensure complete mixing of the granules in the liquid.

Step 3:

  • Draw the entire contents into the oral syringe by pulling the plunger up to the end of the syringe.

Child with mouth open receiving an oral applicator with a gray cylinder and a black plunger

Step 4:

  • Place the tip of the oral syringe in the front of the child's mouth between the tongue and the side of the mouth, and then gently press the plunger down to administer a stream of the liquid and granule mixture between the tongue and the side of the child's mouth. Do not administer a stream of the liquid and granule mixture into the back of the child's throat, as this could cause gagging or choking.
  • If there are any remaining mixture in the cup, repeat steps 3 and 4 until the complete dose has been administered.
  • Administer the complete dose immediately after mixing. Do not store the liquid and granule mixture for later use.
  • Give the child breast milk, infant formula, or another suitable liquid for the age to drink after the dose.
  • Discard the empty capsule shells.

Alternatives to BYLVAY 1200 micrograms hard capsules in other countries

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

Alternative to BYLVAY 1200 micrograms hard capsules in Ukraine

Dosage form: capsules, 10 capsules in a blister
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Online doctors for BYLVAY 1200 micrograms hard capsules

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for BYLVAY 1200 micrograms hard capsules – subject to medical assessment and local rules.

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Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
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  • Mental health support, anxiety, and counselling
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She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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Tarek Agami

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Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Hocine Lokchiri

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Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
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Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Areas of expertise:

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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.

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  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
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Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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General medicine8 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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5.0(7)
Doctor

Svetlana Kovalenko

Family medicine15 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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€55
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