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CENAT GRANULADO

CENAT GRANULADO

Ask a doctor about a prescription for CENAT GRANULADO

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Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

  • 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
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
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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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 CENAT GRANULADO

Introduction

Package Leaflet: Information for the User

CENAT Granules

Plantago ovata seeds / Cuticles of Plantago ovata seeds

(Ispaghula husk)

Read the entire package leaflet carefully because it contains important information for you.

This medication can be obtained without a prescription. Nevertheless, to obtain the best results, it should be used properly.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If symptoms worsen or persist after 7 days, you should consult a doctor.
  • If you consider that any of the adverse effects you are experiencing is serious or if you notice any adverse effect not mentioned in this package leaflet, inform your doctor or pharmacist.

Contents of the Package Leaflet

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

1. What Cenat is and what it is used for

Cenat belongs to a group of medications called bulk-forming laxatives. These medications work by facilitating the absorption of water by the intestinal bolus, forming a gel that increases the volume and fluidity of the stool.

Cenat is used for:

  • Chronic habitual constipation, or as a result of bed rest after surgical operations, for example, after rectal or anal surgery, due to changes in diet, travel, or prolonged treatment with drastic laxatives.
  • Conditions that involve alternating episodes of diarrhea and constipation (irritable colon, diverticulosis). Regulation of bowel movements in patients with an artificial anus (colostomy).
  • Symptomatic treatment of functional diarrhea and as an additional measure in cases of Crohn's disease.
  • Proctological (rectal) processes such as hemorrhoids, fissures (or anal abscesses), which reduce the pain of defecation and facilitate the evacuation of stool, as it is richer in water.
  • To complete the daily intake of fiber when it is insufficient (weight loss diets and certain metabolic disorders).

2. What you need to know before taking Cenat

Do not take Cenat

  • If you are hypersensitive (allergic) to Plantago ovataor Ispaghula huskor to any of the other components of the medication.
  • If you experience nausea, vomiting, or other abdominal symptoms of unknown diagnosis.
  • If you have intestinal obstruction or have been diagnosed with stenosis (narrowing) of the digestive tract.

Be careful with Cenat

  • Consult your doctor if you have difficulty breathing or swallowing.
  • Maintain adequate hydration with an intake of 1-2 liters of water per day during treatment with Cenat.

Use of other medications

Inform your doctor or pharmacist if you are using or have recently used other medications, including those obtained without a prescription.

Because Cenat can delay the absorption of certain medications, you should take Cenat 30 minutes or 1 hour before or after the administration of other medications such as: coumarin derivatives (oral anticoagulants), digitalis-based medications, lithium, vitamins such as B12, calcium, magnesium, iron, or zinc.

Due to the risk of intestinal obstruction, do not take Cenat if you are taking antidiarrheal medications or products that inhibit intestinal motility (diphenoxylate, loperamide, opioids).

Use of Cenat with food and drinks

As a general rule, Cenat should be administered after meals.

In the case of using Cenat as a complementary treatment for obesity, it is useful to take it 30 minutes before main meals to induce a feeling of fullness.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medication.

Driving and using machines

No effects of this medication on the ability to drive and use machinery are expected.

Important information about some of the components of Cenat

This medication contains sucrose. If your doctor has indicated that you have an intolerance to certain sugars, consult with them before taking this medication.

3. How to take Cenat

Follow the administration instructions of Cenat indicated by your doctor. Consult your doctor or pharmacist if you have doubts.

Remember to take your medication.

Cenat is administered orally.

Considering the safety of dietary fiber administration, there is no limitation to the treatment.

Take the granules without chewing and with a sufficient amount of liquid (a full glass) to avoid blockage of the throat.

Drink 1 to 2 liters of water daily during treatment with Cenat.

If symptoms worsen or persist after 7 days, you should consult a doctor.

If you think the action of Cenat is too strong or too weak, inform your doctor or pharmacist.

Adults and children over 12 years old

Take 2 dessert spoons of granules (10 g of granules) at night after dinner. If necessary, you can take an additional spoon in the morning (which would be equivalent to a total of 15 g of granules per day).

In case of diarrhea, take an initial dose of two spoons 3 times a day (30 g of granules/day) for 2 or 3 days and then reduce the dose to one heaped spoon 3 times a day (15 g/day).

You should try to make the last daily intake of Cenat after dinner, but not just before bedtime, and you should take it in an upright position.

As a complementary treatment for obesity, take Cenat 30 minutes before main meals to induce a feeling of fullness.

Children from 6 to 12 years old

Administer half of the doses indicated for adults and children over 12 years old.

If you take more Cenat than you should

If you have taken more Cenat than you should, consult your doctor or pharmacist.

Overdose of Plantago ovatacan cause abdominal discomfort and flatulence and may even cause intestinal obstruction.

In case of overdose or accidental ingestion, consult the Toxicology Information Service, phone 915 62 04 20, indicating the medication and the amount ingested.

If you forget to take Cenat

Do not take a double dose to make up for forgotten doses.

4. Possible side effects

Like all medications, Cenat can cause side effects, although not everyone experiences them.

The side effects of this medication are generally mild and transient. At the start of treatment and depending on the dose, some discomfort such as flatulence and a feeling of fullness may appear, which disappear in a few days without needing to stop the medication.

In certain cases, abdominal distension may appear and exceptionally, isolated cases of intestinal, throat, or esophageal obstruction may occur, especially if the granules are ingested without sufficient water.

Occasionally, allergic reactions to Plantago ovatamay occur, mainly due to inhalation of the powder, and isolated cases of anaphylactic reactions may exist. Due to the granule presentation of Cenat, this problem is very unlikely.

If you consider that any of the side effects you are experiencing is serious or if you notice any side effect not mentioned in this package leaflet, inform your doctor or pharmacist.

5. Storage of Cenat

Keep in the original packaging. Keep the bottle perfectly closed. Keep out of the reach and sight of children.

Expiration date

Do not use Cenat after the expiration date (EXP.) that appears on the bottle. The expiration date is the last day of the month indicated. Medications should not be thrown away through the sewage system or in the trash. Ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Contents of the pack and further information

Composition of Cenat granules

  • The active ingredients are Plantago ovata seeds, Cuticles of Plantago ovata seeds (Ispaghula Husk).
  • The other components are: Carum carvi essential oil; Salvia officinalis essential oil; Mentha piperita essential oil; Gum arabic; Talc; Yellow iron oxide (E-172); Red iron oxide (E-172); Titanium dioxide (E-171); Solid paraffin; Liquid paraffin; Sucrose.

Appearance of the product and contents of the pack

Cenat is presented in bottles containing 250 or 400 g of granules for oral administration.

Marketing authorization holder and manufacturer

Marketing authorization holder

Cooper Consumer Health B.V.

Verrijn Stuartweg 60,

1112 AX Diemen,

Netherlands

Manufacturer

MADAUS GMBH

Lütticher Strasse, 5

(Troisdorf) – 53842

Germany

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

Vemedia Pharma Hispania, S.A.

C/ Aragón, 182, 5ª planta

08011 Barcelona

Spain

Date of the last revision of this package leaflet:September 2022.

Online doctors for CENAT GRANULADO

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for CENAT GRANULADO – subject to medical assessment and local rules.

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Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • 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
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
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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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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Roman Raevskii

Oncology6 years of experience

Dr. Roman Raevskii is an oncologist and general practitioner. He provides online consultations focused on cancer-related care, early diagnosis, and personalised treatment – combining clinical expertise with a patient-centred approach.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients — pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

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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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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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.

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Jonathan Marshall Ben Ami

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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.

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Andrei Popov

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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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Dmytro Horobets

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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.

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