Background pattern
SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION

SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION

Ask a doctor about a prescription for SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION

5.0(14)
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.

CameraBook a video appointment
€69
Today14:35
Today15:00
Today15:25
Today15:50
Today16:15
More times
5.0(50)
Doctor

Nuno Tavares Lopes

Family medicine18 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.

  • 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. 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.

CameraBook a video appointment
€59
Today14:35
Today14:55
Today15:35
Today15:55
Today16:15
More times
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 SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION

Introduction

Package Leaflet: Information for the User

Colistimethate Sodium Accordpharma 1 Million IU Powder for Solution for Injection and Infusion EFG

Read all of this leaflet carefully before you start using 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, pharmacist, or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get 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 Colistimethate Sodium Accordpharma and what is it used for
  2. What you need to know before you use Colistimethate Sodium Accordpharma
  3. How to use Colistimethate Sodium Accordpharma
  4. Possible side effects
  5. Storage of Colistimethate Sodium Accordpharma
  6. Contents of the pack and further information

1. What is Colistimethate Sodium Accordpharma and what is it used for

Informative text about the correct use of antibiotics and the importance of following medical instructions Colistimethate Sodium Accordpharma contains the active substance colistimethate sodium. Colistimethate sodium is an antibiotic belonging to the group of polymyxins.

Colistimethate sodium is administered by injection to treat some types of severe infections caused by certain bacteria.

Colistimethate sodium is used when other antibiotics are not suitable.

2. What you need to know before you use Colistimethate Sodium Accordpharma

Do not use Colistimethate Sodium Accordpharma

  • If you are allergic (hypersensitive) to colistimethate sodium, colistin, or other polymyxins.

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to use this medicine

  • If you have or have had kidney problems
  • If you suffer from myasthenia gravis
  • If you suffer from porphyria
  • If you experience muscle spasms, fatigue, or increased urine production at any time, inform your doctor immediately, as these episodes may be related to a disease known as pseudo-Bartter syndrome.

Children

In premature and newborn infants, caution should be exercised when using colistimethate sodium because the kidneys are not yet fully developed.

Other medicines and Colistimethate Sodium Accordpharma

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

If you are taking any of the following medicines, you may or may not be able to take colistimethate sodium.

Sometimes other medicines need to be stopped (even if only for a time) or you may need a lower dose of colistimethate sodium or you may need to be monitored while taking colistimethate sodium. In some cases, it may be necessary to measure the level of colistimethate sodium in your blood from time to time to make sure you are taking the correct dose.

  • Medicines such as aminoglycoside antibiotics (including gentamicin, tobramycin, amikacin, and netilmicin) and cephalosporins may affect how your kidneys work. Taking these medicines at the same time as colistimethate sodium may increase the risk of kidney damage (see section 4 of the package leaflet).
  • Medicines such as aminoglycoside antibiotics (including gentamicin, tobramycin, amikacin, and netilmicin) may affect the nervous system. Taking these medicines at the same time as colistimethate sodium may increase the risk of side effects on the ears or other parts of your nervous system (see section 4 of the package leaflet).
  • Medicines called muscle relaxants, used often during general anesthesia. Colistimethate sodium may increase the effects of these medicines. If you are going to be given a general anesthetic, tell your anesthesiologist that you are using colistimethate sodium.

If you have myasthenia gravis and are also taking other antibiotics called macrolides (such as azithromycin, clarithromycin, or erythromycin), or antibiotics called fluoroquinolones (such as ofloxacin, norfloxacin, and ciprofloxacin), taking this medicine increases the risk of muscle weakness and breathing difficulties even more.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Pregnancy

There are no adequate data on the use of this medicine in pregnant women. Your doctor should only administer this medicine to you if the expected benefit outweighs any potential risk to the fetus.

Breastfeeding

Small amounts of colistimethate sodium may pass into breast milk. Breastfeeding is not recommended during treatment with this medicine.

Driving and using machines

When colistimethate sodium is administered intravenously, it can cause dizziness, confusion, or visual problems. If this occurs, you should not drive or use any machinery.

Colistimethate Sodium Accordpharma contains sodium

This medicine contains less than 1 mmol (23 mg) of sodium per dose, which is essentially "sodium-free"

3. How to use Colistimethate Sodium Accordpharma

Depending on the reason (see section 1 of the package leaflet), this medicine may be administered as a rapid injection (over 5 minutes into a vein through a special tube) or as a slow injection (infusion over 30 to 60 minutes) into a vein. Sometimes, colistimethate sodium may be administered as an injection into the brain or spinal cord.

Follow your doctor's or pharmacist's instructions for administering this medicine exactly. If you are unsure, consult your doctor or pharmacist again.

Use for infusion or injection:

The usual daily dose in adults is 9 million units, divided into two or three doses. If you are very ill, you may be given a higher dose of 9 million units at the start of treatment.

In some cases, your doctor may decide to give you a higher daily dose of up to 12 million units.

The usual daily dose in children weighing up to 40 kg is 75,000 to 150,000 units per kilogram of body weight, divided into three doses.

Children and adults with kidney problems, including those on dialysis, are usually given lower doses. Your doctor will regularly monitor your kidney function while you are receiving colistimethate sodium.

Method of administration

Colistimethate sodium is administered as an injection, mainly in hospitals. Your doctor will administer colistimethate sodium to you as an infusion into a vein over 30 to 60 minutes. If you need to treat yourself at home, your doctor, pharmacist, or nurse will show you how to dissolve the powder and inject the correct dose of solution.

Duration of treatment

Your doctor will decide the duration of treatment based on the severity of the infection. When treating bacterial infections, it is essential to complete the treatment to avoid worsening the existing infection.

If you use more Colistimethate Sodium Accordpharma than you should

If you think you have been given too much colistimethate sodium, contact your doctor or nurse immediately for advice, or if they are not available, contact or go to the emergency department of the nearest hospital. If too much colistimethate sodium is administered accidentally, the side effects can be severe and may include kidney problems, muscle weakness, and difficulty breathing (or even respiratory arrest).

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, telephone 91 5620420, indicating the medicine and the amount ingested.

If you are being treated in the hospital or at home by a doctor or nurse and think you may have missed a dose or been given an excessive dose of colistimethate sodium, consult your doctor, nurse, or pharmacist about this.

If you forget to use Colistimethate Sodium Accordpharma

If you are treating yourself and have forgotten a dose, you should administer the forgotten dose as soon as you remember and administer the next dose 8 hours later if you use colistimethate sodium three times a day, or 12 hours later if you use colistimethate sodium twice a day. From then on, follow the instructions. Do not take a double dose to make up for the forgotten dose.

If you stop using Colistimethate Sodium Accordpharma

Do not stop treatment before unless your doctor tells you to. Your doctor will indicate the duration of treatment.

If you have any further questions about 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.

After intravenous administration, you may experience the following symptoms that may be related to a disease known as pseudo-Bartter syndrome (see section 2):

  • muscle spasms
  • increased urine production
  • fatigue

Allergic reactions

If colistimethate sodium is administered into a vein, an allergic reaction may occur. Severe allergic reactions can occur even with the first dose and may include rapid onset of hives, swelling of the face, tongue, and throat, difficulty breathing due to constriction of the airways, and loss of consciousness.

If you experience signs of an allergic reaction, seek urgent medical attention.

Milder allergic reactions include hives that may occur later during treatment.

Side effects associated with the injection of colistimethate sodium into a vein

Side effects affecting the nervous system are more likely if the dose of colistimethate sodium is too high, in people with kidney problems, or in people using muscle relaxants or other medicines that affect the nerves in a similar way.

The most serious of these side effects on the nervous system is the inability to breathe due to paralysis of the chest muscles. If you experience any breathing difficulties, seek urgent medical help.

Other possible side effects are numbness or tingling (especially around the face), dizziness or loss of balance, rapid changes in blood pressure or blood flow (such as fainting and flushing), difficulty speaking, vision problems, confusion, and mental problems (such as loss of sense of reality). There may be reactions at the injection site, such as irritation.

Kidney problems can also occur. These are especially likely in people who already have weak kidneys, or who are given colistimethate sodium at the same time as other medicines that may affect the kidneys, or who are given too high a dose. Usually, these problems improve if treatment is stopped or the dose of colistimethate sodium is reduced.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is possible that they are not listed in this package leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Colistimethate Sodium Accordpharma

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 label and carton after "EXP". The expiry date is the last day of the month shown.

This medicine does not require any special storage conditions.

The diluted solutions of this medicine should be used immediately, or within 24 hours if stored in the refrigerator (between 2°C and 8°C), depending on the concentration and how the medicine is used.

If not used immediately, the storage times and conditions during use are the responsibility of the user.

The appearance of the solution should be a clear, colorless to pale yellow solution without visible particles.

Any remaining solution should be discarded.

Medicines should not be disposed of via wastewater or household waste. Return the containers and any unused medicines to the pharmacy's SIGRE collection point. Ask your pharmacist how to dispose of the containers and any unused medicines. This will help protect the environment.

6. Contents of the pack and further information

Composition of Colistimethate Sodium Accordpharma

The active substance is colistimethate sodium.

Each vial contains 1 million international units (IU) of colistimethate sodium.

There are no other ingredients.

Appearance of the product and pack contents

Colistimethate Sodium Accordpharma 1 million IU is a white lyophilized powder available in a 10 ml transparent glass vial.

Package sizes:

1 x 1 vial

1 x 10 vials

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Accord Healthcare, S.L.U.

Moll de Barcelona s/n,

World Trade Center Edifici Est 6th floor

08039 Barcelona

Spain

Manufacturer

Accord Healthcare Polska Sp.z o.o.

ul. Lutomierska 50,

95-200 Pabianice,

Poland

Or

Laboratori Fundació Dau

C/ C, 12-14 Pol. Ind.

Zona Franca, Barcelona, 08040,

Spain

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

Member State

Medicine name

Austria

Colistimethat-Natrium Accord 1 Mio. I.E. Pulver zur Herstellung einer Injektions-/Infusionslösung

Belgium

NL: Colistimethaat Accord 1 miljoen Internationale Eenheden (IE) poeder voor oplossing voor injectie/infusie

FR: Colistimethaat Accord 1 million (UI) poudre pour solution injectable/pour perfusion

DE: Colistimethaat Accord 1 Million (IE) Pulver zur Herstellung einer Injektions-/Infusionslösung

Denmark

Kolistimetatnatrium Accord 1 million IE, pulver til opløsning til injektion/infusion

Estonia

Colistimethate sodium Accord

Germany

Colistimethat-Natrium Accord 1 Million I.E. Pulver zur Herstellung einer Injektions-/Infusionslösung

Lithuania

Colistimethate sodium Accord 1 000 000 TV milteliai injekciniam ar infuziniam tirpalui

Netherlands

Colistimethaatnatrium Accord 1 miljoen IE, poeder voor oplossing voor injectie / infusie

Sweden

Kolistimetatnatrium Accord 1 miljon IE pulver till injektions-/infusionsvätska, lösning

Bulgaria

Colistimethate sodium Accord 1 million IU powder for solution for injection/infusion

Czech Republic

Colistimethate Accord

Croatia

Kolistimetatnatrij Accord 1 milijun IU prašak za otopinu za injekciju/infuziju

Hungary

Colistimethate sodium Accord 1 000 000 NE por oldatos injekcióhoz/infúzióhoz

Romania

Colistimetat de sodiu Accord 1000000 UI pulbere pentru solutie injectabila/ perfuzabila

Slovenia

Natrijev kolistimetat Accord 1 milijon IE prašek za raztopino za injiciranje / infundiranje

France

COLISTIMETHATE SODIQUE ACCORD 1 000 000 UI, poudre pour solution injectable/pour perfusion

Spain

Colistimetato de sodio Accordpharma 1 millón de UI polvo para solución inyectable y para perfusión EFG

Cyprus

Colistimethate sodium Accord 1 million IU powder for solution for injection/infusion

Italy

Colistimetato sodico Accordpharma

Date of last revision of this package leaflet: February 2024

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es/.

--------------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Special precautions for disposal and other handling

For bolus injection:

Reconstitute the vial contents with no more than 10 ml of water for injections or sodium chloride 0.9%.

For infusion:

The reconstituted vial contents may be diluted, normally with 50 ml of sodium chloride 0.9%.

When using the intrathecal and intracerebroventricular routes of administration, the administered volume should not exceed 1 ml (reconstituted concentration 125,000 IU/ml).

Disposal of the unused medicine and all materials that have come into contact with it should be done according to local regulations.

The solution after reconstitution should be a clear, colorless to pale yellow solution without visible particles.

The solutions are for single use and any remaining solution should be discarded.

Alternatives to SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION in other countries

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

Alternative to SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION in Poland

Dosage form: Powder, 2000000 IU
Active substance: colistin
Manufacturer: Demo S.A.
Prescription required
Dosage form: Powder, 1000000 IU
Active substance: colistin
Manufacturer: Demo S.A.
Prescription required
Dosage form: Powder, 2000000 IU
Active substance: colistin
Manufacturer: Demo S.A.
Prescription required
Dosage form: Powder, 1000000 IU
Active substance: colistin
Manufacturer: Demo S.A.
Prescription required
Dosage form: Lyophilizate, 1,000,000 IU
Active substance: colistin

Alternative to SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION in Ukraine

Dosage form: powder, 2,000,000 IU
Active substance: colistin
Prescription required
Dosage form: powder, 1,000,000 IU
Active substance: colistin
Dosage form: powder, 1,000,000 IU
Active substance: colistin
Prescription required
Dosage form: powder, 2000000 IU
Active substance: colistin
Prescription required
Dosage form: powder, 1000000 IU
Active substance: colistin
Manufacturer: AL'FASIGMA S.P.A.
Prescription required

Online doctors for SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for SODIUM COLISTIMETHATE ACCORDPHARMA 1 Million IU POWDER FOR INJECTABLE SOLUTION AND FOR INFUSION – subject to medical assessment and local rules.

5.0(14)
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.

CameraBook a video appointment
€69
Today14:35
Today15:00
Today15:25
Today15:50
Today16:15
More times
5.0(50)
Doctor

Nuno Tavares Lopes

Family medicine18 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.

  • 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. 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.

CameraBook a video appointment
€59
Today14:35
Today14:55
Today15:35
Today15:55
Today16:15
More times
5.0(11)
Doctor

Duarte Meneses

Family medicine5 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.

CameraBook a video appointment
€65
Today14:35
Today15:00
Today15:25
Today15:50
Today16:15
More times
5.0(3)
Doctor

Ngozi Precious Okwuosa

General medicine6 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
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.
CameraBook a video appointment
€50
Today14:35
Today15:25
Today16:15
Today17:05
Today17:55
More times
0.0(2)
Doctor

Muhammad Tayyab Altaf

General medicine3 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Italy, the United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

His background includes clinical practice in Policlinico San Matteo Hospital Pavia in Italy, Mount Sinai Hospital in New York, United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

CameraBook a video appointment
€49
Today14:35
Today14:50
Today15:05
January 609:30
January 609:45
More times
5.0(14)
Doctor

Anastasiia Shalko

Family medicine13 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

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
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
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.

CameraBook a video appointment
€50
Today14:50
Today15:20
Today15:50
Today16:20
Today16:50
More times
5.0(2)
Doctor

Tomasz Grzelewski

Dermatology21 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.
CameraBook a video appointment
€80
Today14:50
Today15:15
Today15:40
Today16:05
Today16:30
More times
5.0(7)
Doctor

Roman Raevskii

General medicine7 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

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.

CameraBook a video appointment
€50
Today15:20
Today16:05
Today16:50
Today17:35
January 609:00
More times
0.0(0)
Doctor

Antonio Cayatte

General medicine44 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

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.

CameraBook a video appointment
€60
Today15:20
Today15:50
Today16:20
Today16:50
Today17:20
More times
0.0(0)
Doctor

Hocine Lokchiri

General medicine21 years of experience

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:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
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:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • 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.
CameraBook a video appointment
€58
Today15:45
Today17:45
January 608:00
January 611:30
January 615:45
More times

Get updates and exclusive offers

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

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2026 Oladoctor. All rights reserved.
VisaMastercardStripe