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ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

Ask a doctor about a prescription for ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

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Doctor

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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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 ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

Introduction

Leaflet: information for the user

EchinaMed plus spray, solution for oral spray.

Read the entire leaflet carefully before starting to use this medication

because it contains important information for you.

This medication can be purchased without a prescription. Nevertheless, to obtain the best

results, it must be used properly.

Follow the administration instructions of the medication contained in

this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience adverse effects, consult your doctor, pharmacist, or nurse,

even if it is an adverse effect not described in this leaflet.

  • You should consult a doctor if it worsens, or if it does not improve after 7 days of

treatment.

Contents of the leaflet:

  1. What is EchinaMed plus spray and what is it used for
  2. What you need to know before starting to use EchinaMed plus spray
  3. How to use EchinaMed plus spray
  4. Possible adverse effects
  5. Storage of EchinaMed plus spray
  6. Package contents and additional information

1. What is EchinaMed Plus Spray and what is it used for

EchinaMed plus spray is a traditional herbal medicinal product for the relief of pharyngitis

(sore throat) associated with a cold, cooling, and flu, based on its traditional use.

2. What you need to know before starting to use EchinaMed Plus Spray

Do not use EchinaMed plus sprayif you:

  • Are allergic to plants of the Asteraceae (Compositae) family, to sage, or to

any of the product's components.

  • Suffer from an autoimmune disease (multiple sclerosis, collagenosis)
  • Suffer from conditions that reduce your resistance to infection.
  • Are undergoing treatment with immunosuppressants (oncological treatments with

cytostatics or by transplant)

  • Suffer from diseases characterized by a low white blood cell count

such as agranulocytosis or leukemia.

Warnings and precautions

  • If during the use of the medication, the symptoms worsen or there is a high fever, you

should consult a doctor or pharmacist.

  • There is a possible risk of anaphylactic reaction in atopic patients. If you suffer from

urticaria, atopic dermatitis, or asthma, you should consult your doctor before using

this medication.

  • This medication contains 40-47% V/V of ethanol, equivalent to 163mg per

dose (81mg per spray), equivalent, for example, to: 3.7 ml of beer per dose (1.85 ml of beer per spray), equivalent, for example, to: 1.5 ml

of wine per dose (0.77 ml of wine per spray)

  • It is harmful to alcoholics and should be monitored during pregnancy, breastfeeding,

in children, and in high-risk groups such as patients with liver disease or epileptics.

  • This medication contains sorbitol. If your doctor has told you that you have

intolerance to certain sugars, you should consult your doctor before using this

medication.

  • This medication contains sucrose. Patients with fructose intolerance, glucose or galactose malabsorption, or sacarase-isomaltase insufficiency,

    should not take this medication.

    • This medication contains soy lecithin and should not be used by patients with a known

    allergy to peanuts or soy.

    Children and adolescents

    It should not be administered to minors under 18 years of age.

    Use of EchinaMed plus spray with other medications:

    There is no evidence that extracts of echinacea or sage interact with other medications.

    Pregnancy and breastfeeding

    As a precautionary measure and in the absence of sufficient data, use during pregnancy and breastfeeding is not recommended without medical supervision.

    If you are pregnant or think you may be pregnant, consult your doctor before taking this medication. The consumption of medications during pregnancy can be hazardous to the embryo or fetus and should be monitored by your doctor.

    Driving and using machinery:

    No studies have been conducted on the effects of EchinaMed plus spray on the ability to drive vehicles and operate machinery. However, based on its activity, it is unlikely that EchinaMed plus spray will alter this ability.

    3. How to use EchinaMed Plus Spray

    Follow the administration instructions of the medication contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your pharmacist or doctor.

    The recommended dose is:

    Adults and elderly: 2 sprays, 6 to 10 times a day.

    Start treatment with the first symptoms.

    At the end of this leaflet, you can find the instructions for assembling the sprayer.

    EchinaMed plus spray is a medication for exclusive buccopharyngeal use.

    Do not use more than the recommended dose.

    Duration of use

    Do not use EchinaMed plus spray continuously for more than 2 weeks.

    If symptoms persist for more than 7 days, you should consult a doctor or pharmacist.

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

    If you take more EchinaMed plus spray than you should:

    In case of excessive intake, symptoms can be expected according to the amount of ethanol (alcohol) ingested

    In case of overdose or accidental ingestion, go to a medical center or consult the Toxicology Information Service, phone 91 562 0420, indicating the medication and the amount used.

    4. Possible adverse effects

    Like all medications, EchinaMed plus spray can have adverse effects, although not all people experience them.

    Interrupt treatment and consult your doctor if allergic reactions occur

    such as:

    • Rash
    • Urticaria
    • Inflammatory skin disorders (Stevens-Johnson syndrome)
    • Swelling of the skin due to fluid
    • Swelling of the face (Quincke's edema)
    • Reduced airflow to the lungs (bronchospasm)
    • Asthma and severe allergic reactions (anaphylactic shock)

    Echinacea can trigger allergic reactions in atopic patients.

    If you experience adverse effects, consult your doctor or pharmacist, even if it is an adverse effect that does not appear in this leaflet.

    Reporting of adverse effects:

    If you experience any type of adverse effect, consult your doctor or pharmacist

    or nurse, even if it is a possible adverse effect that does not appear in this leaflet. You can also report it directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es.

    By reporting adverse effects, you can contribute to providing more information on the safety of this medication.

    5. Storage of EchinaMed Plus Spray

    Keep this medication out of sight and reach of children.

    Store at room temperature.

    Do not use EchinaMed plus spray after the expiration date indicated on the packaging.

    Medications should not be thrown away in drains or trash. Ask your pharmacist how to dispose of the packaging and medications that are no longer needed. This will help protect the environment.

    6. Package contents and additional information

    1 ml of EchinaMed plus spray solution contains as active ingredients:

    • 863.3 mg of extract from the fresh aerial part of Echinacea purpurea
    • 45.5 mg of extract from the fresh root of Echinacea purpurea
    • 430 mg of extract from the fresh leaf of Salvia officinalis

    The other components are excipients:

    Sucrose laurate (vegetable origin)

    Soy lecithin (vegetable origin)

    94% ethanol (m/m)

    Peppermint oil

    Sorbitol (liquid)

    Appearance of the product and package contents

    EchinaMed plus is a translucent liquid, brown to yellowish-green with

    a minty aroma and a fresh, slightly bitter, alcoholic taste.

    It is presented in bottles with 30 ml

    For buccopharyngeal application.

    Instructions for assembling the sprayer

    Three illustrated steps for using a nasal sprayer with instructions below each drawing

    Marketing authorization holder and manufacturer

    Bioforce España A.Vogel, S.A.

    Platón 6,

    08021-Barcelona

    Spain

    Tel 93 201 99 22

    Fax 93 209 03 19

    Manufacturer

    • VOGEL B.V.

    J.P. Broekhovenstraat 16, Elburg

    Netherlands

    Date of the last revision of this leaflet: January 2020

    Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS)

    http://www.aemps.gob.es/

Alternatives to ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION in other countries

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

Alternative to ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION in Ukraine

Dosage form: tablets, 10 tablets in a blister
Prescription not required

Online doctors for ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ECHINAMED PLUS SPRAY ORAL SPRAY SOLUTION – subject to medical assessment and local rules.

5.0(40)
Doctor

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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Ekaterina Agapova

Neurology8 years of experience

Dr. Ekaterina Agapova is a neurologist specialising in the diagnosis and treatment of neurological conditions and chronic pain. She provides online consultations for adults, combining evidence-based medicine with a personalised approach.

She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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  • Diagnosis and treatment of arrhythmias: extrasystole, atrial fibrillation and flutter, supraventricular and ventricular tachycardia
  • Conduction disorders: AV blocks, sinoatrial block, bradyarrhythmias
  • ECG and Holter monitor interpretation, including data from smartwatches
  • Evaluation for interventional treatment: stenting, bypass surgery, valve replacement
  • Anticoagulant management (e.g., warfarin, DOACs) based on kidney function and clinical context
  • Perioperative advice on anticoagulant/antiplatelet therapy before dental procedures
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In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

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

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

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His areas of expertise include:

  • Preventive care and vaccination planning, including catch-up schedules for children.
  • Assessment of psychomotor, emotional, and physical development.
  • Diagnosis, treatment planning, and clinical monitoring for paediatric conditions.
  • Nutritional guidance for infants, including the choice of adapted milk formulas tailored to medical needs.
  • Early identification of rare and orphan diseases.
  • Ongoing care for children with chronic or complex health conditions.
By combining paediatrics with a personalised approach, Dr. Savin ensures professional support that addresses both the physical health and overall well-being of children, while guiding parents at every stage of their child’s growth.
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Patients commonly seek her help for:

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

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

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  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
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  • 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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  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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

You can consult Dr. Ben Harbi for:

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  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
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  • Skin rashes, mild allergic reactions, basic dermatological complaints.
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  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

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

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