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FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

Ask a doctor about a prescription for FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

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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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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.

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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 FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

Introduction

Package Leaflet:information for the user

Fluarix injectable suspension in pre-filled syringe

Influenza vaccine (trivalent, inactivated, split virion)

This package leaflet has been written to be read by the person receiving the vaccine. However, it may be read by someone else.

Read all of this leaflet carefully before you start receiving this vaccine,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 vaccine has been prescribed for you. Do not pass it on to others.
  • If you experience 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 Fluarix and what is it used for
  2. What you need to know before you receive Fluarix
  3. How Fluarix is administered
  4. Possible side effects
  5. Storage of Fluarix
  6. Contents of the pack and other information

1. What is Fluarix and what is it used for

Fluarix is a vaccine to prevent influenza in adults and children from 6 months of age.

Influenza is a disease of the upper respiratory tract and lungs caused by an influenza virus infection. The most common symptoms of influenza are: high fever, sore throat, cough, general aches, headache, weakness, and fatigue. Complications can occur, especially in very young, very old people, and those with low immunity to infections.

How does Fluarix work?

  • Fluarix contains killed viruses that cannot cause influenza.
  • Fluarix stimulates the body's immune system to produce antibodies against the specific viruses the vaccine is designed to protect against. This will help prevent the disease.
  • The vaccine is targeted against influenza viruses according to official recommendations.
  • As with all vaccines, it is possible that Fluarix may not completely protect all vaccinated individuals.

2. What you need to know before you receive Fluarix

Do not receiveFluarix if:

  • you are allergic to the active substances or any of the other components of this vaccine (listed in section 6) or to any component that may be present in very small amounts, such as ovalbumin (an egg protein), hydrocortisone, gentamicin sulfate, formaldehyde, and sodium deoxycholate.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before receiving Fluarix if:

  • you have a severe infection with high fever. If this happens, vaccination may need to be postponed until you feel better. A minor infection, such as a cold, should not be a problem, but talk to your doctor, pharmacist, or nurse first.
  • you have a bleeding problem or bruise easily.

Fainting (syncope) can occur following, or even before, any injection, especially in adolescents. Tell your doctor, pharmacist, or nurse if you have fainted with a previous injection.

People with weakened immune systems, for example due to HIV infection or due to medicines that suppress the immune system, may not get the full benefit of Fluarix.

If any of the above applies to you (or you are not sure), talk to your doctor, pharmacist, or nurse before receiving Fluarix.

Other medicines and vaccines and Fluarix

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

If Fluarix is to be given at the same time as other vaccines, a different injection site should be used for each type of vaccine.

Pregnancy, breastfeeding and fertility

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

Driving and using machines

Some of the effects mentioned below in section 4 “Possible side effects” (e.g. fatigue or dizziness) may temporarily affect your ability to drive or use machines. Do not drive or use machines or tools if you do not feel well.

Fluarix contains sodium

This medicine contains less than 23 mg of sodium (1 mmol) per dose; this is essentially “sodium-free”.

Fluarix contains potassium

This medicine contains less than 39 mg (1 mmol) of potassium per dose, and is therefore considered to be “potassium-free”.

Fluarix contains polysorbate 80

This medicine does not contain more than 0.415 mg of polysorbate 80 per dose. Polysorbates may cause allergic reactions. Tell your doctor if you have any known allergy to this substance.

3. How Fluarix is administered

Fluarix is given as a single injection of 0.5 ml into a muscle.

Use in children

Children under 9 years of age who have not been previously vaccinated against influenza will receive a second injection at least one month after the first. Make sure your child completes the vaccination course. This will maximize the protection provided by Fluarix.

If you have any other questions about the use of this medicine, ask your doctor, pharmacist, or nurse.

4. Possible side effects

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

Talk to your doctor, pharmacist, or nurse if you want more information on the possible side effects of Fluarix.

Side effects reported during general use of Fluarix:

Serious side effects

Tell your doctor immediately if you notice any of the following serious side effects; you may need urgent medical treatment.

Rare:these may occur in up to 1 in 1,000 doses of the vaccine

  • Severe allergic reactions (anaphylactic reactions). These can be recognized by:
  • itchy rash on hands and feet
  • swelling of the eyes and face
  • difficulty breathing or swallowing
  • sudden drop in blood pressure and loss of consciousness.

These reactions usually occur within 15 minutes after vaccination. However, if you experience any of these symptoms, contact a doctor urgently.

Other side effects

Tell your doctor, pharmacist, or nurse if you notice any of the following side effects.

Rare:these may occur in up to 1 in 1,000 doses of the vaccine

  • Nerve inflammation (neuritis), brain and spinal cord inflammation (encephalomyelitis), temporary nerve inflammation causing pain, weakness, and paralysis, called Guillain-Barré syndrome.
  • Skin reactions that can spread all over the body, including itching (pruritus, urticaria) and skin redness (erythema), rash.
  • Temporary inflammation of the glands in the neck, armpits, or groin (transient lymphadenopathy)
  • Flu-like symptoms, general feeling of being unwell.

Tell your doctor, pharmacist, or nurse if you notice any of the above side effects.

Side effects that occurred during clinical trials with Fluarix:

Side effects that occurred in children between 6 months and less than 6 years of age

Very common:these may occur in more than 1 in 10 doses of the vaccine

  • Lack of appetite.
  • Irritability.
  • Sleepiness.
  • Pain at the injection site.
  • Redness at the injection site.
  • Swelling at the injection site.

Common:these may occur in up to 1 in 10 doses of the vaccine

  • Nausea.
  • Vomiting.
  • Diarrhea.
  • Stomach pain.
  • Fever.

Side effects that occurred in children between 6 years and less than 18 years of age

Very common:these may occur in more than 1 in 10 doses of the vaccine

  • Headache.
  • Muscle pain.
  • Fatigue.
  • Pain at the injection site.
  • Redness at the injection site.
  • Swelling at the injection site.

Common:these may occur in up to 1 in 10 doses of the vaccine

  • Nausea.
  • Vomiting.
  • Diarrhea.
  • Stomach pain.
  • Joint pain.
  • Chills.
  • Fever.

Side effects that occurred in adults from 18 years of age

Very common:these may occur in more than 1 in 10 doses of the vaccine

  • Pain at the injection site.
  • Fatigue.
  • Headache.
  • Muscle pain.

Common:these may occur in up to 1 in 10 doses of the vaccine

  • Redness, swelling, or a hard lump at the injection site.
  • Chills.
  • Sweating.
  • Joint pain.
  • Nausea.
  • Vomiting.
  • Diarrhea.
  • Stomach pain.

Uncommon:these may occur in up to 1 in 100 doses of the vaccine

  • Fever.
  • Dizziness.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Medicines and Healthcare Products Agency (AEMPS) website (http://www.aemps.gob.es/). By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Fluarix

  • Keep this vaccine out of the sight and reach of children.
  • Do not use this vaccine 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.
  • Store in a refrigerator (between 2°C and 8°C).
  • Do not freeze.
  • Store in the outer carton to protect from light.
  • Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Fluarix

The active substance is influenza virus (inactivated, split virion) of the following strains*:

Strain similar to A/Victoria/4897/2022 (H1N1)pdm09:

(IVR-238) derived from A/Victoria/4897/202215 micrograms of HA**

Strain similar to A/Croatia/10136RV/2023 (H3N2):

(X-425A) derived from A/Croatia/10136RV/202315 micrograms of HA**

Strain similar to B/Austria/1359417/2021:

(BVR-26) derived from B/Austria/1359417/202115 micrograms of HA**

per 0.5 ml dose

  • propagated in embryonated hens' eggs from healthy chicken flocks

** hemagglutinin

This vaccine complies with the World Health Organization (WHO) recommendation for the Northern Hemisphere and with the European Union recommendation for the 2025/2026 season.

The other ingredients are: sodium chloride, disodium phosphate dodecahydrate, potassium dihydrogen phosphate, potassium chloride, magnesium chloride hexahydrate, α-tocopherol hydrogen succinate, polysorbate 80, octoxinol 10, and water for injections

Appearance and pack contents

  • Fluarix is an injectable suspension in a pre-filled syringe.
  • Fluarix is a colorless, slightly opalescent liquid.
  • Fluarix is available in a pre-filled syringe with or without a separate needle; pack sizes of 1 and 10.
  • Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

GlaxoSmithKline, S.A.

P.T.M. C/ Severo Ochoa, 2

28760 Tres Cantos (Madrid)

Tel.: +34 900 202 700

[email protected]

Manufacturer

GlaxoSmithKline Biologicals

Branch of SmithKline Beecham Pharma GmbH & Co. KG

Zirkusstrasse 40

01069 Dresden

Germany

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

Member State

Name

Austria

Fluarix Trivalent

Belgium, Luxembourg

Alpharix

Spain, Finland, France, Italy, Norway, Netherlands, Poland, Portugal, Sweden

Fluarix

Germany, Greece

Influsplit

Date of last revision of this leaflet:07/2025

Other sources of information

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

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

This information is intended only for healthcare professionals:

Vaccines should be inspected visually for any foreign particles and/or changes in physical appearance before administration.

Before use, the vaccine should be shaken well to obtain a colorless, slightly opalescent liquid. Discard if the contents appear otherwise. Inject the entire contents of the syringe.

Instructions for the pre-filled syringe

Text that says

Vial stopper with large, bold text indicating the word

Transparent luer-lock adapter with internal thread visible and descriptive text above

Pre-filled syringe with retracted plunger and transparent protective cap with hook at the end

Hold the syringe by the body, not by the plunger.

Unscrew the syringe cap by twisting it counterclockwise.

Metal needle base with a sharpened end and a slightly textured cylindrical body

Hands holding an injection device with attached needle and arrows indicating rotation and push

To insert the needle, attach the base to the luer-lock adapter and twist it a quarter turn clockwise until it clicks.

Do not pull the plunger out of the syringe body. If this happens, do not administer the vaccine.

Disposal of waste

Disposal of unused medicinal products and all materials that have been in contact with them should be done in accordance with local regulations.

Alternatives to FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE in other countries

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

Alternative to FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE in Polonia

Dosage form: Suspensión, 1 dosis (0.5 ml)
Importer: GlaxoSmithKline Biologicals Filia SmithKline BeechamPharma GmbH & Co. KG
Prescription required
Dosage form: Suspensión, 1 dosis (0.5 ml)
Importer: Sanofi Winthrop Industrie Sanofi Winthrop Industrie Sanofi-Aventis Zrt.
Prescription required
Dosage form: Suspensión, 60 mcg HA/cepa, 1 dosis (0.5 ml)
Importer: Sanofi Winthrop Industrie
Prescription required
Dosage form: Suspensión, 1 dosis (0.5 ml)
Importer: Abbott Biologicals B.V.
Prescription required
Dosage form: Suspensión, 60 mcg HA/cepa, 1 dosis (0.7 ml)
Importer: Sanofi Winthrop Industrie
Prescription required
Dosage form: Suspensión, 1 dosis (0.5 ml)

Alternative to FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE in Ucrania

Dosage form: suspensión, 0,25 ml o 0,5 ml
Manufacturer: Grin Kross Korporejsn
Prescription required
Dosage form: suspensión, 0,5 ml en una jeringa
Manufacturer: DziSi Biofarma Korp.
Prescription required
Dosage form: suspensión, 0,5 ml en jeringa
Manufacturer: Sanofi Paster
Prescription required
Dosage form: suspensión, 0,5 ml
Prescription required

Online doctors for FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for FLUARIX SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE – 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.

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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.

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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.

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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.
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Muhammad Tayyab Altaf

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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 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.

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.

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.

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Sergio Correa

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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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Anastasiia Shalko

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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.

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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.
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€80
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Doctor

Daniel Cichi

Family medicine24 years of experience

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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€55
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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.
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€58
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