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GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION

Ask a doctor about a prescription for GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION

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Doctor

Hocine Lokchiri

General medicine20 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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€75
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Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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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 GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION

Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

Gamma Anti-Tetanus Grifols 250 UI solution for injection in pre-filled syringe

Human anti-tetanus immunoglobulin

Read all of this leaflet carefully before you start using this medicine.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

Contents of the pack:

  1. What Gamma Anti-Tetanus Grifols is and what it is used for
  2. Before you use Gamma Anti-Tetanus Grifols
  3. How to use Gamma Anti-Tetanus Grifols
  4. Possible side effects
  5. Storage of Gamma Anti-Tetanus Grifols
  6. Further information

1. What Gamma Anti-Tetanus Grifols is and what it is used for

It is presented as a solution for injection in a pre-filled syringe. Each pack of Gamma Anti-Tetanus Grifols contains a pre-filled syringe with human anti-tetanus immunoglobulin which are antibodies against tetanus toxin.

This medicinal product belongs to the pharmacotherapeutic group called immune sera and immunoglobulins.

Administration of Gamma Anti-Tetanus Grifols is indicated in:

  1. Post-exposure prophylaxis:

Immediate prevention after wounds that are likely to be contaminated with tetanus if you have not been adequately vaccinated, if your immunization status is not known with certainty, and if you have a severe deficiency in antibody production.

  1. Clinical treatment of tetanus.

Active tetanus vaccination should always be administered together with anti-tetanus immunoglobulin unless there are contraindications or confirmation of adequate vaccination.

2. Before you use Gamma Anti-Tetanus Grifols

Do not use Gamma Anti-Tetanus Grifols

  • if you are allergic (hypersensitive) to human immunoglobulins or to any of the other components of Gamma Anti-Tetanus Grifols.

Take special care with Gamma Anti-Tetanus Grifols

  • Make sure that Gamma Anti-Tetanus Grifols is not administered into a blood vessel, due to the possibility of shock.
  • Allergic reactions may occur, although rarely.
  • Gamma Anti-Tetanus Grifols contains a small amount of IgA. If you have an IgA deficiency, you may develop anti-IgA antibodies and suffer allergic reactions after administration of blood-derived products (hemoderivatives) that contain IgA. Your doctor must weigh the benefits of treatment with Gamma Anti-Tetanus Grifols against the potential risks of hypersensitivity reactions.
  • Rarely, human anti-tetanus immunoglobulin may induce a drop in blood pressure with an allergic reaction, even if you have previously tolerated treatment with human immunoglobulin.
  • You should be under observation for at least 20 minutes after administration of the product.

Special precautions for safety

When administering medicines derived from human plasma or blood, certain measures must be taken to prevent infections from being transmitted to patients. These measures include careful selection of donors to exclude those at risk of being carriers of infectious diseases, analysis of specific infection markers in individual donations and plasma pools, as well as inclusion of stages in the manufacturing process to eliminate/inactivate viruses. Despite this, when administering medicines derived from human blood or plasma, the possibility of transmitting infectious agents cannot be entirely excluded. This also applies to emerging or unknown viruses or other types of infections.

The measures taken are considered effective for enveloped viruses such as human immunodeficiency virus (HIV), hepatitis B virus, and hepatitis C virus, and for the non-enveloped hepatitis A virus. The measures taken may have limited value for non-enveloped viruses such as parvovirus B19.

Immunoglobulins have not been associated with hepatitis A or parvovirus B19 infections, possibly because the antibodies against these infections contained in the product are protective.

It is highly recommended that each time healthcare personnel administer a dose of Gamma Anti-Tetanus Grifols, they record the name of the medicine and batch number administered in order to maintain a record of the batches used.

Use of other medicines

  • Tell your doctor or pharmacist if you are using, or have recently used, other medicines, including those obtained without a prescription.
  • Effects on vaccines: Gamma Anti-Tetanus Grifols may reduce the effectiveness of certain types of vaccines such as measles, rubella, mumps, and varicella. You may need to wait 3 months before receiving these vaccines. In the case of measles, you may need to wait 5 months before receiving the vaccine.

Effects on blood tests

Tell the analyst or your doctor that you have received this medicine if a blood test is performed after receiving Gamma Anti-Tetanus Grifols. The level of some antibodies may increase.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

Tell your doctor if you are pregnant or breastfeeding. Your doctor will decide if Gamma Anti-Tetanus Grifols can be used during pregnancy and breastfeeding.

Driving and using machines

The influence of Gamma Anti-Tetanus Grifols on the ability to drive and use machines is nil.

Important information about some of the components of Gamma Anti-Tetanus Grifols

Special warnings about components: This medicine contains less than 23 mg (1 mmol) of sodium per dose, so it is considered essentially "sodium-free".

3. How to use Gamma Anti-Tetanus Grifols

Follow these instructions unless your doctor has given you other instructions.

The wound should be cleaned before you are administered the intramuscular injection of Gamma Anti-Tetanus Grifols. In some cases, active immunization with tetanus vaccine should be started simultaneously, administering it in a different area of the body than the immunoglobulin, according to the following instructions:

  • Minor and clean wounds

If you have completed your tetanus vaccination cycle or have received the last booster dose in the last 10 years, it is not recommended to revaccinate or use Gamma Anti-Tetanus Grifols.

If you have not completed your tetanus vaccination cycle, or if you are unaware of your immunization status, or if more than 10 years have passed since your last booster, a vaccine dose is recommended. It is not necessary to administer Gamma Anti-Tetanus Grifols.

  • Major or dirty wounds

If you have completed your tetanus vaccination cycle and have also received your last booster dose in the last 5 years, it is not necessary to revaccinate; but if more than 5 years have passed since your last booster, a vaccine dose is necessary. In both cases, it is not necessary to administer Gamma Anti-Tetanus Grifols.

If you have not completed your tetanus vaccination cycle, or if you are unaware of it, in addition to the vaccine dose, Gamma Anti-Tetanus Grifols will be administered.

The doctor will determine if a minor wound is likely to be contaminated.

Children and adults should receive the same dose.

  • Prevention in case of wounds likely to be contaminated with tetanus:
  • 250 UI unless the risk is considered extremely high.
  • The dose may be increased to 500 UI in:
  • infected wounds, when adequate surgical treatment cannot be performed within the next 24 hours.
  • penetrating or contaminated wounds with tissue destruction and lack of oxygen, as well as wounds caused by foreign bodies (e.g., bites, stings, or gunshot wounds).
  • Treatment of clinically manifested tetanus:

Single doses of 3000 to 6000 UI by intramuscular route in combination with other appropriate clinical therapies.

Gamma Anti-Tetanus Grifols should be administered by intramuscular route.

If you need a high volume (> 2 ml in children or > 5 ml in adults), it is recommended to administer it in fractionated doses and in different regions of the body.

When simultaneous vaccination is necessary, the immunoglobulin and vaccine should be administered in two different regions of the body.

For prevention in case of wounds likely to be contaminated with tetanus, if intramuscular administration is contraindicated (coagulation disorders), the injection can be administered subcutaneously. However, it should be noted that there are no clinical efficacy data to support subcutaneous administration.

For the acute treatment of clinically manifested tetanus, if intramuscular administration is not clinically appropriate, an alternative intravenous product can be used if available.

Gamma Anti-Tetanus Grifols should not be mixed with other medicines.

If you use more Gamma Anti-Tetanus Grifols than you should

If you have been administered more Gamma Anti-Tetanus Grifols than you should, consult your doctor or pharmacist immediately.

The consequences of an overdose are not known.

In case of overdose or accidental administration, consult the Toxicology Information Service. Telephone 91 562 04 20.

If you forget to use Gamma Anti-Tetanus Grifols

Consult your doctor or pharmacist immediately and follow their instructions.

4. Possible side effects

Like all medicines, Gamma Anti-Tetanus Grifols can cause side effects, although not everybody gets them.

  • Local pain and increased sensitivity at the injection site may be observed.
  • Fever, skin rash, and chills may occur occasionally.
  • Rarely: nausea, vomiting, low blood pressure, tachycardia, and allergic or anaphylactic reactions, including shock.

There are no consistent data on the frequency of adverse reactions from clinical trials or post-marketing experience.

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

5. Storage of Gamma Anti-Tetanus Grifols

Keep out of the reach and sight of children.

Do not use Gamma Anti-Tetanus Grifols after the expiry date which is stated on the carton after EXP. The expiry date is the last day of the month stated.

Store in a refrigerator (between 2°C and 8°C).

It should be brought to room temperature or body temperature before use.

The color may vary from colorless to pale yellow to light brown. The solution should be clear or slightly opalescent, and during storage, a small amount of particles may appear. Products in solution should be inspected visually before administration. Do not use Gamma Anti-Tetanus Grifols if you observe that the solution is turbid or has sediment.

Disposal of unused medicine and all materials that have come into contact with it should be done in accordance with local regulations. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Further information

Composition of Gamma Anti-Tetanus Grifols

  • The active substance is:

Human anti-tetanus immunoglobulin 250 UI

(Human proteins 160 mg)

(Proportion of human immunoglobulin ≥ 95% IgG)

  • The other components are glycine, sodium chloride, and water for injections.

(See section 2. "Before you use Gamma Anti-Tetanus Grifols" for more information on components).

Appearance of the product and pack contents

Gamma Anti-Tetanus Grifols is a solution for injection in a pre-filled syringe. The solution is clear and pale yellow to light brown in color. During storage, a slight opalescence or a small amount of particles may appear.

Other presentations:

Gamma Anti-Tetanus Grifols 500 UI solution for injection in pre-filled syringe

Marketing authorization holder and manufacturer

Grifols Institute, S.A.

Can Guasch, 2 - Parets del Vallès

08150 Barcelona - SPAIN

This leaflet was approved in FEBRUARY 2011

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products.

About the medicine

How much does GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION cost in Spain ( 2025)?

The average price of GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION in November, 2025 is around 19.69 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION in other countries

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

Alternative to GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION in Польша

Dosage form: Раствор, 250 МЕ/мл
Active substance: tetanus immunoglobulin
Manufacturer: Instituto Grifols S.A.
Prescription not required
Dosage form: Раствор, 500 МЕ/2 мл
Active substance: tetanus immunoglobulin
Manufacturer: Instituto Grifols S.A.
Prescription not required

Alternative to GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION in Украина

Dosage form: раствор, 500 МЕ/2 мл
Active substance: tetanus immunoglobulin
Manufacturer: KEDRION S.P.A.
Prescription required
Dosage form: раствор, 250 МЕ/1 мл
Active substance: tetanus immunoglobulin
Manufacturer: KEDRION S.P.A.
Prescription required

Online doctors for GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for GAMMA ANTI-TETANUS GRIFOLS 250 I.U. PRE-FILLED SYRINGE SOLUTION FOR INJECTION – subject to medical assessment and local rules.

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Doctor

Hocine Lokchiri

General medicine20 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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Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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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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Tetiana Fedoryshyn

General medicine29 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Taisiya Minorskaya

Family medicine12 years of experience

Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Doctor

Antonio Cayatte

General medicine43 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.

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€60
November 2115:00
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Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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€60
November 2209:00
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