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GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED

GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED

Ask a doctor about a prescription for GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED

5.0(38)
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 GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED

Introduction

Package Leaflet: Information for the User

Grazax 75,000 SQ-T Sublingual Lyophilisate

Standardized allergen extract of grass pollen

Phleum pratense(Timothy grass)

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

-Keep this leaflet, you may need to read it again.-If you have any further questions, ask your doctor or pharmacist.

-This medicine has been prescribed for you only. Do not pass it on to others. 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. See section 4.

Contents of the pack:

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

1. What is Grazax and what is it used for

Grazax contains a grass pollen allergen extract. Grazax is used for the treatment of rhinitis and conjunctivitis caused by grass pollen in adults and children (5 years or older). Grazax modifies the allergic disease by increasing immunological tolerance to grass pollen.

The selection of children to receive treatment should be made by doctors specializing in the treatment of allergic diseases in children.

Your doctor will assess your allergic symptoms and perform a skin diagnostic test or take a blood sample to decide if Grazax should be used as treatment.

It is recommended to take the first sublingual lyophilisate under medical supervision. This is a precaution to assess each patient's sensitivity to the treatment. This gives you the opportunity to discuss any possible side effects with your doctor.

Grazax is prescribed by doctors specializing in the treatment of allergies.

2. What you need to know before taking Grazax

Do not take Grazax:

  • if you are allergic (hypersensitive) to any of the excipients of this medicine (listed in section 6).
  • if you have a disease that affects the immune system.
  • if you have severe asthma (diagnosed by your doctor).
  • if you have cancer.
  • if you have severe inflammation in the mouth.

Warnings and precautions:

Talk to your doctor before starting to take Grazax

  • if you have recently had a tooth extraction or any other type of mouth surgery. In this case, you should interrupt treatment with Grazax for 7 days to allow complete healing of the mouth.
  • if you have a severe fish allergy.
  • if you have previously had an allergic reaction related to the injection of a grass pollen allergen extract.
  • if you have asthma and have an acute upper respiratory tract infection. You should temporarily discontinue treatment with Grazax until the infection is resolved.

Some side effects can be serious and require immediate medical treatment. Please see section 4 for symptoms.

Children

  • Loss of the first teeth (milk teeth). Treatment with Grazax should be interrupted for 7 days to allow complete healing of the mouth.

If you are in one of these situations, inform your doctor before starting to take Grazax.

There is no experience with Grazax in the elderly (65 years or older).

Other medicines and Grazax

Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription. If you are taking other medicines to treat allergy symptoms, such as antihistamines or corticosteroids, your doctor should assess the use of these medicines.

Taking Grazax with food and drinks

You should wait 5 minutes after taking the sublingual lyophilisate before consuming food and/or drinks.

Pregnancy, breastfeeding, and fertility

There is currently no experience with the use of Grazax during pregnancy. Treatment with Grazax should not be started during pregnancy. If you become pregnant during treatment, consult your doctor about the risks of continuing treatment.

There is currently no experience with the use of Grazax during breastfeeding. No effects on breastfed infants are expected.

Driving and using machines

You are the only person responsible for judging your ability to drive or perform precision work. The effects or side effects of the medicine may affect this ability. These effects are described in other parts of this leaflet. Therefore, read the entire leaflet for your information.

Talk to your doctor or pharmacist if you have any doubts.

The influence of treatment with Grazax on the ability to drive or use machines is nil or negligible.

3. How to take Grazax

Follow exactly the administration instructions of this medicine indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

How much Grazax to take

  • The recommended dose is one sublingual lyophilisate per day.

How to take Grazax

  • To achieve greater efficacy, start taking the medicine 4 months before the expected start of the grass pollen season. It is recommended to continue treatment with Grazax for 3 years.

The first dose of Grazax should be taken in the doctor's office.

  • This is because you should remain under observation for approximately half an hour after taking the first dose.
  • This is a precaution to check your sensitivity to the medicine.
  • This will give you the opportunity to discuss any side effects you may experience with your doctor.

Continue taking Grazax every day, even if it takes time for your allergy to improve.

If your allergy symptoms do not improve during the first grass pollen season, request a consultation with your doctor to discuss continuing treatment.

Make sure your hands are well dry before touching this medicine.

Take the sublingual lyophilisates as follows:

Hands holding and separating two sterile square patches with serrated edges

  1. Remove the strip marked with triangles at the top of the package.

Hands holding and breaking a glass ampoule with dotted marks indicating break points

  1. Separate a unit from the package following the dotted lines.

Hands holding and separating the plastic protectors of a pre-loaded transparent syringe

3. Fold the marked corner of the aluminum sheet and pull it.

Do not press to push this medicine through the aluminum sheet - it breaks easily.

Hand holding a circular medicinal patch with a central adhesive area and a transparent protective backing

  1. Carefully remove this medicine from the unit and place it immediately under your tongue.

Tablet placed under the tongue with hand holding it, prohibited from drinking and eating for 1 and 5 minutes respectively

  1. Keep this medicine under your tongue until it dissolves.
    • Do not swallow for one minute.
    • Wait at least 5 minutes before eating or drinking after taking this medicine.

If you take more Grazax than you should

If you have taken too many Grazax sublingual lyophilisates, you may experience allergic symptoms, including local symptoms in the mouth and throat. If you experience severe symptoms, contact your doctor or hospital immediately.

If you forget to take Grazax

In case you forget to take a sublingual lyophilisate, take another as soon as possible on the same day. Do not take a double dose on the same day to make up for forgotten doses.

If you stop taking Grazax

If you do not take this medicine as prescribed by your doctor, it may not work effectively. If you have any other questions about the use of this product, ask your doctor or pharmacist.

4. Possible side effects

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

Side effects can be an allergic-type reaction to the allergen being treated. In most cases, side effects last from minutes to hours after taking the sublingual lyophilisate and resolve within a week of starting treatment.

Serious side effects:

Stop taking Grazax and immediately go to your doctor or hospital if you experience any of the following side effects:

  • Rapid swelling of the face, mouth, or throat
  • Difficulty swallowing
  • Difficulty breathing
  • Hives
  • Changes in voice
  • Worsening of existing asthma
  • Severe discomfort

If you suffer from persistent heartburn, you should contact your doctor.

Other possible side effects:

Very common (may affect more than 1 in 10 people):

  • Mouth swelling
  • Itching in the mouth or ear
  • Irritation sensation in the throat

Common (may affect up to 1 in 10 people):

  • Tingling or numbness sensation in the mouth
  • Itching in the eyes, lips, or nose
  • Inflammation in the eyes or mouth
  • Difficulty breathing, coughing, or sneezing
  • Throat dryness
  • Nasal discharge
  • Swelling of the eyes or lips
  • Mouth ulcers
  • Pain from blisters or discomfort in the mouth or throat
  • Stomach pain, diarrhea, nausea, vomiting
  • Heartburn
  • Itching, rash, or hives
  • Fatigue
  • Chest discomfort
  • Sensation of pressure in the throat
  • Redness in the mouth
  • Difficulty swallowing

Uncommon (may affect up to 1 in 100 people):

  • Sensation of rapid, strong, or irregular heartbeats
  • Taste alteration
  • Redness or irritation of the eyes
  • Pain or discomfort in the ear
  • Sensation of numbness in the throat, pain when swallowing
  • Tonsil inflammation
  • Severe allergic reaction
  • Mouth dryness
  • Blisters on the lips, lip inflammation, lip ulcers
  • Inflammation of the salivary glands or hypersalivation
  • Stomach inflammation, regurgitation
  • Sensation of a foreign body in the throat
  • Redness of the skin
  • Facial swelling
  • Tongue inflammation
  • Allergic reaction
  • Tingling sensation on the skin
  • Stomach discomfort
  • Throat swelling
  • Watery eyes
  • Hoarseness
  • Redness in the throat
  • Blisters in the mouth

Rare (may affect up to 1 in 1000 people):

  • Constriction of the lower airways
  • Ear swelling

Irritation of the eyes, redness of the throat, blisters in the mouth, ear pain, and ear swelling have been reported more frequently in children than in adults.

If you experience bothersome side effects, you should contact your doctor, who will decide if you need to take anti-allergic medicines, such as antihistamines.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System of Medicines for Human Use www.notificaRAM.es.

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

5. Storage of Grazax

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date stated on the blister and on the carton after EXP. The expiration date is the last day of the month indicated.

This medicine does not require special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Place the packages and medicines you no longer need in the SIGRE Green medical cross symbol inside a curved green circle representing health and care collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of packages and medicines you no longer need. This will help protect the environment.

6. Contents of the pack and further information

Composition of Grazax

The active substance is a standardized allergen extract of grass pollen from Phleum pratense(Timothy grass), standardized in SQ units. The activity per sublingual lyophilisate is expressed using the SQ-T* unit. The activity of one sublingual lyophilisate is 75,000 SQ-T. The content of the Phl p 5 allergen per sublingual lyophilisate is 6 micrograms.

  • (Sublingual lyophilisate in Standardized Quality (SQ-T) units.

The other ingredients are gelatin (from fish), mannitol, and sodium hydroxide.

Appearance of Grazax and contents of the pack

Round sublingual lyophilisate, white or off-white in color, with an engraving on one side.

The sublingual lyophilisates are packaged in an aluminum-aluminum blister with a foldable sheet for opening and packed in a cardboard box. Each blister contains 10 sublingual lyophilisates.

Available packages: 30 (3x10), 90 (9x10), or 100 (10x10) sublingual lyophilisates.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

ALK-Abelló A/S

Bøge Allé 6-8

DK-2970 Hørsholm

Denmark

Manufacturer

ALK-Abelló, S.A.

C/ Miguel Fleta, 19.

28037 – Madrid

Spain

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

ALK-Abelló, S.A.

C/ Miguel Fleta, 19.

28037 - Madrid

Date of the last revision of this leaflet:2024-12-19

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

About the medicine

How much does GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED cost in Spain ( 2025)?

The average price of GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED in November, 2025 is around 106.84 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 GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED in other countries

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

Alternative to GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED in Poland

Dosage form: Solution, concentration "0" - 1 JS/ml, concentration "1" - 10 JS/ml, concentration "2" - 100 JS/ml, concentration "3" - 1000 JS/ml, concentration "4" - 5000 JS/ml (primary treatment) concentration "4" - 5000 JS/ml (maintenance treatment)
Active substance: grass pollen
Prescription not required
Dosage form: Suspension, Basic doses: concentration 0.01 IR/ml, concentration 0.1 IR/ml, concentration 1 IR/ml, concentration 10 IR/ml or concentration 0.01 IC/ml, concentration 0.1 IC/ml, concentration 1 IC/ml, concentration 10 IC/ml; maintenance dose: concentration 10 IR/ml or concentration 10 IC/ml
Manufacturer: Stallergenes
Prescription not required
Dosage form: Suspension, Basic doses: concentration 0.01 IR/ml, concentration 0.1 IR/ml, concentration 1 IR/ml, concentration 10 IR/ml or concentration 0.01 IC/ml, concentration 0.1 IC/ml, concentration 1 IC/ml, concentration 10 IC/ml; maintenance dose: concentration 10 IR/ml or concentration 10 IC/ml
Manufacturer: Stallergenes
Prescription not required
Dosage form: Suspension, concentration 1-25 JS/ml, concentration 2-250 JS/ml, concentration 3-2500 JS/ml (primary treatment); concentration 4-5000 JS/ml (maintenance treatment)
Prescription not required
Dosage form: Solution, concentration "0" - 1 JS/ml, concentration "1" - 10 JS/ml, concentration "2" - 100 JS/ml, concentration "3" - 1000 JS/ml, concentration "4" - 5000 JS/ml (primary treatment); concentration "4" - 5000 JS/ml (maintenance treatment)
Prescription not required
Dosage form: Suspension, concentration 1-25 JS/ml, concentration 2-250 JS/ml, concentration 3-2500 JS/ml (basic treatment); concentration 4-10000 JS/ml (maintenance treatment)
Prescription not required

Alternative to GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED in Ukraine

Dosage form: spray, 30000 TU in 9 ml bottle
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: suspension, 2000 and 10,000 TU/ml; 2.5 ml in a vial
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: suspension, 2000 and 10000 TU/ml
Manufacturer: INMUNOTEK, S.L.
Prescription required
Dosage form: tablets, 10 tablets of 300 AU
Manufacturer: LOFARMA S.P.A
Prescription required

Online doctors for GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for GRAZAX 75000 SQ-T SUBLINGUAL LYOPHILIZED – subject to medical assessment and local rules.

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Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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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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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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Andrei Popov

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

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

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

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

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

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  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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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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Marianna Neshta

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Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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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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Lina Travkina

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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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€70
November 515:00
November 515:45
November 516:30
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5.0(11)
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 809:00
November 809:30
November 1509:00
November 1509:30
November 2209:00
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