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HERBION LOZENGES

HERBION LOZENGES

Ask a doctor about a prescription for HERBION LOZENGES

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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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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 HERBION LOZENGES

Introduction

Package Leaflet: Information for the Patient

Herbion Lozenges

Dry extract of Hedera helix (ivy) leaf

Read this entire leaflet carefully before starting to take this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in this leaflet or as indicated by your doctor or pharmacist exactly.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet. See section 4.
  • You should consult a doctor if your symptoms worsen or do not improve after 7 days.

Contents of the Package Leaflet

  1. What is Herbion and what is it used for
  2. What you need to know before taking Herbion
  3. How to take Herbion
  4. Possible side effects
  5. Storage of Herbion
  6. Package Contents and Additional Information

1. What is Herbion and what is it used for

Herbion contains dry extract of ivy leaf.

Herbion is a herbal medicine used as an expectorant for productive cough in adults, adolescents, and children from 6 years of age.

2. What you need to know before taking Herbion

Do not takeHerbion

  • If you are allergic to ivy leaf extract (Hedera helix L.), to any component of the Araliaceae family, or to any of the ingredients of this medication (listed in section 6).

Do not administer the medication to children under 2 years of age, as there is a risk of worsening respiratory symptoms.

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Herbion:

  • If you have difficulty breathing, fever, or purulent secretions (with pus), consult your doctor or pharmacist.
  • If your symptoms worsen or do not improve after 7 days of using the medication, consult your doctor.
  • Concomitant use with other antitussives (such as codeine or dextromethorphan) is not recommended without consulting your doctor.
  • If you have stomach problems (gastritis, stomach ulcers), this medication should be administered with caution.
  • If you have kidney or liver failure, consult your doctor or pharmacist before taking Herbion lozenges. There are no data for dosage recommendations in these patients.

Children

The use of Herbion lozenges is not recommended in children from 2 to 5 years of age, as it is not possible to adjust the dose in the lozenge formulation. In this age range, a syrup formulation is recommended.

In children between 2 and 4 years of age with persistent or recurrent cough, a medical diagnosis is required before starting treatment.

Other Medications and Herbion

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

No interactions have been reported between dry ivy leaf extract and other medications.

Pregnancy and Breastfeeding

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

Herbion is not recommended during pregnancy or breastfeeding due to the lack of data on the use of ivy extract in pregnant women or breastfeeding mothers.

Driving and Using Machines

No studies have been conducted on the ability to drive and use machines.

Herbion contains isomaltose (type M) (E953) and butylhydroxyanisole (E320)

This medication contains isomaltose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

This medication may cause local skin reactions (such as contact dermatitis) or irritation of the eyes and mucous membranes because it contains butylhydroxyanisole.

3. How to Take Herbion

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

The usual dose for adults, elderly patients, and adolescents over 12 years of ageis 1 lozenge, 3 times a day.

Use in Children

The usual dose for children from 6 to 11 years of ageis 1 lozenge, 2 times a day.

The use of Herbion lozenges is not recommended in children under 6 years of age.

Dissolve the lozenge in your mouth. Do not take the lozenges immediately before or during meals.

It is recommended to drink plenty of water or other hot, non-caffeinated beverages while taking Herbion.

If your symptoms persist for more than 1 week during the use of this medication, consult your doctor or pharmacist.

If you take more Herbion than you should

Do not take more than the recommended dose. Taking higher doses than recommended (more than double the daily dose) may cause nausea, vomiting, diarrhea, and agitation. Treatment is symptomatic.

If you forget to take Herbion

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

If you have any other questions about the use of this medication, consult your doctor or pharmacist.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

With an unknown frequency (frequency cannot be estimated from available data):

  • nausea, vomiting, diarrhea.
  • allergic reaction manifesting as hives, skin rash, and difficulty breathing (dyspnea).
  • severe allergic reaction (anaphylactic reaction), which can manifest as swelling of the mouth, tongue, face, and/or throat, difficulty breathing or swallowing (chest tightness or wheezing).

If you experience an allergic reaction, stop taking the medication and consult your doctor. In the case of a severe allergic reaction, go to an emergency doctor.

Reporting Side Effects

If you experience any type of side effect, consult 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 Medicines Vigilance System for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Herbion

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.

Do not store above 25°C.

Keep in the original packaging to protect from moisture.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Herbion

  • The active ingredient is a dry extract of ivy leaf. Each lozenge contains 35 mg of extract (as dry extract) of Hedera helix L., folium (ivy leaf) (5-7.5:1).

Extraction solvent with 30% ethanol (m/m).

  • The other ingredients are: isomaltose (type M) (E953), citric acid, natural caramel flavor (propylene glycol (E1520)), natural citrus flavor (butylhydroxyanisole (E320)), sucralose (E955), and peppermint oil. See section 2 "Herbion contains isomaltose (type M) (E953) and butylhydroxyanisole (E320)".
  • Excipient used in the extract: simethicone.

Appearance of the Product and Package Contents

The lozenges are light brown to brown, round, with beveled edges and a rough surface. There may be yellow to brown particles, lighter areas, air bubbles, and slightly toothed edges. Diameter of the lozenges: 18.0 mm - 19.0 mm, thickness: 7.0 mm - 8.0 mm.

The medication is presented in blister packs (PVC/PE/PVDC-Al), in formats of 8, 16, and 24 lozenges.

Not all pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

KRKA d.d. Novo mesto Smarjeska cesta 6 8501 Novo mesto, Slovenia

You can request more information about this medication by contacting the local representative of the Marketing Authorization Holder:

Krka Farmacéutica, S.L., C/ Anabel Segura 10, 28108 Alcobendas, Madrid, Spain

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

Member State

Medication Name

Slovenia

List navadnega bršljana Krka pastile

Spain

Herbion lozenges

Croatia

Herbion pastile od bršljana

Portugal

Herbihelix Expetorante

Date of the last revision of this leaflet:February 2024

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

Alternatives to HERBION LOZENGES in other countries

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

Alternative to HERBION LOZENGES in Poland

Dosage form: Syrup, 8.25 mg/ml
Active substance: Hederae helicis folium
Importer: Phytopharm Klęka S.A.
Prescription not required
Dosage form: Syrup, 33 mg
Active substance: Hederae helicis folium
Prescription not required
Dosage form: Syrup, 8.25 mg/ml
Active substance: Hederae helicis folium
Importer: Phytopharm Klęka S.A.
Prescription not required
Dosage form: Lozenges, 35 mg
Active substance: Hederae helicis folium
Importer: Krka, d.d., Novo mesto
Prescription not required
Dosage form: Tablets, 52.5 mg
Active substance: Hederae helicis folium
Prescription not required
Dosage form: Syrup, 700 mg/100 ml
Active substance: Hederae helicis folium
Manufacturer: Krewel Meuselbach GmbH
Prescription not required

Alternative to HERBION LOZENGES in Ukraine

Dosage form: drops, 50 ml in a dropper bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 250 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 100 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 200 ml in glass or polymer bottles
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 150 ml
Active substance: Hederae helicis folium
Manufacturer: KRKA, d.d., Novo mesto
Prescription not required
Dosage form: capsules, 52.5 mg
Active substance: Hederae helicis folium
Prescription not required

Online doctors for HERBION LOZENGES

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for HERBION LOZENGES – subject to medical assessment and local rules.

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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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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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Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

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

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

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

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Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

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

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

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Mar Tabeshadze

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Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • 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:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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