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IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

Ask a doctor about a prescription for IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

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Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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5.0(1)
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 IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

Introduction

Package Leaflet: Information for the Patient

Imipenem/Cilastatin Steriscience 500mg/500mg Powder for Solution for Infusion EFG

imipenem/cilastatin

Read all of this leaflet carefully before you start using 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 nurse.
  • If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What Imipenem/Cilastatin Steriscience is and what it is used for
  2. What you need to know before you are given Imipenem/Cilastatin Steriscience
  3. How Imipenem/Cilastatin Steriscience is given
  4. Possible side effects
  5. Storage of Imipenem/Cilastatin Steriscience
  6. Contents of the pack and other information

1. What Imipenem/Cilastatin Steriscience is and what it is used for

Imipenem/Cilastatin Steriscience contains the active substances imipenem and cilastatin. It belongs to a group of medicines called carbapenem antibiotics. It kills a wide variety of bacteria (germs) that cause infections in different parts of the body in adults and children one year of age and older.

Antibiotics are used to treat bacterial infections and will not work for viral infections such as the common cold or flu.

It is important that you follow the instructions regarding dose, administration interval, and duration of treatment as indicated by your doctor.

Do not store or reuse this medicine. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not throw medicines down the drain or into the trash.

Your doctor has prescribed Imipenem/Cilastatin because you have one (or more) of the following types of infections:

  • Complicated infections in the abdomen
  • Infection affecting the lungs (pneumonia)
  • Infections that can be contracted during or after childbirth
  • Complicated urinary tract infections
  • Complicated infections of the soft tissues and skin

Imipenem/Cilastatin may be used in the care of patients with low white blood cell counts with fever presumably due to a bacterial infection.

Imipenem/Cilastatin may be used to treat a bacterial infection of the blood that may be associated with any of the above-mentioned types of infections.

2. What you need to know before you are given Imipenem/Cilastatin Steriscience

You should not be given Imipenem/Cilastatin Steriscience

  • if you are allergic to imipenem, cilastatin, or any of the other ingredients of this medicine (listed in section 6)
  • if you are allergic to any other carbapenem antibacterial medicine
  • if you have a severe hypersensitivity (e.g., anaphylactic reaction, extensive skin rash) to any other type of beta-lactam antibacterial medicine (e.g., penicillins or cephalosporins).

Warnings and precautions

Talk to your doctor or nurse before you start using Imipenem/Cilastatin Steriscience.

Tell your doctor about any medical condition you have or have had, including:

  • allergies to any other medicine, including antibiotics (sudden, potentially life-threatening allergic reactions that require immediate medical treatment)
  • colitis or any other gastrointestinal disease
  • any central nervous system disorder such as localized tremors or seizure (convulsions)
  • liver, kidney, or urinary problems

Blood tests

You may have a positive test (Coombs test), which indicates the presence of antibodies that can destroy red blood cells. Your doctor will discuss this with you.

Children

Imipenem/Cilastatin Steriscience is not recommended for use in children under one year of age or in children with kidney problems.

Other medicines and Imipenem/Cilastatin Steriscience

Tell your doctor or nurse if you are taking, have recently taken, or might take any other medicines.

Tell your doctor if you are taking:

  • ganciclovir (used to treat some viral infections)
  • valproic acid or sodium valproate (used to treat epilepsy, bipolar disorder, migraines, or schizophrenia)
  • medicines used to prevent blood clotting, such as warfarin
  • Probenecid (minimal increase in imipenem plasma half-life)

Your doctor will decide whether you should use Imipenem/Cilastatin Steriscience in combination with these medicines.

Pregnancy and breastfeeding

Pregnancy

If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor before receiving this medicine. Imipenem/Cilastatin Steriscience has not been studied in pregnant women. This medicine should not be used during pregnancy unless your doctor decides that the potential benefit justifies the potential risk to the developing baby.

Breastfeeding

Tell your doctor if you are breastfeeding or plan to breastfeed before receiving Imipenem/Cilastatin Steriscience. Small amounts of this medicine may be excreted in breast milk and affect your baby. Therefore, your doctor will decide whether you should use this medicine during breastfeeding.

Driving and using machines

There are some side effects associated with this medicine (such as seeing, hearing, or feeling things that are not there, dizziness, drowsiness, and a spinning sensation) that may affect some patients' ability to drive or operate machinery (see section 4).

Imipenem/Cilastatin Steriscience contains sodium

This medicine contains 36.1 mg/1.245 mmol of sodium per vial, equivalent to 9.23% of the maximum daily intake of 2 g of sodium recommended by the WHO for an adult, which should be taken into account if you are on a low-sodium diet.

3. How Imipenem/Cilastatin Steriscience is given

A doctor or other healthcare professional will prepare and administer Imipenem/Cilastatin. Your doctor will decide how much Imipenem/Cilastatin you need.

Adults and adolescents

The usual dose for adults and adolescents is 500 mg of imipenem/500 mg of cilastatin every 6 hours, or 1,000 mg of imipenem/1,000 mg of cilastatin every 6 or 8 hours. If you have kidney problems or weigh less than 70 kg, your doctor may reduce your dose.

Children

The usual dose for children one year of age or older is 15 mg/15 mg per kg per dose every 6 hours. This medicine is not recommended for use in children under one year of age or with kidney problems.

Method of administration

After reconstitution/dilution, Imipenem/Cilastatin Steriscience is administered intravenously (into a vein) over 20 to 30 minutes for doses of ≤500 mg/500 mg or over 40 to 60 minutes for doses of >500 mg/500 mg. The infusion rate may be reduced in patients who develop nausea during infusion.

If you receive more Imipenem/Cilastatin than you should

Symptoms of overdose may include seizures, confusion, tremors, nausea, vomiting, low blood pressure, and decreased heart rate. If you are concerned that you have received too much Imipenem/Cilastatin, consult your doctor or another healthcare professional immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

If you miss a dose of Imipenem/Cilastatin Steriscience

If you are concerned that you have missed a dose, consult your doctor or another healthcare professional immediately.

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

If you stop treatment with Imipenem/Cilastatin Steriscience

Do not stop treatment with Imipenem/Cilastatin until your doctor tells you to.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

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

Serious side effects

The following side effects may occur rarely:

  • Allergic reactions including rash, swelling of the face, lips, tongue, and/or throat (with difficulty breathing or swallowing), and/or low blood pressure. If these side effects occur while you are receiving or after receiving Imipenem/Cilastatin Steriscience, the administration of the medicine should be stopped immediately and your doctor should be informed immediately.
  • Severe skin reactions (Stevens-Johnson syndrome and erythema multiforme)

Exfoliative dermatitis

Other side effects

Common (may affect up to 1 in 10 people)

  • Nausea, vomiting, diarrhea. Nausea and vomiting are more frequent in patients with a reduced number of white blood cells
  • Swelling and redness along a vein, extremely painful to the touch
  • Rash
  • Abnormal liver function detected in blood tests
  • Increased white blood cell count

Uncommon (may affect up to 1 in 100 people)

  • Local skin redness
  • Pain and formation of a firm nodule at the injection site
  • Itching of the skin
  • Hives
  • Fever
  • Blood disorders that affect the cellular components of the blood and are usually detected in blood tests (symptoms may include fatigue, pale skin, and prolonged bruising after injury)
  • Abnormal kidney, liver, and blood function detected in blood tests
  • Tremors and uncontrolled muscle twitching
  • Seizures (convulsions)
  • Psychiatric disorders (such as mood changes and altered mental faculties)
  • Seeing, hearing, or feeling things that are not there (hallucinations)
  • Confusion
  • Dizziness, drowsiness
  • Low blood pressure

Rare (may affect up to 1 in 1,000 people)

  • Peeling of the skin (toxic epidermal necrolysis)
  • Severe skin rash with skin and hair loss
  • Fungal infection (candidiasis)
  • Discoloration of teeth and/or tongue
  • Inflammation of the colon with severe diarrhea
  • Taste disorders
  • Failure of the liver to perform its normal function
  • Inflammation of the liver
  • Failure of the kidney to perform its normal function
  • Changes in urine quantity, changes in urine color
  • Brain disease, tingling sensation (numbness), localized tremor
  • Hearing loss

Very rare (may affect up to 1 in 10,000 people)

  • Severe liver failure due to inflammation (fulminant hepatitis)
  • Inflammation of the stomach or intestine (gastroenteritis)
  • Inflammation of the intestine with bloody diarrhea (hemorrhagic colitis)
  • Swelling and redness of the tongue, overgrowth of the normal projections of the tongue that give it a hairy appearance, heartburn, sore throat, increased saliva production
  • Stomach pain
  • Spinning sensation (vertigo), headache
  • Ringing in the ears (tinnitus)
  • Pain in several joints, weakness
  • Irregular heartbeat, heartbeat is forceful or rapid
  • Chest discomfort, difficulty breathing, abnormally rapid and shallow breathing, pain in the upper back
  • Flushing, bluish discoloration of the face and lips, changes in skin texture, excessive sweating
  • Vulvar itching in women
  • Changes in blood cell counts
  • Worsening of a rare disease associated with muscle weakness (worsening of myasthenia gravis)

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Imipenem/Cilastatin Steriscience

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

Do not use this medicine after the expiry date which is stated on the vial and outer carton after EXP. The expiry date refers to the last day of the month shown.

Do not store above 25°C.

Shelf-life after reconstitution and dilution:

The diluted solutions should be used immediately. The time between the start of reconstitution and the end of intravenous infusion should not exceed two hours.

Do not refrigerate or freeze.

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. Contents of the pack and other information

Composition of Imipenem/Cilastatin Steriscience

  • The active substances are imipenem and cilastatin.

Each vial contains imipenem monohydrate equivalent to 500 mg of imipenem and cilastatin sodium equivalent to 500 mg of cilastatin.

  • The other ingredient is sodium hydrogencarbonate.

Appearance and pack size

Imipenem/Cilastatin Steriscience is a white or almost white powder for solution for infusion, which comes in a 20 ml Type I glass vial with a bromobutyl rubber stopper and an aluminum flip-off seal.

Pack sizes: 1 and 10 vials.

Not all pack sizes may be marketed.

Marketing authorization holder

Steriscience B.V.

Kranenburgweg 135-A

2583 ER The Hague

Netherlands

Manufacturer

Pharma Revolta s.r.o.

Rybné námestie 1

811 02 Bratislava

Slovakia

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

Germany:

Imipenem/Cilastatin Steriscience 500 mg/500 mg Powder for Solution for Infusion

France:

IMIPENEM/CILASTATINE STERISCIENCE 500 mg/500 mg, powder for solution for infusion

Hungary:

Imipenem/Cilastatin 500mg/500mg por oldathoz Injekció

Poland:

Imipenem + Cilastatin Steriscience

Romania:

Imipenem/Cilastatin Steriscience 500 mg/500 mg Pulbere pentru solutie perfuzabila

Spain:

Imipenem/Cilastatina Steriscience 500 mg/500 mg polvo para solución para perfusión

Italy:

Imipenem e Cilastatina Steriscience

Sweden:

Imipenem/Cilastatin Steriscience 500 mg/500 mg Pulver till infusionsvätska, lösning

This leaflet was approved in {June/2023}.

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

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

This information is intended only for healthcare professionals:

Each vial is for single use.

Reconstitution/dilution

The contents of each vial should be transferred to 100 ml of a suitable solution for infusion (see "Incompatibilities" below and "Shelf-life after reconstitution and dilution" in section 5 above): sodium chloride 9 mg/ml (0.9%) injection solution. In exceptional circumstances where a 9 mg/ml (0.9%) sodium chloride injection solution cannot be used for clinical reasons, 5% glucose may be used instead.

A suggested procedure is to add approximately 10 ml of the infusion solution to the vial.

Shake well and transfer the resulting mixture to the infusion solution container.

CAUTION: THE MIXTURE IS NOT FOR DIRECT INFUSION.

Repeat with another 10 ml of infusion solution to ensure complete transfer of the vial contents to the infusion solution. The resulting mixture should be shaken until a clear solution is obtained.

The concentration of the reconstituted solution using the above method is approximately 5 mg/ml of both imipenem and cilastatin.

The solution should only be used if it is clear and free of particles.

The infusion solution should be visually inspected before administration. The solid should be completely dissolved without visible particles. Only clear solutions without particles should be used.

Color variations, from colorless to yellow, do not affect the efficacy of the medicine.

This medicine should not be mixed with other medicines except those mentioned in the "Reconstitution/dilution" section above.

The disposal of unused medicine and all materials that have come into contact with it will be carried out in accordance with local regulations.

Incompatibilities

This medicine is chemically incompatible with lactate and should not be reconstituted with diluents containing lactate. However, it may be administered with an intravenous system through which a lactate solution is infused.

Alternatives to IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION in other countries

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

Alternative to IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION in Polonia

Dosage form: Polvo, 500 mg + 500 mg
Active substance: imipenem and cilastatin
Manufacturer: ACS Dobfar S.p.A
Prescription not required
Dosage form: Polvo, 500 mg + 500 mg
Active substance: imipenem and cilastatin
Manufacturer: ACS Dobfar S.p.A.
Prescription required
Dosage form: Polvo, 500 mg + 500 mg
Active substance: imipenem and cilastatin
Manufacturer: Terapia S.A.
Prescription required

Alternative to IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION in Ucrania

Dosage form: polvo, 1 vial de 30 ml con polvo
Active substance: imipenem and cilastatin
Prescription required
Dosage form: polvo, 500mg/500mg en viales
Active substance: imipenem and cilastatin
Manufacturer: ACS DOBFAR S.P.A.
Prescription required
Dosage form: polvo, 500mg/500mg
Active substance: imipenem and cilastatin
Prescription required
Dosage form: polvo, 500mg/500mg
Active substance: imipenem and cilastatin
Prescription required
Dosage form: polvo, 500mg/500mg
Active substance: imipenem and cilastatin
Manufacturer: Venus Remedis Limited
Prescription required
Dosage form: polvo, 500mg/500mg
Active substance: imipenem and cilastatin
Manufacturer: ACS DOBFAR S.P.A.
Prescription required

Online doctors for IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for IMIPENEM/CILASTATIN STERISCIENCE 500 mg/500 mg POWDER FOR SOLUTION FOR INFUSION – subject to medical assessment and local rules.

5.0(98)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

CameraBook a video appointment
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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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Doctor

Muhammad Tayyab Altaf

General medicine2 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Italy, the United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity. He trained at leading institutions such as IRCCS Policlinico San Matteo in Pavia, Mount Sinai Hospital in New York, Baptist Hospital in Texas and a private practice in Dallas, working across outpatient care, inpatient medicine, intensive care, hospice and nursing home management.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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Doctor

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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Doctor

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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Doctor

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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€65
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Doctor

Mar Tabeshadze

Endocrinology10 years of experience

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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€55
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Doctor

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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€60
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Doctor

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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€50
November 2114:00
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