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INOMAX 400 PPM MOL, COMPRESSED MEDICAL GAS

INOMAX 400 PPM MOL, COMPRESSED MEDICAL GAS

Ask a doctor about a prescription for INOMAX 400 PPM MOL, COMPRESSED MEDICAL GAS

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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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 INOMAX 400 PPM MOL, COMPRESSED MEDICAL GAS

Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

INOmax 400 ppm mol/mol, gas for inhalation

Nitric oxide

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.
  • If you get any side effects, talk to your doctor, even if you think they might be related to this medicine. See section 4.

Contents of the pack:

  1. What INOmax is and what it is used for
  2. What you need to know before you use INOmax
  3. How to use INOmax
  4. Possible side effects
  5. Storage of INOmax
  6. Contents of the pack and other information

1. What INOmax is and what it is used for

INOmax contains nitric oxide, a gas used for the treatment of:

  • newborns with pulmonary failure associated with high blood pressure in the lungs, a condition known as hypoxic respiratory failure. When inhaled, this gas mixture can improve blood flow through the lungs, which can help increase the amount of oxygen that reaches the baby's blood.
  • newborns, infants, children, and adolescents from 0 to 17 years and adults with pulmonary hypertension related to cardiac surgery. This gas mixture can improve heart function and increase blood flow in the lungs, which can help increase the amount of oxygen that reaches the blood.

2. What you need to know before you use INOmax

Do not use INOmax:

  • If you (as a patient) or your child (as a patient) are allergic (hypersensitive) to nitric oxide or any of the components of INOmax (see section 6 "Further information" for a complete list of ingredients).
  • If you have been told that you (as a patient) or your child (as a patient) have abnormal circulation in the heart.

Be careful with INOmax

Inhaled nitric oxide does not always work, so other treatments may need to be considered for you or your child.

Inhaled nitric oxide can affect the blood's ability to carry oxygen. This will be monitored through blood tests, and if necessary, the dose of inhaled nitric oxide will be reduced.

Nitric oxide can react with oxygen and form nitrogen dioxide, which can cause irritation of the respiratory tract. Your doctor or your child's doctor will monitor the nitrogen dioxide levels, and if high levels are detected, the treatment with INOmax will be reduced accordingly.

Inhaled nitric oxide may have a mild effect on your platelets (components that help blood clot) or those of your child, so any signs of bleeding or bruising should be monitored. If you notice any signs or symptoms that may be associated with bleeding, you should inform your doctor immediately.

No effects of inhaled nitric oxide have been documented in newborns with a malformation where the diaphragm is not complete, known as congenital diaphragmatic hernia.

In newborns with special heart malformations, which doctors call congenital heart disease, inhaled nitric oxide may worsen circulation.

Children

INOmax should not be administered to premature babies with less than 34 weeks of gestation.

Using INOmax with other medicines:

Your doctor will decide when to treat you or your child with INOmax and other medications, and will carefully monitor the treatment.

Tell your doctor if you (as a patient) or your child (as a patient) are taking or have recently taken any other medications, including those obtained without a prescription.

Some medications may affect the blood's ability to carry oxygen, such as prilocaine (a local anesthetic used to relieve pain in minor procedures, such as sutures or minor surgical or diagnostic procedures) or glyceryl trinitrate (used to treat angina). Your doctor will check that the blood contains enough oxygen when taking these medications.

Pregnancy and breastfeeding

The use of INOmax is not recommended during pregnancy and breastfeeding. Before starting treatment with INOmax, inform your doctor if you are pregnant, think you may be pregnant, or are breastfeeding.

Consult your doctor or pharmacist before taking any medication.

Driving and using machines

Not relevant

INOmax contains nitrogen

3. How to use INOmax

Your doctor will determine the correct dose of INOmax and administer INOmax to your lungs or those of your child through a system designed for the administration of this gas. This administration system will ensure that the correct amount of nitric oxide is administered by diluting INOmax with a mixture of oxygen and air immediately before administration.

For your safety or that of your child, the systems intended for the administration of INOmax are equipped with devices for continuous measurement of the amount of nitric oxide, oxygen, and nitrogen dioxide (a chemical substance obtained by mixing nitric oxide and oxygen) that will be administered to the lungs.

Your doctor will determine how long the treatment with INOmax should last.

INOmax is administered in doses of 10 - 20 ppm (parts per million) (maximum dose: 20 ppm in children and 40 ppm in adults) of the gas that you or your child inhale. The minimum effective dose will be sought.

Normally, treatment is needed for approximately 4 days in newborns with pulmonary failure associated with pulmonary hypertension. In children and adults with pulmonary hypertension associated with cardiac surgery, INOmax is usually administered for 24-48 hours. However, treatment with INOmax may be prolonged.

If you or your child receive more INOmax than you should

Too much inhaled nitric oxide can affect the blood's ability to carry oxygen. This value will be evaluated through blood tests, and if necessary, the dose of INOmax and medications such as vitamin C, methylene blue, or, if necessary, a blood transfusion will be reduced to improve oxygen transport capacity.

If you interrupt treatment with INOmax

Treatment with INOmax should not be stopped suddenly. It has been seen that hypotension or a rebound increase in pulmonary pressure can occur when treatment with INOmax is suddenly stopped without previously reducing the dose.

At the end of treatment, your doctor will slowly reduce the amount of INOmax administered to you or your child, so that the circulation in the lungs can adjust to oxygen/air without the need for INOmax. This process can take a day or two before you or your child have completely finished administering INOmax.

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

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Your doctor will examine you or your child carefully to determine all side effects.

Very common side effects (that affect more than 1 in 10 patients) associated with treatment with INOmax include:

  • Low platelet count.

Common side effects (that affect more than 1 in 100 patients) associated with treatment with INOmax include:

  • Hypotension, pulmonary collapse, or lack of air in the lungs.

Uncommon side effects (that affect between 1 in 100 and 1 in 1000 patients) are:

  • Increased methemoglobin, and therefore reduced oxygen transport capacity.

Side effects whose frequency is unknown (cannot be estimated from the available data) are:

  • Bradycardia (low heart rate) or excessively low oxygen levels in the blood (oxygen desaturation/hypoxemia) due to sudden interruption of treatment.
  • Headache, dizziness, dry throat, or respiratory difficulties after accidental exposure to the nitric oxide environment (i.e., equipment leaks or gas cylinder leaks).

You should inform the staff directly if you suffer from headaches while you are near your child when they receive INOmax.

If you think any of the side effects you are experiencing are serious, or if you notice any side effects not mentioned in this leaflet, even after you or your child have left the hospital, inform your doctor.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are possible side effects not listed in this leaflet. You can also report side effects directly to the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of INOmax

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 label after EXP. The expiry date refers to the last day of the month shown.

Treatment with INOmax should only be administered and handled by hospital personnel.

  • INOmax cylinders should be stored safely to avoid falls and potential damage.
  • INOmax should only be handled and administered by personnel specially trained in the use and handling of INOmax.

Regulations regarding the handling of gas cylinders should be respected.

Storage is supervised by hospital specialists. Store gas cylinders in well-ventilated rooms or sheds, protected from rain and direct sunlight.

Protect gas cylinders from shocks, falls, oxidation, and flammable materials, humidity, and heat or ignition sources.

Storage in the pharmacy department

Gas cylinders should be stored in a well-ventilated, clean, and locked area, exclusively for the storage of medical gases. Within this area, there should be a separate installation for the storage of nitric oxide gas cylinders.

Storage in the medical department

The gas cylinder should be placed in an area equipped with suitable material to keep it upright.

Do not throw away the gas cylinder when it is empty. The supplier will collect the empty gas cylinders.

6. Contents of the pack and other information

Composition of INOmax

The active substance of INOmax is nitric oxide 400 ppm mol/mol. A 2-liter gas cylinder filled to 155 bar absolute contains 307 liters of gas at a pressure of 1 bar at 15°C.

A 10-liter gas cylinder filled to 155 bar absolute contains 1535 liters of gas at a pressure of 1 bar at 15°C.

The other ingredient is nitrogen.

Presentation and contents of the pack of INOmax

Gas for inhalation

2-liter aluminum gas cylinder (identified with a turquoise-colored shoulder and white body) filled to a pressure of 155 bar, with a stainless steel positive pressure (residual) valve with a specific connection for outlet and a standard valve handle.

2-liter aluminum gas cylinder (identified with a turquoise-colored shoulder and white body) filled to a pressure of 155 bar, with a stainless steel positive pressure (residual) valve with a specific connection for outlet and a valve handle equipped with an INOmeter device.

10-liter aluminum gas cylinder (identified with a turquoise-colored shoulder and white body) filled to a pressure of 155 bar, with a stainless steel positive pressure (residual) valve with a specific connection for outlet and a standard valve handle.

10-liter aluminum gas cylinder (identified with a turquoise-colored shoulder and white body) filled to a pressure of 155 bar, with a stainless steel positive pressure (residual) valve with a specific connection for outlet and a valve handle equipped with an INOmeter device.

INOmax is presented in 2-liter and 10-liter aluminum gas cylinders.

Marketing authorization holder and manufacturer

Marketing authorization holder

Marketing authorization holder

Linde Healthcare AB

Rättarvägen 3

169 68 Solna

Sweden

Manufacturer

Linde France

Z.I. Limay-Porcheville 3 avenue Ozanne 78440 Porcheville France

Porcheville France

You can obtain further information on this medicine from the local representative of the marketing authorization holder:

Belgium

Linde Gas Belgium N.V.

Westvaartdijk 85

1850 Grimbergen

Tel: +32 70 233 826

[email protected]

Lithuania

Linde Gas UAB

Didlaukio g. 69

08300, Vilnius

Tel: +370 2787787

[email protected]

Greece

Linde Healthcare AB

Rättarvägen 3

169 68 Solna

Sweden

Tel: +46 8 7311000

Luxembourg

Linde Gas Belgium N.V.

Westvaartdijk 85

1850 Grimbergen

Tel: +32 70 233 826

[email protected]

Czech Republic

Linde Gas a.s.

U Technoplynu 1324

198 00 Praha 9

Tel: +420 800 121 121

[email protected]

Hungary

Linde Gáz Magyarország Zrt.

Illatos út 11/A.

1097 Budapest

Tel: +36 30 349 2237

[email protected]

Denmark

Linde Gas A/S

Lautruphøj 2-6

2730 Ballerup

Tel: +45 70 104 103

[email protected]

Malta

Linde Healthcare AB

Rättarvägen 3

169 68 Solna

Sweden

Tel: +46 8 7311000

Germany

Linde GmbH

Dr.-Carl-von-Linde-Straße 6-14

82049 Pullach

Tel: +49 89 7446 0

[email protected]

Netherlands

Linde Gas Therapeutics Benelux B.V.

De Keten 7

5651 GJ Eindhoven

Tel: +31 40 282 58 25

[email protected]

Estonia

AS Linde Gas

Valukoja 8

11415 Tallinn

Tel: +372 650 4500

[email protected]

Norway

Linde Gas AS

Postboks 13 Nydalen

0409 Oslo

Tel: +47 81559095

[email protected]

Greece

ΛΙΝΤΕ ΕΛΛΑΣ ΜΟΝ ΕΠΕ

Θέση Τρίπιο Λιθάρι

19600 Μάνδρα Αττικής

Τηλ: +30 211-1045500-510

[email protected]

Austria

Linde Healthcare

Linde Gas GmbH

Modecenterstr.17/ Objekt 1/3.OG

1110 Wien

Tel: +43(0)50.4273-2200

[email protected]

Spain

Linde Gas España, S.A.U.

Camino de Liria, s/n

46530 Puzol (Valencia)

Tel: +34 900 941 857 / +34 902 426 462

[email protected]

Poland

Linde Gaz Polska Sp. z o.o.

ul. prof. Michala Zyczkowskiego 17

31-864 Krakow

Tel: 0 801 142 748 / +48 (12) 643 92 00

[email protected]

France

Linde France - Activité médicale - Linde Healthcare

3 avenue Ozanne

Z.I. Limay-Porcheville

78440 Porcheville

Tel: +33 810 421 000

[email protected]

Portugal

Linde Portugal, Lda.

Av. Infante D. Henrique Lotes 21-24

1800-217 Lisboa

Tel: + 351 218 310 420

linde.portugal@ linde.com

Croatia

GTG plin d.o.o.

Kalinovac 2/a

47000 Karlovac

Tel: +385 47 609 200

[email protected]

Romania

Linde Gaz România SRL

str. Avram Imbroane nr. 9

Timisoara 300136 - RO

Tel: +40 256 300 700

[email protected]

Ireland

INO Therapeutics UK

185 Carver Drive

Kent Science Park

Sittingbourne

Kent ME9 8NP

Tel: +44 1795 411552

[email protected]

Slovenia

GTG plin d.o.o.

Bukovžlak 65/b

3000 CELJE

Tel: + 386 (0)3 42 60 746

[email protected]

Iceland

Linde Gas ehf

Breiðhöfða 11

110 Reykjavik

Tel: + 354 577 3030

[email protected]

Slovakia

Linde Gas s.r.o.

Tuhovská 3

831 06 Bratislava

Tel: +421 2 49 10 25 16

[email protected]

Italy

LINDE MEDICALE S.r.L

Via Guido Rossa 3

20010 Arluno (MI)

Tel: +39 02 903731 / 800 600 633

Finland

Oy Linde Gas Ab

Itsehallintokuja 6

02600 Espoo

Tel: + 358 10 2421

[email protected]

Cyprus

Linde Hadjikyriakos Gas Ltd

Λεωφόρος Λεμεσού 260, 2029 Στρόβολος

Λευκωσία, Κύπρος.

Τηλ. +357-22482330

[email protected]

Sweden

Linde Gas AB

Rättarvägen 3

169 68 Solna

Tel: + 46 8 7311800

[email protected]

Latvia

Linde Gas SIA,

Katrinas iela 5

Riga, 1045

Tel: +371 80005005

[email protected]

United Kingdom

INO Therapeutics UK

185 Carver Drive

Kent Science Park

Sittingbourne

Kent ME9 8NP

Tel: +44 1795 411552

[email protected]

Date of last revision of this leaflet: MM/AAAA

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu

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Online doctors for INOMAX 400 PPM MOL, COMPRESSED MEDICAL GAS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for INOMAX 400 PPM MOL, COMPRESSED MEDICAL GAS – subject to medical assessment and local rules.

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Svetlana Kovalenko

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Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Iryna Reznychenko

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Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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Tetiana Fursenko

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Dr. Tetiana Fursenko is an ENT (ear, nose, and throat) specialist offering online consultations for both adults and children. She focuses on diagnosing and treating conditions of the upper respiratory tract using evidence-based medical guidelines and personalised treatment plans.

Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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Alina Tsurkan

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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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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

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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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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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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