This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use LAMIVUDINE ACCORD 300 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the User

Lamivudine Accord 300 mg film-coated tablets EFG

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

Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information

What is Lamivudine Accord and what is it used for
What you need to know before you take Lamivudine Accord
How to take Lamivudine Accord
Possible side effects
Storage of Lamivudine Accord
Contents of the pack and other information

1. What is Lamivudine Accord and what is it used for

Lamivudine Accordis used in the treatment of HIV (Human Immunodeficiency Virus) infection in adults and children.

The active substance of Lamivudine Accordis lamivudine. Lamivudine Accordis a type of medicine known as an antiretroviral. It belongs to a group of medicines called nucleoside analogue reverse transcriptase inhibitors (NRTIs).

Lamivudine Accorddoes not completely cure HIV infection; it reduces the amount of virus in the body and keeps it at a low level. It also increases the number of CD4 cells in the blood. CD4 cells are a type of white blood cell that plays an important role in helping your body fight infection.

Not everyone responds to treatment with Lamivudine Accordin the same way. Your doctor will monitor the effectiveness of your treatment.

2. What you need to know before you take Lamivudine Accord

Do not take Lamivudine Accord:

If you are allergicto lamivudine or any of the other ingredients of this medicine (listed in section 6).

Consult your doctorif you think this applies to you.

Warnings and precautions

Consult your doctor or pharmacist before starting Lamivudine Accord

Some people taking Lamivudine Accord or other similar medicines have a higher risk of serious side effects. You need to know that there is a higher risk:

if you have ever had other types of liver disease, such as hepatitis C
if you have significant overweight(especially if you are a woman)

Consult your doctor if you have any of these conditions.You may need to have extra checks, such as blood tests, while taking this medicine. For more information see Section 4.

Do not stop taking Lamivudine Accordwithout your doctor's advice, as there is a risk that your hepatitis may get worse. When you stop taking Lamivudine Accord, your doctor will monitor you for at least four months to check for any problems. This will involve taking blood samples to check for any abnormality in liver enzymes indicating liver damage. See section 3 for more information on how to take Lamivudine Accord.

Protect others

Hepatitis B is spread by having sexual contact with someone who has the disease, or by the transfer of infected blood (for example, by sharing needles). Lamivudine Accord does not prevent the risk of passing on hepatitis B to others. To prevent others from getting hepatitis B:

Use a condomwhen you have oral or penetrative sex.
Avoid the risk of blood transfer— for example, do not share needles.

Taking Lamivudine Accord with other medicines

Tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines, including those obtained without a prescription, including herbal medicines.

Remember to tell your doctor or pharmacist if you start taking any other medicines while you are taking Lamivudine Accord.

These medicines must not be taken with Lamivudine Accord:

medicines (usually liquids) that contain sorbitol and other polyalcohols (such as xylitol, mannitol, lactitol, or maltitol), if taken regularly.
other medicines that contain lamivudine, used to treat HIV infection(sometimes also called AIDS virus).
emtricitabine used to treat HIV or hepatitis B infection.
cladribine, used to treat hairy cell leukemia.

Tell your doctorif you are being treated with any of these medicines.

Pregnancy and breastfeeding

Pregnancy

If you are pregnant, if you become pregnant, or if you are planning to become pregnant:

Talk to your doctor immediatelyabout the risks and benefits of taking Lamivudine Accord during pregnancy.

Do not stop taking Lamivudine Accord without your doctor's advice.

Breastfeeding

The components of Lamivudine Accord may pass into breast milk. If you are breastfeeding, or thinking of breastfeeding:

Talk to your doctorbefore taking Lamivudine Accord.

Driving and using machines

Lamivudine Accord may make you feel tired, which could affect your ability to drive or use machines.

Do not drive or use machines unless you are sure it won't affect you.

Lamivudine Accord contains isomalt

If your doctor has told you that you have an intolerance to some sugars, consult them before taking this medicine.

3. How to take Lamivudine Accord

Followexactlytheinstructionsforadministeringthismedicineasindicatedbyyourdoctororpharmacist. In case of doubt, consult your doctor or pharmacist again.

Swallow the tablet whole with water. Lamivudine Accordcan be taken with or without food. If you cannot swallow the tablets whole, you can break them and mix them with a small amount of food or drink; take the entire dose immediately.

Stay in regular contact with your doctor

Lamivudine Accordhelps control your condition. You will need to take it every day to avoid your illness getting worse. You may still develop other infections and illnesses associated with HIV.

Stay in touch with your doctor and do not stop taking Lamivudine Accordwithout talking to your doctor first.

How much to take

Adults, adolescents, and children weighing at least 25 kg:

The usual dose of Lamivudine Accord is 300 mg once daily.

A 150 mg dose of Lamivudine Accord tablets is available for the treatment of children from 3 months of age and weighing less than 25 kg.

It is also available as an oral solution for the treatment of children over 3 months of age and for patients who cannot swallow tablets or who require a lower dose than usual.

If you or your child have kidney problems,your dose may be adjusted.

Consult your doctorif this applies to you or your child.

If you take more Lamivudine Accord than you should

If you accidentally take too much Lamivudine Accord, contact your doctor or pharmacist, or go to the emergency department of your nearest hospital for advice. If possible, show them the Lamivudine Accord packaging.

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

If you forget to take Lamivudine Accord

If you forget to take a dose, take it as soon as you remember and then continue with your usual treatment. Do not take a double dose to make up for forgotten doses.

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

4. Possible side effects

During treatment for HIV, you may experience an increase in weight and levels of glucose and lipids in the blood. This may be partly due to the recovery of your health and, in the case of blood lipids, sometimes to the HIV medicines themselves. Your doctor will monitor these changes.

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

When you are being treated for HIV, it can be difficult to tell whether a symptom is a side effect of Lamivudine Accord or another medicine you are taking, or a result of the HIV disease itself. It is very important that you inform your doctor about any changes in your health.

In addition to the side effects listed below for Lamivudine Accord, other conditions can develop during combination therapy for HIV.

It is important that you read the information under the heading “Other possible side effects of combination therapy for HIV”.

Common side effects

May affect up to 1 in 10patients:

headache
nausea
vomiting
diarrhea
stomach pain
fatigue, lack of energy
fever (high temperature)
general feeling of being unwell
muscle pain and discomfort
joint pain
difficulty sleeping (insomnia)
cough
irritated or runny nose
skin rash
hair loss (alopecia).

Uncommon side effects

May affect up to 1 in 100patients:

The uncommon side effects that may appear in blood tests are:

a decrease in the number of cells involved in blood clotting (thrombocytopenia)
low red blood cell count (anemia) or low white blood cell count (neutropenia)
an increase in the level of liver enzymes.

Rare side effects

May affect up to 1 in 1,000patients:

severe allergic reaction that causes swelling of the face, tongue, or throat, which can cause difficulty swallowing or breathing
inflammation of the pancreas (pancreatitis)
muscle tissue breakdown
liver problems, such as jaundice, liver enlargement, fatty liver, inflammation (hepatitis).

A rare side effect that may appear in blood tests is:

an increase in an enzyme called amylase.

Very rare side effects

May affect up to 1 in 10,000patients:

lactic acidosis (excess of lactic acid in the blood)

tingling or numbness of the arms, legs, hands, or feet.

A very rare side effect that may appear in blood tests is:

failure of the bone marrow to produce new red blood cells (pure red cell aplasia).

If you experience side effects

Tell your doctor or pharmacistif you think any of the side effects you are experiencing are serious or if you notice any side effects not listed in this leaflet.

Other possible side effects of combination therapy for HIV

Combination therapies, such as Lamivudine Accord, can cause other conditions to develop during treatment for HIV.

Worsening of old infections

People with advanced HIV infection (AIDS) have weakened immune systems and are more likely to experience serious infections (opportunistic infections). When these people start treatment, they may find that old, hidden infections flare up, causing signs and symptoms of inflammation. These symptoms are probably due to an improvement in the body's immune response, which allows it to fight off these infections.

In addition to these opportunistic infections, autoimmune disorders (a condition that occurs when the immune system attacks healthy body tissue) may also occur after you start taking medicines for the treatment of your HIV infection. Autoimmune disorders can occur many months after starting treatment. If you notice any symptoms of infection or other symptoms such as muscle weakness, weakness in the hands and feet, and ascending to the torso, palpitations, tremors, or hyperactivity; please inform your doctor immediately to receive the necessary treatment.

If you notice any symptoms of infection while taking Lamivudine Accord:

Tell your doctor immediately.Do not take any other medicine for the infection without your doctor's advice.

You may have problems with your bones

Some patients receiving combination therapy for HIV may develop a bone disease called osteonecrosis. With this disease, part of the bone tissue dies due to a reduction in blood supply to the bone. People are more likely to have this disease:

if they have been taking combination therapy for a long time
if they are also taking anti-inflammatory medicines called corticosteroids
if they drink alcohol
if their immune system is severely weakened
if they are overweight

Signs of osteonecrosis include:

stiffness in the joints
pain and discomfort (especially in the hip, knee, and shoulder)
difficulty moving

If you notice any of these symptoms: Tell your doctor.

Reporting of side effects

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

5. Storage of Lamivudine Accord

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

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Return any unused medicine to a pharmacy for disposal. 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 Lamivudine Accord

The active substance is lamivudine. Each film-coated tablet contains 100 mg of lamivudine.

The other ingredients are: isomalt (E953), crospovidone A, magnesium stearate (E572), hypromellose (E464), titanium dioxide (E171), macrogol 400, polysorbate 80 (E433), and iron oxide yellow and red (E172).

Appearance of the product and pack contents

Lamivudine Accord 100 mg film-coated tablets EFG are presented in Alu/PVC-Alu-OPA blisters containing 28 or 84 tablets.

The tablets are film-coated, pink in color, capsule-shaped, biconvex, with dimensions of 12.00 x 6.00 mm, scored on both sides with the code ''37'' on one side and ''I'' on the other side.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Accord Healthcare S.L.U.

World Trade Center

Moll de Barcelona, s/n

Edifici Est, 6ª planta

08039 Barcelona-Spain

Manufacturer

Pharmadox Healthcare Ltd.

KW 20A - Kordin Industrial Park

PLA 3000 Paola

Malta

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

Italy: Lamivudina Accord

Netherlands: Lamivudine Accord 100 mg, film-coated tablets

Spain: Lamivudina Accord 100 mg, film-coated tablets EFG

United Kingdom: Lamivudine 100 mg Film-coated tablets

Date of last revision of this leaflet:April 2024

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

Country of registration
Spain
Active substance
lamivudine
Prescription required
Yes
Manufacturer
Accord Healthcare S.L.U.
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
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Alternatives to LAMIVUDINE ACCORD 300 mg FILM-COATED TABLETS in other countries

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

Alternative to LAMIVUDINE ACCORD 300 mg FILM-COATED TABLETS in Poland

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Dosage form: Tablets, 100 mg

Active substance: lamivudine

Importer: APL Swift Services (Malta) Ltd. Arrow Generiques Generis Farmaceutica S.A.

Prescription required

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Dosage form: Tablets, 100 mg

Active substance: lamivudine

Manufacturer: McDermott Laboratories Limited (t.a. Gerard Laboratories) Mylan Hungary Kft.

Prescription required

Alternative to LAMIVUDINE ACCORD 300 mg FILM-COATED TABLETS in Ukraine

LAMIVUDIN

Dosage form: solution, 10 mg/ml 240 ml

Active substance: lamivudine

Manufacturer: PrAT "Tehnolog

Prescription required

Online doctors for LAMIVUDINE ACCORD 300 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for LAMIVUDINE ACCORD 300 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

5.0(5)

Roman Raevskii

General medicine7 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
Supportive care for oncology patients – pain control, symptom relief, and side effect management.
Preventive medicine and health screenings.
Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Tomasz Grzelewski

Dermatology21 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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Yevgen Yakovenko

General surgery12 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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Maryna Kuznetsova

Cardiology17 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

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General medicine3 years of experience

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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
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anaemia and other haematological changes
diabetes, thyroid disorders and pituitary disease

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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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Karim BenHarbi

General medicine9 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.

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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.

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Liudmyla Boichuk

Family medicine11 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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Svetlana Kolomeeva

Cardiology18 years of experience

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

Endocrinology11 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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Anna Biriukova

General medicine6 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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