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LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS

LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS

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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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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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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 LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the User

Lamivudine Teva Pharma B.V. 150mg film-coated tablets EFG

Lamivudine

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

  1. What is Lamivudine Teva Pharma B.V. and what is it used for
  2. What you need to know before you take Lamivudine Teva Pharma B.V.
  3. How to take Lamivudine Teva Pharma B.V.
  4. Possible side effects
  5. Storage of Lamivudine Teva Pharma B.V.
  6. Contents of the pack and other information

1. What is Lamivudine Teva Pharma B.V. and what is it used for

Lamivudine Teva Pharma B.V. is used in the treatment of HIV (Human Immunodeficiency Virus) infection in adults and children.

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

Lamivudine Teva Pharma B.V. does 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 Teva Pharma B.V. in the same way. Your doctor will monitor the effectiveness of your treatment.

2. What you need to know before you take Lamivudine Teva Pharma B.V.

Do not take Lamivudine Teva Pharma B.V.

  • if you are allergic to 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 treatment with Lamivudine Teva Pharma B.V.

Some people taking Lamivudine Teva Pharma B.V. or other combination treatments for HIV infection have a higher risk of serious side effects. You need to know that there is a higher risk:

  • if you have ever had liver disease, including hepatitis B or C (if you have hepatitis B, you should not stop taking Lamivudine Teva Pharma B.V. without your doctor's advice, as you may get hepatitis again)
  • if you are overweight, especially if you are a woman
  • if you or your child have kidney problems, your dose may need to be adjusted.

Consult your doctorif any of these apply to you. You may need extra check-ups, such as blood tests, while taking this medicine. For more information see section 4.

Be aware of important symptoms

Some people taking medicines for HIV infection develop other conditions that can be serious. You need to know the signs and symptoms to look out for while taking Lamivudine Teva Pharma B.V.

Read the information under “Other possible side effects of combination therapy for HIV” in section 4 of this leaflet.

Protect others

HIV infection is spread by sexual contact with someone who has the disease, or by transfer of infected blood (for example, by sharing injection needles). While taking this medicine, you may still transmit HIV to others, even if your treatment is effective in reducing the amount of virus in your blood.

Consult your doctor about the precautions you need to take to avoid infecting others.

Other medicines and Lamivudine Teva Pharma B.V.

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

Remember to tell your doctor or pharmacist if you start taking any new medicines while taking Lamivudine Teva Pharma B.V.

The following medicines should not be used with Lamivudine Teva Pharma B.V.:

  • 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 infectionor hepatitis B virus infection).
  • emtricitabine (used to treat HIV infection).
  • high doses of co-trimoxazole, an antibiotic.
  • cladribine (used to treat hairy cell leukaemia).

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

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.

Lamivudine Teva Pharma B.V. and similar medicines may harm your unborn baby. If you have taken Lamivudine Teva Pharma B.V. during your pregnancy, your doctor may request regular blood tests and other diagnostic tests to monitor the development of your child. In children whose mothers took NRTIs during pregnancy, the benefit of protecting them against HIV outweighed the risk of side effects.

Women with HIV infection should not breast-feed their babiesbecause the virus can pass to the baby through breast milk.

A small amount of the ingredients of Lamivudine Teva Pharma B.V. may also pass into breast milk.

If you are breast-feeding, or think you might want to, consult your doctor immediately.

Driving and using machines

Lamivudine Teva Pharma B.V. is unlikely to affect your ability to drive or use machines.

Lamivudine Teva Pharma B.V. contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per film-coated tablet; this is essentially “sodium-free”.

3. How to take Lamivudine Teva Pharma B.V.

Take this medicine exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.

Swallow the tablets with a little water. Lamivudine Teva Pharma B.V. can be taken with or without food.

If you cannot swallow the tablets whole, you can break them and mix with a small amount of food or liquid; take the whole dose immediately.

Keep in regular contact with your doctor

Lamivudine Teva Pharma B.V. helps to control your condition. You need to take it every day to control your HIV infection. You may still develop other infections and illnesses associated with HIV.

Stay in touch with your doctor and do not stop taking Lamivudine Teva Pharma B.V.without discussing it with your doctor first.

The recommended dose is

Adults, adolescents and children weighing at least 25 kg

The usual dose of Lamivudine Teva Pharma B.V. is 300 mg per day. It can be taken as one 150 mg tablet twice a day (approximately 12 hours apart), or as two 150 mg tablets once a day, as advised by your doctor.

Children weighing between 20 kg and less than 25 kg

The usual dose of Lamivudine Teva Pharma B.V. is 225 mg per day. It can be given as 75 mg (half a 150 mg tablet) in the morning and 150 mg (one 150 mg tablet) in the evening, or 225 mg (one and a half 150 mg tablets) once a day, as advised by your doctor.

Children weighing between 14 kg and less than 20 kg

The usual dose of Lamivudine Teva Pharma B.V. is 150 mg per day. It can be taken as 75 mg (half a 150 mg tablet) twice a day (approximately 12 hours apart), or as one 150 mg tablet once a day, as advised by your doctor.

Lamivudine Teva Pharma B.V. is also available as an oral solution for the treatment of children over 3 months of age and for patients who cannot take tablets or who require a lower dose.

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

Consult your doctorif this applies to you or your child.

If you take more Lamivudine Teva Pharma B.V. than you should

If you take more Lamivudine Teva Pharma B.V. than you should, contact your doctor or pharmacist, or go to the nearest hospital emergency department. If possible, show them the Lamivudine Teva Pharma B.V. pack.

If you forget to take Lamivudine Teva Pharma B.V.

If you forget to take a dose, take it as soon as you remember. Then continue with your regular schedule.

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

4. Possible side effects

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

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

When you are being treated for HIV, it can be difficult to tell whether a symptom is a side effect of Lamivudine Teva Pharma B.V. or other medicines you are taking, or a result of the HIV disease itself. Therefore, 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 Teva Pharma B.V., 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 10people:

  • headache
  • feeling sick (nausea)
  • vomiting
  • diarrhoea
  • stomach pain
  • feeling tired or lacking 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 100people:

Uncommon side effects that may show up in blood tests are:

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

Rare side effects

May affect up to 1 in 1,000people:

  • severe allergic reaction that causes swelling of the face, tongue or throat that may cause difficulty in swallowing or breathing.
  • inflammation of the pancreas (pancreatitis)
  • breakdown of muscle tissue
  • inflammation of the liver (hepatitis).

A rare side effect that may show up in blood tests is:

  • an increase in an enzyme called amylase.

Very rare side effects

May affect up to 1 in 10,000people:

  • 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 show up in blood tests is:

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

If you experience any side effects

Tell your doctor or pharmacistif you experience any side effects, even if they are not listed in this leaflet.

Other possible side effects of combination therapy for HIV

Combination therapy for HIV, such as Lamivudine Teva Pharma B.V., can cause other conditions to develop during HIV treatment.

Worsening of previous infections

People with advanced HIV infection (AIDS) have weak immune systems and are more likely to develop 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 the improvement in the body’s immune response, which enables it to fight off these infections.

In addition to opportunistic infections, autoimmune disorders (a condition where the immune system attacks healthy body tissue) can also occur after starting treatment with medicines for HIV infection. Autoimmune disorders may occur many months after the start of treatment. If you notice any symptoms such as muscle weakness, weakness in the hands and feet that spreads to the trunk of the body, palpitations, tremor or hyperactivity, please inform your doctor immediately for further evaluation and treatment.

If you notice any symptoms of infection while taking Lamivudine Teva Pharma B.V.:

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

You may have problems with your bones

Some patients taking combination therapy for HIV develop a condition called osteonecrosis. In this condition, parts of the bone tissue die because of a loss of blood supply to the bone. People have a higher risk of getting osteonecrosis:

  • 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 very weakened
  • if they are overweight.

Signs of osteonecrosis include:

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

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

Reporting of side effects

If you get 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 via 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 Lamivudine Teva Pharma B.V.

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 or blister after EXP. The expiry date refers to the last day of that month.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Packaging Contents and Additional Information

Composition of Lamivudine Teva Pharma B.V.

  • The active ingredient is lamivudine. Each film-coated tablet contains 150 mg.
  • The other ingredients are:

Tablet core: Microcrystalline cellulose, sodium starch glycolate, magnesium stearate. Film coating: Hypromellose, titanium dioxide (E171), macrogol, polysorbate 80, yellow iron oxide (E172), black iron oxide (E172)

Appearance and Packaging of the Product

Light gray, rhomboid, biconvex, film-coated tablet, engraved with “L 150” and scored on one side and scored on the other.

Lamivudine Teva Pharma B.V. is available in aluminum blisters containing 20, 30, 60, 80, 90, 100, and 500 tablets or HDPE containers containing 60 tablets.

Only some pack sizes may be marketed.

Marketing Authorization Holder

Teva B.V.

Swensweg 5

2031GA Haarlem

Netherlands

Manufacturer

Teva Pharmaceutical Works Private Limited Company

Pallagi út 13

Debrecen H-4042

Hungary

Pharmachemie B.V.

Swensweg 5

2031 GA Haarlem

Netherlands

For more information on this medicinal product, please contact the local representative of the marketing authorization holder:

Belgium

Teva Pharma Belgium N.V./S.A. /AG

Tel: +32 3 820 73 73

Lithuania

UAB Teva Baltics

Tel: +370 5 266 02 03

Bulgaria

Teva Pharmaceuticals EAD

Tel: +359 2 489 95 85

Luxembourg

ratiopharm GmbH

Germany

Tel: +49 731 402 02

Czech Republic

Teva Pharmaceuticals CR, s.r.o.

Tel: +420 251 007 111

Hungary

Teva Gyógyszergyár Zrt.

Tel: +36 1 288 64 00

Denmark

Teva Denmark A/S

Tel: +45 44 98 55 11

Malta

Teva Pharmaceuticals Ireland

Ireland

Tel: +44 2075407117

Germany

ratiopharm GmbH

Tel: +49 731 402 02

Netherlands

Teva Nederland B.V.

Tel: +31 8000228400

Estonia

UAB Teva Baltics Eesti filiaal

Tel: +372 6610801

Norway

Teva Norway AS

Tel: +47 66 77 55 90

Greece

Specifar A.B.E.E.

Tel: +30 2118805000

Austria

ratiopharm Arzneimittel Vertriebs-GmbH

Tel: +43 1 970070

Spain

Teva Pharma, S.L.U.

Tel: +34 91 387 32 80

Poland

Teva Pharmaceuticals Polska Sp. z o.o.

Tel: +48 22 345 93 00

France

Teva Santé

Tel: +33 1 55 91 7800

Portugal

Teva Pharma - Produtos Farmacêuticos Lda

Tel: +351 21 476 75 50

Croatia

Pliva Hrvatska d.o.o.

Tel: +385 1 37 20 000

Ireland

Teva Pharmaceuticals Ireland

Tel: +44 2075407117

Romania

Teva Pharmaceuticals S.R.L

Tel: +40 21 230 65 24

Slovenia

Pliva Ljubljana d.o.o.

Tel: +386 1 58 90 390

Iceland

Teva Pharma Iceland ehf.

Tel: +354 5503300

Slovakia

TEVA Pharmaceuticals Slovakia s.r.o.

Tel: +421 2 5726 7911

Italy

Teva Italia S.r.l.

Tel: +39 028917981

Finland

Teva Finland Oy

Tel: +358 20 180 5900

Cyprus

Specifar A.B.E.E.

Greece

Tel: +30 2118805000

Sweden

Teva Sweden AB

Tel: +46 42 12 11 00

Latvia

UAB Teva Biotech filiale Latvija

Tel: +371 67323666

United Kingdom(Northern Ireland)

Teva Pharmaceuticals Ireland

Ireland

Tel: +44 2075407117

Date of Last Revision of this Leaflet: January 2022

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

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Alternative to LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS in Polska

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Online doctors for LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for LAMIVUDINE TEVA PHARMA B.V. 150 mg FILM-COATED TABLETS – 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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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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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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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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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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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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€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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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
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