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LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

Ask a doctor about a prescription for LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

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Doctor

Nuno Tavares Lopes

Family medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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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 LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

Introduction

Leaflet: information for the user

Lebersal orange-flavored effervescent granules

Sodium hydrogen carbonate (Sodium bicarbonate) / Anhydrous disodium phosphate

Anhydrous sodium sulfate / Anhydrous magnesium sulfate

Read the entire leaflet carefully before starting to take the medicine because it contains important information for you.

  • Follow the administration instructions for the medicine contained in this leaflet or as indicated by your doctor or pharmacist.
  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days.

Contents of the leaflet

  1. What Lebersal is and what it is used for
  2. What you need to know before taking Lebersal
  3. How to take Lebersal
  4. Possible side effects
  5. Storage of Lebersal
  6. Package contents and additional information

1. What Lebersal is and what it is used for

Lebersal is indicated for the relief and treatment of symptoms related to digestive disorders such as:

  • Chronic or accidental constipation
  • Heartburn
  • Heavy digestion
  • Digestive disorders due to excess alcohol or food consumption.

2. What you need to know before taking Lebersal

Do not takeLebersal:

  • If you are allergic to sodium bicarbonate, anhydrous disodium phosphate, anhydrous sodium sulfate, anhydrous magnesium sulfate, or any of the other components of this medicine (listed in section 6).
  • If you have an electrolyte imbalance (alteration of water or electrolyte content), hypernatremia (elevated sodium levels in the blood), or diarrheal processes.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Lebersal:

  • If you have heart failure.
  • If you have kidney failure (kidney disease).
  • If you are prone to water retention (edema).
  • If you are on a low-sodium diet.
  • If you have high blood pressure.
  • During treatment with diuretics (medicines that increase urine elimination).
  • If you are pregnant or breastfeeding.

Taking Lebersal with other medicines:

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

It should not be administered concurrently with other oral medicines, as it may affect their absorption, such as tetracyclines, ketoconazole, cimetidine, ranitidine, famotidine, mecamylamine, methenamine, bisphosphonates, digoxin, indomethacin, iron salts, lithium, salicylates, and naproxen.

As it contains sodium bicarbonate and magnesium sulfate, it may decrease the urinary elimination of amphetamines and quinidine.

Aluminum, calcium, or magnesium salts may decrease the absorption of Lebersal due to their phosphate content. On the other hand, vitamin D increases phosphate absorption, which could lead to hyperphosphatemia (excess phosphate in the blood).

Administration with medicines that affect serum electrolytes (minerals found in blood), such as diuretics, calcium channel blockers, lithium treatment, may lead to elevated blood levels of phosphate (hyperphosphatemia), sodium (hypernatremia), magnesium (hypermagnesemia), and low calcium levels (hypocalcemia).

Additionally, if taken with calcium supplements, it may increase the risk of ectopic calcification (calcium salt deposits in extra-skeletal tissues).

In any case, if it is necessary to take these medicines, the doses should be separated by at least two hours.

Taking Lebersal with food and drinks

Do not take with a very full stomach, as it may cause an increase in carbon dioxide production, leading to gastric distension, and in rare cases, may perforate the stomach walls.

Pregnancy, breastfeeding, and fertility

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

Its use is not recommended during pregnancy. The presence of sodium bicarbonate in Lebersal may induce metabolic alkalosis (disorder of water and mineral salt balance in the blood), water retention, and weight gain, both in the mother and the fetus.

Its use is not recommended during breastfeeding, as it is unknown whether Lebersal is excreted in breast milk.

Driving and using machines

No effects of Lebersal on the ability to drive vehicles or operate machinery have been described.

Lebersal contains sodium

This medicine contains 470 mg of sodium (main component of table/cooking salt) per 2.5 grams. This is equivalent to 24% of the maximum daily recommended sodium intake for an adult.

Consult your doctor or pharmacist if you need a spoonful or more per day for a prolonged period, especially if you have been advised to follow a low-sodium diet.

3. How to take Lebersal

Follow the administration instructions for the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

Lebersal is administered orally.

The recommended dose is 1 or 2 spoonfuls (2.5 or 5 g) on an empty stomach or before main meals. The granules are poured into a half-glass of water.

It can be taken before or after effervescence.

It is recommended not to take more than 4 spoonfuls per day.

If you take moreLebersalthan you should

Consult your doctor or pharmacist immediately. Doses above the recommended dose of Lebersal may cause diarrhea, headaches, nausea, vomiting, abdominal cramps, weakness, and loss of appetite. At very high doses, in prolonged treatments, it may lead to metabolic alkalosis.

The treatment will be aimed at alleviating the symptoms and recovering the balance of water and electrolytes in the blood.

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

If you forget to takeLebersal

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

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone will experience them.

When used at the recommended dosage, no side effects have been described.

In case of kidney failure, high blood levels of phosphate (hyperphosphatemia), sodium (hypernatremia), magnesium (hypermagnesemia), and low calcium levels (hypocalcemia) may occur. The frequency of these side effects is unknown.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency (AEMPS) website: http://www.aemps.gob.es/

5. Storage of Lebersal

Keep Lebersal out of the sight and reach of children.

Keep the bottle perfectly closed to protect it from moisture.

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

Medicines should not be disposed of through wastewater or household waste. Deposit the packaging and unused medicines in the pharmacy's SIGRE point. If in doubt, ask your pharmacist how to dispose of the packaging and unused medicines. This will help protect the environment.

6. Package contents and additional information

Composition ofLebersal

  • The active ingredients are: Sodium hydrogen carbonate (Sodium bicarbonate) (39.30 g), anhydrous disodium phosphate (8.28 g), anhydrous sodium sulfate (3.15 g), and anhydrous magnesium sulfate (0.99 g).
  • The other ingredients are: Tartaric acid, sodium carbonate, orange flavor, and saccharin.

Appearance of the product and package contents

Lebersal is an effervescent granule for oral use. It is presented in a bottle containing 100 g of white effervescent granules with an orange flavor.

Marketing authorization holder

LABORATORIOS ERN, S.A.

Perú, 228 - 08020 Barcelona, Spain.

Manufacturer

LABORATORIOS ERN, S.A.

Gorgs LLadó, 188 – 08210 Barberá del Vallés, Barcelona, Spain.

Date of the last revision of thisleaflet:June 2021

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

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Online doctors for LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for LEBERSAL GRANULATED EFFEVESCENT ORANGE FLAVORED – subject to medical assessment and local rules.

5.0(48)
Doctor

Nuno Tavares Lopes

Family medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Duarte Meneses

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  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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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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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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Andreea Mateescu

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Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

  • preventive check-ups and monitoring of growth and development;
  • vaccination planning, including personalised and catch-up schedules;
  • assessment of psychomotor, emotional, and physical development;
  • diagnosis and management of acute and chronic paediatric conditions;
  • nutritional guidance for infants and children, including formula selection when medically indicated;
  • care for children with complex or rare conditions;
  • practical guidance and ongoing support for parents.
Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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Salome Akhvlediani

Pediatrics12 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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Tarek Agami

General medicine11 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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