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MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION

MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION

Ask a doctor about a prescription for MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION

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Doctor

Nuno Tavares Lopes

Family medicine17 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 MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION

Introduction

Package Leaflet: Information for the User

Minurin 0.1 mg/ml Nasal Spray Solution

Desmopressin Acetate

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.Keep this leaflet. You may need to read it again.

  • Keep this leaflet, as 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 Minurin nasal spray solution is and what it is used for
  2. What you need to know before you use Minurin nasal spray solution
  3. How to use Minurin nasal spray solution
  4. Possible side effects
  5. Storage of Minurin nasal spray solution
  6. Contents of the pack and other information

1. What Minurin nasal spray solution is and what it is used for

Minurin belongs to a group of medicines called antidiuretic hormone analogues (vasopressin), which temporarily reduce the amount of urine produced by the body.

It is indicated, when oral administration is not possible, for the treatment of:

  • Central diabetes insipidus sensitive to vasopressin in infants from 3 months of age, children, adolescents, and adults.
  • Symptomatic treatment of short duration of primary nocturnal enuresis in patients (over 5 years of age), caused by nocturnal deficiency of ADH (Antidiuretic Hormone).

Diagnostic test of renal concentration capacity.

2. What you need to know before you use Minurin nasal spray solution

Do not use Minurin:

  • if you are allergic to the active substance or to any of the other ingredients of this medicine (listed in section 6).
  • if you have excessive prolonged thirst or thirst due to a mental disorder.
  • if you suffer from inappropriate ADH (antidiuretic hormone) secretion syndrome.
  • if you suffer from heart failure and other conditions that require treatment with diuretics (medicines that increase urine secretion).
  • if you suffer from moderate or severe renal insufficiency
  • if you have low sodium levels in the blood (hyponatremia).

Warnings and precautions

Consult your doctor or pharmacist before starting to use Minurin.

Minurin nasal spray solution should only be used in patients where oral formulations are not possible.

If you have primary nocturnal enuresis, be careful to restrict fluid intake by not drinking between 1 hour before administration and until the next morning (at least 8 hours).

Treatment without simultaneous reduction of fluid intake may cause water retention and/or decrease sodium levels in the blood, accompanied by or without symptoms or warning signs (headache, nausea, vomiting, weight gain, and in severe cases, convulsions. (See section 4).

Special care should be taken to avoid decreased sodium levels in the blood in the following cases:

  • in children, the dose should be administered under the strict supervision of an adult to ensure correct dosing and avoid accidental overdosing.

diseases characterized by alterations in the proportion of water and electrolytes (calcium, magnesium...) in the blood.

  • children, elderly patients, and patients with sodium levels in the blood with values in the lower limit of normality.
  • patients at risk of intracranial hypertension.
  • Generalized infections, fever, and gastroenteritis (inappropriate ADH secretion syndrome)

Consult your doctor if you are in any of the above patient groups.

Your doctor will monitor your sodium levels in the blood.

If the medicine is used for primary nocturnal enuresis, you should avoid drinking water while swimming and interrupt Minurin during any episode of vomiting and/or diarrhea until your fluid balance returns to normal. Considering the possibility of excess fluid retention, you should monitor that your weight and blood pressure do not increase during treatment. Treatment should be interrupted in case of signs of fluid retention/hyponatremia (decrease in sodium levels in the blood).

Patients with fluid accumulation (edema), scars, or other abnormalities in the nasal mucosa may notice irregular absorption. Consult your doctor in this situation.

Consult your doctor, even if any of the above circumstances have occurred to you.

Using Minurin with other medicines

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

It is known that some substances such as tricyclic antidepressants, chlorpromazine (a medicine for the treatment of psychiatric problems), carbamazepine (a medicine to prevent seizures), and chlorpropamide (a medicine for the treatment of diabetes mellitus) may increase the risk of fluid retention.

Non-steroidal anti-inflammatory drugs may induce water retention/decrease sodium levels in the blood.

Using Minurin with food and drinks

During treatment for primary nocturnal enuresis, fluid intake should be limited to a minimum and only to satisfy thirst from 1 hour before to 8 hours after administration.

When used for diagnostic purposes, fluid intake should be limited to a minimum and only to satisfy thirst.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, or think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

You should not use Minurin nasal spray solution if you are pregnant or planning to have a baby, as it may harm your baby. See section 2, Minurin nasal spray solution contains chlorobutanol.

If you are pregnant, your doctor will assess the risk versus the benefit of the treatment.

Desmopressin, although in small amounts, passes into breast milk, so if you are breastfeeding, it is recommended to replace breastfeeding.

Minurin nasal spray solution contains chlorobutanol

Chlorobutanol may increase the risk of heart rhythm problems.

You should not use Minurin nasal spray solution if you are pregnant or planning to become pregnant. This is because chlorobutanol may affect your ability to become pregnant and may harm your baby.

Driving and using machines

Minurin has no or negligible influence on the ability to drive and use machines.

3. How to use Minurin nasal spray solution

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

Use in children: in children, the dose should be administered under the strict supervision of an adult to ensure correct dosing and avoid accidental overdosing.

Instructions for use

Before using Minurin nasal spray solution for the first time, prepare the pump by pressing down 4 times or until a constant spray is obtained. If the nasal spray solution has not been used in a week, it will be necessary to prepare the pump again by pressing it down once or until a constant spray is obtained.

Before application, the patient should blow their nose.

  1. Remove the protective cap from the applicator (figure 1).
  2. Check that the end of the tube inside the bottle is submerged in the liquid.
  3. Prepare the pump if the nasal spray solution has not been used in the last week.

Once prepared, the pump will deliver a dose of 0.01 mg (10 micrograms) each time it is pressed.

  1. Hold the bottle with your thumb, index, and middle fingers. The head should be slightly tilted back while the applicator is inserted directly into the nostril.

Start the spray by covering the other nostril simultaneously. Inhale the product gently in each dose (figures 2 and 3).

  1. When a higher dose is needed, spray alternately in each nostril.
  2. Replace the protective cap after use and store in a vertical position. (figure 4)

The bottle should always be stored in a vertical position.

If you have any doubts about the correct administration of the dose, you should not re-administer the nasal spray solution until the next scheduled dose.

Vial with liquid and nasal applicator, hands holding and pressing the applicator in different stages of use

Frequency of administration

  • Diabetes insipidus:

Infants from 3 months of age and older and children (from 2 years to less than 12 years of age) 5-10 micrograms per day (maximum 20 micrograms). Divided into 1-2 doses.

Adolescents (from 12 years of age) and adults: 10-20 micrograms per day (maximum 40 micrograms/day). Divided into 1-2 doses.

For doses of 5 micrograms or less, other presentations are available on the market (Minurin nasal drops in solution).

  • Nocturnal enuresisin children over 5 years, adolescents, and adults:

The dose is adjusted individually. The posology should be established progressively, starting with one spray at bedtime. If no response is obtained, the daily dose may be increased up to the maximum recommended dose of 2 sprays with a minimum duration of one week.

The duration of treatment should be a maximum of 3 months. The need to continue treatment should be re-evaluated during a period of at least one week without Minurin.

For restrictions on fluid intake or possible signs of overdosing, see section 2.

  • Diagnosis of renal concentration capacity:

Weight

Intranasal dose

Number of sprays

< 10 kg

0.01 mg (10 micrograms)

1

10-30 kg

0.02 mg (20 micrograms)

2

30-50 kg

0.03 mg (30 micrograms)

3

> 50 kg

0.04 mg (40 micrograms)

4

Fluid intake should be limited to a minimum and only to satisfy thirst.

Duration of treatment:

Your doctor will indicate the duration of your treatment with Minurin.

If you use more Minurin than you should

If you have used more Minurin than you should, consult your doctor, pharmacist, or call the Toxicology Information Service, telephone 915 620 420, indicating the medicine and the amount used. It is recommended to carry the package leaflet and the medicine package to the healthcare professional.

If you have used Minurin more than you should or ingested it accidentally, the symptoms would be those consequent to water retention and/or decrease in sodium levels in the blood: headache, nausea, vomiting, weight gain, and in severe cases, convulsions.

Treatment should be interrupted and fluid intake restricted, and symptomatic treatment if necessary.

If you forget to use Minurin

If you miss a dose, apply the next dose at the usual time. Do not use a double dose to make up for forgotten doses.

If you stop treatment with Minurin

Your doctor will indicate the duration of your treatment with Minurin. Do not stop treatment before, as it may not have the expected effect.

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

4. Possible side effects

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

The following side effects are very common, they may affect more than 1 in 10 people:

  • nasal congestion, rhinitis, increased body temperature.

The following side effects are common, they may affect up to 1 in 10 people:

  • headache, stomach pain, nausea, gastroenteritis, insomnia, affective instability, nightmares, nervousness, aggression, nosebleeds, respiratory infections.

The following side effects are rare, they may affect up to 1 in 100 people:

  • hyponatremia (low sodium levels in the blood) and vomiting.

Other side effects for which the frequency is not known:

  • allergic reaction, dehydration, confusional state, convulsions, coma, dizziness, somnolence, hypertension, dyspnea, diarrhea, itching, redness, muscle spasms, fatigue, peripheral edema, chest pain, chills, weight gain.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible that they are not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for human use medicines, https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Minurin nasal spray solution

Keep out of the sight and reach of children.

Store in a refrigerator (between 2°C and 8°C).

Once opened, do not store at a temperature above 25°C.

Store in a vertical position.

Validity period once opened: 4 weeks.

Do not use Minurin after the expiry date stated on the package after "EXP". The expiry date is the last day of the month indicated.

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

6. Contents of the pack and other information

Composition of Minurin

The active substance is desmopressin acetate. Each milliliter of Minurin nasal spray solution contains 0.1 mg of desmopressin acetate.

Each spray delivers 0.01 mg (10 micrograms) of desmopressin acetate.

The other ingredients are: chlorobutanol hemihydrate, sodium chloride, hydrochloric acid, and purified water.

Appearance of the product and contents of the pack

Minurin 0.1 mg/ml nasal spray solution is a clear and particle-free intranasal solution presented in an aerosol bottle with a nasal applicator and protective cap.

Marketing authorization holder and manufacturer

Marketing authorization holder

FERRING S.A.U

C/ Arquitecto Sánchez Arcas 3, 1º

28040 Madrid

Spain

Manufacturer

Ferring GmbH

Wittland 11

24109 Kiel

Germany

Date of last revision of this leaflet:November 2022

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/

About the medicine

How much does MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION cost in Spain ( 2025)?

The average price of MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION in December, 2025 is around 14.42 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION in other countries

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

Alternative to MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION in Poland

Dosage form: Tablets, 240 mcg
Active substance: desmopressin
Importer: Adalvo Ltd. Aristo Pharma GmbH Haupt Pharma Muenster GmbH
Prescription required
Dosage form: Tablets, 120 mcg
Active substance: desmopressin
Importer: Adalvo Ltd. Aristo Pharma GmbH Haupt Pharma Muenster GmbH
Prescription required
Dosage form: Tablets, 60 mcg
Active substance: desmopressin
Importer: Adalvo Ltd. Aristo Pharma GmbH Haupt Pharma Muenster GmbH
Prescription required
Dosage form: Tablets, 240 mcg
Active substance: desmopressin
Prescription not required
Dosage form: Tablets, 120 mcg
Active substance: desmopressin
Prescription not required
Dosage form: Tablets, 60 mcg
Active substance: desmopressin
Prescription not required

Alternative to MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION in Ukraine

Dosage form: solution, 15 mcg/ml; 1 ml in ampoule
Active substance: desmopressin
Manufacturer: Ferring GmbH
Prescription required
Dosage form: lyophilisate, 60 mcg
Active substance: desmopressin
Prescription required
Dosage form: lyophilisate, 240 mcg
Active substance: desmopressin
Prescription required
Dosage form: lyophilisate, 120 mcg
Active substance: desmopressin
Prescription required
Dosage form: tablets, 0.2 mg
Active substance: desmopressin
Prescription required
Dosage form: tablets, 0.1 mg
Active substance: desmopressin
Prescription required

Online doctors for MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for MINURIN 0.1 mg/mL NASAL SPRAY SOLUTION – subject to medical assessment and local rules.

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Salome Akhvlediani

Pediatrics11 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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Nuno Tavares Lopes

Family medicine17 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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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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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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Duarte Meneses

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Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • 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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Svetlana Kovalenko

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

What patients commonly consult her for:

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

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

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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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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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Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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€60
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Doctor

Nikita Savin

Pediatrics4 years of experience

Dr. Nikita Savin is a paediatrician providing online consultations for children of all ages. He offers comprehensive medical care with a focus on preventive health, proper development, and long-term management of chronic and complex conditions.

His areas of expertise include:

  • Preventive care and vaccination planning, including catch-up schedules for children.
  • Assessment of psychomotor, emotional, and physical development.
  • Diagnosis, treatment planning, and clinical monitoring for paediatric conditions.
  • Nutritional guidance for infants, including the choice of adapted milk formulas tailored to medical needs.
  • Early identification of rare and orphan diseases.
  • Ongoing care for children with chronic or complex health conditions.
By combining paediatrics with a personalised approach, Dr. Savin ensures professional support that addresses both the physical health and overall well-being of children, while guiding parents at every stage of their child’s growth.
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€79
December 1108:00
December 1109:00
December 1110:00
December 1111:00
December 1208:00
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