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MOTILIUM 10 mg FILM-COATED TABLETS

MOTILIUM 10 mg FILM-COATED TABLETS

Ask a doctor about a prescription for MOTILIUM 10 mg FILM-COATED TABLETS

5.0(7)
Doctor

Tarek Agami

General medicine10 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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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 MOTILIUM 10 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the User

Motilium 10 mg Film-Coated Tablets

Domperidone

Read all of this leaflet carefully before you start taking this medicine.

  • 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. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience 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 Package Leaflet

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

1. What is Motilium and what is it used for

This medicine is used in adults and adolescents (12 years of age and older and weighing 35 kg or more) to treat nausea (feeling sick) and vomiting.

2. What you need to know before you take Motilium

Do not take Motilium

  • If you are allergic (hypersensitive) to domperidone or any of the other ingredients of Motilium.
  • If you have stomach bleeding or severe abdominal pain or persistent black stools.
  • If you have a blocked or perforated intestine.
  • If you have a tumor of the pituitary gland (prolactinoma).
  • If you have moderate or severe liver disease
  • If your ECG (electrocardiogram) shows a heart problem called "prolonged QT interval"
  • If you have or have had a problem where your heart does not pump blood to the whole body as it should (this is called heart failure)
  • If you have a problem where you have low levels of potassium or magnesium in your blood, or high levels of potassium in your blood
  • If you are taking certain medicines (see "Using other medicines")

Warnings and Precautions

Before taking this medicine, talk to your doctor if you:

  • have liver problems (liver dysfunction or failure) (see "Do not take Motilium")
  • have kidney problems (kidney dysfunction or failure). In this case, it is recommended to ask your doctor for advice in case of prolonged treatment, as you may need a lower dose or take this medicine less frequently, and your doctor may want to examine you regularly.

Domperidone may be associated with an increased risk of heart rhythm disorders and cardiac arrest. This risk is more likely in patients over 60 years of age or in those taking doses higher than 30 milligrams per day. The risk also increases when domperidone is given with certain medicines. Tell your doctor or pharmacist if you are taking medicines to treat infections (caused by fungi or bacteria) and/or if you have heart problems or HIV/AIDS (see the section "Using other medicines").

Domperidone should be used at the lowest effective dose.

While taking domperidone, contact your doctor if you experience heart rhythm disorders, such as palpitations, difficulty breathing, or loss of consciousness. In this case, treatment with domperidone should be discontinued.

Adolescents weighing less than 35 kg and children

Motilium should not be given to adolescents aged 12 and over who weigh less than 35 kg, or to children under 12 years of age, as it is not effective in these age groups.

Using other medicines

Do not take Motilium if you are taking medicines to treat:

  • fungal infections, e.g. pentamidine or azole antifungals, specifically itraconazole, ketoconazole by mouth, fluconazole, posaconazole, or voriconazole
  • bacterial infections, specifically erythromycin, clarithromycin, telithromycin, levofloxacin, moxifloxacin, spiramycin (these are antibiotics)
  • heart problems or high blood pressure (e.g. amiodarone, dronedarone, ibutilide, disopyramide, dofetilide, sotalol, hydroquinidine, quinidine)
  • psychosis (e.g. haloperidol, pimozide, sertindol)
  • depression (e.g. citalopram, escitalopram)
  • gastrointestinal disorders (e.g. cisapride, dolasetron, prucalopride)
  • allergies (e.g. mequitazine, mizolastine)
  • malaria (in particular halofantrine, lumefantrine)
  • HIV/AIDS (in particular ritonavir or saquinavir (these are protease inhibitors))
  • Hepatitis C (e.g. telaprevir)
  • cancer (e.g. toremifene, vandetanib, vincamine).

Do not take Motiliumif you are taking certain other medicines (e.g. bepridil, difemanil, methadone).

Tell your doctor or pharmacist if you are taking medicines to treat infections, heart problems, or HIV/AIDS.

Motilium and Apomorphine

Before using Motilium and apomorphine, your doctor will make sure that you can take both medicines at the same time. Consult your doctor or specialist for personalized care. For more information, see the apomorphine package leaflet.

It is important to ask your doctor or pharmacist if Motilium is safe for you when using any other medicine, even those bought without a prescription.

Taking Motilium with food and drinks

Take Motilium before meals, as if taken after meals, its absorption is slightly delayed.

Pregnancy

It is not known if Motilium is safe to use in pregnant women. If you are pregnant or think you may be pregnant, tell your doctor, who will decide if you can take Motilium.

Breast-feeding

Small amounts of domperidone have been detected in breast milk.

Domperidone may cause unwanted side effects that affect the heart of the breastfed baby. Domperidone should only be used during breastfeeding if your doctor considers it clearly necessary. Consult your doctor for advice before taking this medicine.

Driving and using machines

Some patients have reported feeling dizzy or drowsy after taking Motilium. Do not drive or use machines while taking Motilium until you know how it affects you.

Important information about some of the ingredients of Motilium

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

This medicine may cause stomach upset and diarrhea because it contains hydrogenated castor oil.

This medicine contains less than 23 milligrams (1 millimole) of sodium per dose, so it is essentially "sodium-free".

3. How to take Motilium

Follow these instructions exactly, unless your doctor has told you otherwise.

Take Motilium before meals, because if taken after meals, its absorption is slightly delayed.

Duration of treatment

Symptoms usually resolve 3-4 days after taking this medicine. Do not take Motilium for more than 7 days without consulting your doctor.

Adults and adolescents 12 years of age and older and weighing 35 kilograms or more

The usual dose is one tablet taken up to three times a day, if possible before meals. Take the tablets with some water or other liquid. Do not chew the tablets. Do not take more than three tablets per day.

If you take moreMotilium than you should

If you have used or taken too much Motilium, contact your doctor, pharmacist, or poison control center immediately. In case of overdose, symptomatic treatment can be given. ECG monitoring may be performed, given the possibility of a heart problem called "prolonged QT interval".

In case of overdose or accidental ingestion, consult the Toxicological Information Service. Telephone 91 562 04 20.

Information for the doctor: it is recommended to closely monitor the patient and take general supportive measures. Anticholinergic antiparkinsonian medicines may help counteract extrapyramidal effects.

If you forget to takeMotilium

Take your medicine as soon as you remember. If it is almost time for your next dose, wait until then and continue with your regular schedule. 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 everybody gets them.

Uncommon(may affect up to 1 in 100 people):

  • Involuntary movements of the face or arms and legs, excessive trembling, excessive muscle stiffness or muscle spasms

Frequency not known(cannot be estimated from the available data):

  • Seizures
  • A type of reaction that can occur immediately after administration and is characterized by skin rash, itching, shortness of breath and/or swelling of the face
  • A severe allergic reaction that can occur immediately after administration, characterized by hives, itching, flushing, fainting, and difficulty breathing, among other possible symptoms
  • Cardiovascular disorders: heart rhythm disorders (fast or irregular heartbeat) have been reported; if this occurs, you should stop treatment immediately. Domperidone may be associated with an increased risk of heart rhythm disorders and cardiac arrest. This risk is more likely in patients over 60 years of age or in those taking doses higher than 30 milligrams per day. Domperidone should be used at the lowest effective dose.

Stop treatment with domperidone and contact your doctor immediatelyif you experience any of the above side effects.

Other side effects observed with Motilium are listed below:

Common(may affect up to 1 in 10 people):

  • Dry mouth

Uncommon(may affect up to 1 in 100 people):

  • Anxiety
  • Agitation
  • Nervousness
  • Loss or decreased sexual interest
  • Headache
  • Drowsiness
  • Diarrhea
  • Skin rash
  • Itching
  • Hives
  • Breast pain or tenderness
  • Breast milk secretion
  • General feeling of weakness
  • Feeling of dizziness

Frequency not known(cannot be estimated from the available data):

  • Eye movement upwards
  • Stop of menstrual period in women
  • Breast enlargement in men
  • Urination difficulties
  • Changes in the results of certain laboratory tests
  • Restless legs syndrome (uncomfortable feeling, with an irresistible urge to move your legs, and sometimes arms and other parts of your body).

Some patients who have taken Motilium in conditions and doses that require medical supervision have experienced the following side effects:

Restlessness; breast swelling or enlargement, unusual breast secretion, irregular menstrual periods in women, difficulty breastfeeding, depression, hypersensitivity.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is possible side effects 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 Motilium

  • Keep this medicine out of the sight and reach of children.
  • Do not store above 30°C.
  • Do not use Motilium after the expiry date stated on the pack. The expiry date "CAD" is the last day of the month indicated, where the first two digits indicate the month and the next ones, the year.

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 protect the environment.

6. Contents of the pack and further information

Composition ofMotilium

  • The active substance is domperidone.
  • The other ingredients are: lactose monohydrate, corn starch, microcrystalline cellulose (E-460), pregelatinized potato starch, povidone, magnesium stearate (E-572), sodium lauryl sulfate, and hydrogenated castor oil, sodium lauryl sulfate, hypromellose (E-464).

Appearance of the product and pack contents

White, glossy, biconvex, film-coated tablet, without defects or roughness. Anonymous on both sides.

The tablets are presented in a blister pack and the pack contains 30 tablets

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

Esteve Pharmaceuticals, S.A.

Passeig de la Zona Franca, 109

08038 Barcelona

Spain

Manufacturer:

TOWA Pharmaceutical Europe, S.L.

c/ de Sant Martí, 75-97 08107 Martorelles (Barcelona)

Spain

This leaflet was approved in May 2019

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 MOTILIUM 10 mg FILM-COATED TABLETS cost in Spain ( 2025)?

The average price of MOTILIUM 10 mg FILM-COATED TABLETS in December, 2025 is around 2.28 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 MOTILIUM 10 mg FILM-COATED TABLETS in other countries

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

Alternative to MOTILIUM 10 mg FILM-COATED TABLETS in Ukraine

Dosage form: tablets, tablets 10mg
Active substance: domperidone
Prescription not required
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Active substance: domperidone
Prescription not required
Dosage form: tablets, 10 mg
Active substance: domperidone
Prescription not required
Dosage form: tablets, tablets 10mg
Active substance: domperidone
Prescription not required
Dosage form: tablets, 10 mg
Active substance: domperidone
Prescription not required
Dosage form: tablets, tablets 10mg
Active substance: domperidone
Prescription not required

Alternative to MOTILIUM 10 mg FILM-COATED TABLETS in Poland

Dosage form: Tablets, 50 mg
Manufacturer: Zentiva k.s.
Prescription required

Online doctors for MOTILIUM 10 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for MOTILIUM 10 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

5.0(7)
Doctor

Tarek Agami

General medicine10 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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Abdullah Alhasan

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Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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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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Ngozi Precious Okwuosa

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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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Roman Raevskii

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Dr. Raevskii provides medical care in the following areas:

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

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

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Sergio Correa

General medicine7 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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Anastasiia Shalko

Family medicine12 years of experience

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

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

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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Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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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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