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

How to use OPONAF 10 g POWDER FOR ORAL SOLUTION

Introduction

Package Leaflet: Information for the Patient

Oponaf 10 g Powder for Oral Solution

Lactitol

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

Keep this package 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, as 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 package leaflet.

Contents of the Package Leaflet

What is Oponaf and what is it used for
What you need to know before taking Oponaf
How to take Oponaf
Possible side effects
Storage of Oponaf
Contents of the pack and further information

1. What is Oponaf and what is it used for

Oponaf belongs to a group of medicines called oral osmotic laxatives.

Oponaf is indicated:

For the treatment of chronic habitual constipation.
As part of the treatment of certain symptoms of portosystemic encephalopathy, which is a consequence of severe liver disease.

2. What you need to know before taking Oponaf

Chronic constipation should be treated, as a first measure, through a high-fiber diet, sufficient fluid intake, or physical exercise. If there is no improvement with these measures, your doctor may recommend the use of Oponaf.

Especially in children, it should be taken into account that prolonged treatment with laxatives can interfere with the normal functioning of the defecation reflex, so it is recommended to treat constipation with adequate hygiene and dietary measures.

The use of laxatives during prolonged periods should be avoided.

Do not take Oponaf

if you are allergic (hypersensitive) to lactitol;
if you have intestinal obstruction or there is suspicion of organic lesions in the digestive tract;
if there is unjustified abdominal pain or rectal bleeding;
if you are following a galactose-free diet;
in case of fecal stasis (prolonged retention), which should be treated previously by other means;
if you have galactosemia;
if you are breastfeeding a baby with hereditary autosomal recessive fructose intolerance;
if you have a pre-existing electrolyte imbalance in your serum.

Warnings and precautions

In elderly, debilitated, or dehydrated patients, or those with hypokalemia (low potassium levels in the blood), your doctor should regularly monitor the blood electrolyte levels, especially in prolonged treatments;
If you are to undergo any internal examination of the intestine, you should consult your doctor;
In cases of ileostomy or colostomy (opening from the ileum or colon to the outside), the administration of Oponaf is not recommended;
In cases of particularly resistant constipation, you should consult your doctor;
If nausea occurs, it is recommended to take Oponaf during meals;
In babies, Oponaf should only be used after the doctor's recommendation.

Taking Oponaf with other medicines

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

Certain medicines may interact with Oponaf; in these cases, it may be necessary to change the dose or interrupt treatment with one of them.

It is important that you inform your doctor if you are taking or have recently taken any of the following medicines:

Antacids or neomycin (antibiotic) should not be administered together with Oponaf in the treatment of cirrhosis with hepatic encephalopathy, as these medicines may interfere with its mechanism of action.
Thiazide diuretics (medicines used to increase urine elimination).
Corticosteroids (anti-inflammatory and antiallergic medicines).
Carbenoxolone (gastric mucosa protector and anti-inflammatory).
Amphotericin B (medicine for the treatment of fungal infections).
Mesalazine (anti-inflammatory medicine).

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

Oponaf should not be used during the first trimester of pregnancy unless your doctor recommends it.

Although it has not been studied whether lactitol passes into breast milk, the use of Oponaf is considered safe for breastfeeding mothers.

Driving and using machines

Oponaf does not affect the ability to drive vehicles or use machinery.

Oponaf contains lactitol

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

Lactitol has a caloric value of 2.1 kcal/g.

Oponaf does not affect blood glucose or insulin levels, so it is suitable for diabetic patients.

The use of Oponaf does not affect the teeth.

3. How to take Oponaf

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

Constipation

Treatment with Oponaf should be adapted individually, in order to achieve a daily bowel movement.

Oponaf is administered orally in a single daily dose, in the morning or at night, preferably mixed with food or drink, and taking 1-2 glasses of liquid during the meal. The patient should choose between taking the medicine in the morning or at night, according to their response, since the laxative effect occurs mostly a few hours after intake.

The first laxative response may not appear until the second or third day of treatment.

Use in children: The initial daily dose is 0.25 g/kg of body weight per day; a general guideline may be the following:

from 1 to 6 years: 2.5 to 5 g of powder/day (1/4 to 1/2 sachet)
from 6 to 12 years: 5 to 10 g of powder/day (1/2 to 1 sachet)
from 12 to 16 years: 10 to 20 g of powder/day (1 to 2 sachets)

The intake of Oponaf by children should be supervised by an adult and the doctor's instructions should be strictly followed.

Adults (including elderly patients): Oponaf is administered orally, although in hospitalized patients it can also be administered through a nasogastric tube or retention enema via a rectal balloon catheter, according to the doctor's instructions.

The initial daily dose should be 2 sachets (20 g of lactitol) in a single intake. After a few days, a daily dose of 1 sachet (10 g) may be sufficient for many patients.

In case the initial dose is not effective, a maximum dose of 3 sachets (30 g/day) may be administered.

Hepatic encephalopathy

Treatment with Oponaf should be adapted to each individual. It is important to follow the doctor's instructions. The initial dose for the treatment of adults is 0.5 to 0.7 g/kg of body weight per day. The daily dose should be divided into 3 intakes, with meals, drinking 1-2 glasses of liquid during the meal.

The indicated dose may vary until two soft stools per day are achieved, depending on the severity of the disease and the response to treatment.

If you think the effect of Oponaf is too strong or too weak, tell your doctor or pharmacist.

Your doctor will indicate the duration of your treatment with Oponaf. Do not stop treatment before the indicated time, as irregular use or premature interruption of treatment carries the risk of relapse.

If you take more Oponaf than you should

If you have taken more Oponaf than you should, consult your doctor or pharmacist immediately.

The sign of overdose with Oponaf is diarrhea, which may disappear by reducing the dose. If diarrhea persists, consult your doctor.

In case of accidental ingestion, consult your doctor or pharmacist immediately, or call the Toxicology Information Service. Telephone 91 562 04 20.

If you forget to take Oponaf

Take the next dose at the usual time.

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

If you stop taking Oponaf

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

4. Possible side effects

Like all medicines, Oponaf can cause side effects, although not everybody gets them:

At the start of treatment, abdominal discomfort and flatulence may occur; sometimes stomach pain or spasms may appear. These effects tend to decrease or disappear after a few days of regular intake of Oponaf.

Due to individual differences, some patients may experience diarrhea at the recommended doses. This problem is resolved by reducing the dose.

Rare side effects (affects 1 to 10 patients in every 10,000)

abdominal pain
abdominal discomfort
diarrhea
flatulence
vomiting

Very rare side effects (affects less than 1 patient in every 10,000)

nausea
abnormal gastrointestinal noises
anal itching

If you experience side effects, talk to your doctor, pharmacist, even if it is a side effect not listed in this package leaflet.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package 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 Oponaf

Keep this medicine out of the sight and reach of children.

Do not store above 30°C. Store protected from moisture.

The prepared solution should be stored preferably between 2°C and 8°C (in the refrigerator) and should be consumed within a maximum of 2 days.

Do not use Oponaf after the expiry date stated on the packaging after the abbreviation "CAD". The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of Oponaf

The active substance is lactitol monohydrate. One sachet contains 10 g of lactitol monohydrate.

Oponaf does not contain any excipients.

Appearance of the product and contents of the pack

Oponaf 10 g powder for oral solution is a powder for oral solution, white, crystalline, with a slightly sweet taste, presented in paper/aluminum/polyethylene sachets, of 10 g, in boxes of 20 and 50 sachets.

Marketing authorization holder and manufacturer

Marketing authorization holder:

ANGELINI PHARMA ESPAÑA, S.L.

c/ Antonio Machado, 78-80

3rd floor, module A-Australia Building

08840 Viladecans, Barcelona (Spain)

Manufacturer:

Lamp S. Prospero SpA

Via della Pace, 25/A

San Prospero (Modena)

Italy

or

A.C.R.A.F. S.p.A (Aziende Chimiche Riunite Angelini Francesco)

Via Vecchia Del Pinocchio, 22

60131 Ancona (AN)

Italy

This package leaflet was approved in November 2015

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/

How much does OPONAF 10 g POWDER FOR ORAL SOLUTION cost in Spain ( 2025)?

The average price of OPONAF 10 g POWDER FOR ORAL SOLUTION in December, 2025 is around 7.24 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.

Country of registration
Spain
Average pharmacy price
7.24 EUR
Active substance
lactitol
Prescription required
Yes
Manufacturer
Angelini Pharma Espana S.L.
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
Alternatives to OPONAF 10 g POWDER FOR ORAL SOLUTION
EMPORTAL 10 g POWDER FOR ORAL SOLUTION
Dosage form: ORAL SOLUTION/SUSPENSION, 10 g lactitol monohydrate
Active substance: lactitol
Manufacturer: Angelini Pharma Espana S.L.
Prescription not required
ACOLORA POWDER FOR ORAL SOLUTION IN SACHET
Dosage form: ORAL SOLUTION/SUSPENSION, 13125 MG + 350.7 MG + 178.5 MG + 46.6 MG
Active substance: macrogol, combinations
Manufacturer: Lainco S.A.
Prescription required
ATOLAXANT 13.7 g POWDER FOR ORAL SOLUTION
Dosage form: ORAL SOLUTION/SUSPENSION, g
Active substance: macrogol, combinations
Manufacturer: Sandoz Farmaceutica S.A.
Prescription required

Alternatives to OPONAF 10 g POWDER FOR ORAL SOLUTION in other countries

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

Alternative to OPONAF 10 g POWDER FOR ORAL SOLUTION in Ukraine

LAKTIOL-ISTOK

Dosage form: powder, 5 g or 10 g

Active substance: lactitol

Manufacturer: Tovaristvo z obmezenou vidpovidal'nistu "Istok-Plus

Prescription not required

Alternative to OPONAF 10 g POWDER FOR ORAL SOLUTION in Poland

Moviprep

Dosage form: Powder, -

Marketing authorisation holder (MAH): Norgine B.V.

Prescription required

Plenvu

Dosage form: Powder, -

Manufacturer: Norgine B.V.

Prescription required

Moviprep

Dosage form: Powder, -

Manufacturer: Norgine B.V. Recipharm Hoganas AB Sophartex

Prescription required

Duphagol

Dosage form: Powder, -

Manufacturer: Klocke Pharma-Service GmbH

Prescription not required

Eziclen

Dosage form: Concentrate, (17.51 g + 3.276 g + 3.13 g)/bottle

Importer: MAYOLY INDUSTRIE

Prescription required

Fortrans

Dosage form: Powder, -

Importer: MAYOLY INDUSTRIE

Prescription not required

Online doctors for OPONAF 10 g POWDER FOR ORAL SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for OPONAF 10 g POWDER FOR ORAL SOLUTION – subject to medical assessment and local rules.

5.0(6)

Svetlana Kovalenko

Family medicine14 years of experience

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment

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: