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NITROUS OXIDE MESSER 98% V/V MEDICINAL LIQUEFIED GAS IN FIXED CRYOGENIC CONTAINER

NITROUS OXIDE MESSER 98% V/V MEDICINAL LIQUEFIED GAS IN FIXED CRYOGENIC CONTAINER

Ask a doctor about a prescription for NITROUS OXIDE MESSER 98% V/V MEDICINAL LIQUEFIED GAS IN FIXED CRYOGENIC CONTAINER

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Doctor

Karim BenHarbi

General medicine9 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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€79
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Doctor

Anastasiia Hladkykh

Psychiatry15 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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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 NITROUS OXIDE MESSER 98% V/V MEDICINAL LIQUEFIED GAS IN FIXED CRYOGENIC CONTAINER

Introduction

Package Leaflet: Information for the User

Nitrous Oxide Medicinal Gas Liquid Messer 98% v/v, Medicinal Gas in Fixed Cryogenic Container

Nitrous Oxide

Read the entire package leaflet carefully before starting to use the medicine, as it contains important information for you

  • Keep this package leaflet, as you may need to read it again
  • If you have any questions, consult your doctor or pharmacist
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4

Contents of the Package Leaflet:

  1. What is Nitrous Oxide Medicinal Messer and what is it used for
  2. What you need to know before starting treatment with Nitrous Oxide Medicinal Messer
  3. How to use Nitrous Oxide Medicinal Messer
  4. Possible side effects
  5. Storage of Nitrous Oxide Medicinal Messer
  6. Package Contents and Additional Information

1. What is Nitrous Oxide Medicinal Messer and what is it used for

Nitrous Oxide Medicinal Messer is a medicinal gas liquid

What is it used for?

Treatment with nitrous oxide is indicated in the following cases:

  • As an adjunct to general anesthesia, in combination with all anesthetic agents administered intravenously or by inhalation
  • As an adjunct to analgesia in the operating room or delivery room

2. What you need to know before starting treatment with Nitrous Oxide Medicinal Messer

Do not use Nitrous Oxide Medicinal Messer:

  • If you need ventilation with pure oxygen
  • If you have undrained air embolisms, particularly intracranial or pneumothorax, bullous emphysema
  • Do not use it for more than 24 hours continuously

Warnings and Precautions

  • If you have heart failure, monitor your blood pressure to avoid hypotension
  • If you are going to undergo ear surgery or surgery in adjacent air-filled areas

Using Nitrous Oxide Medicinal Messer with other medicines

Tell your doctor if you are taking, or have recently taken, any other medicine, including those obtained without a prescription

Nitrous oxide enhances the hypnotic effects of intravenous or inhaled anesthetics (thiopental, benzodiazepines, morphinics, halogenated), so the dosage of these should be reduced. You should also inform your doctor if you are taking medicines containing methotrexate (e.g., for rheumatoid arthritis)

Pregnancy, Breastfeeding, and Fertility

Pregnancy

During pregnancy, the concentration of nitrous oxide in the inhaled mixture should not exceed 50%

Obstetric Anesthesia:

Due to the rapid transfer across the placental barrier, it is recommended to interrupt the administration of nitrous oxide if the time between induction of anesthesia and fetal extraction exceeds 20 minutes

Avoid using nitrous oxide in case of fetal distress

Obstetric Analgesia:

The use of nitrous oxide for this indication can only be done if a safety flowmeter is available to prevent the administration of nitrous oxide at a concentration greater than 50%

Breastfeeding

Consult your doctor before using the medicine

Driving and Using Machines

It is recommended not to drive vehicles and not to use machines during the 24 hours following anesthesia with nitrous oxide

3. How to use Nitrous Oxide Medicinal Messer

Nitrous oxide medicinal is intended for exclusive hospital use

Nitrous oxide should only be administered in the operating room or delivery room

Your doctor will determine the necessary dose of nitrous oxide and it will be administered through a system suitable for your needs, ensuring the supply of the correct amount of oxygen

If you use more Nitrous Oxide Medicinal Messer than you should:

In case of overdose, there is a risk of cyanosis and hypoxia. The administration of nitrous oxide medicinal should be interrupted and the patient ventilated (air and oxygen)

4. Possible Side Effects

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

The assessment of side effects is based on the following frequencies:

  • Very common: may affect more than 1 in 10 people
  • Common: may affect up to 1 in 10 people
  • Uncommon: may affect up to 1 in 100 people
  • Rare: may affect up to 1 in 1,000 people
  • Very rare: may affect up to 1 in 10,000 people
  • Unknown: cannot be estimated from the available data

Common

  • Nausea and vomiting
  • Dizziness and feeling of intoxication

Uncommon

  • Middle ear disorders
  • Temporary increase in pressure and/or volume of the body's air cavities, normal or pathological
  • Ocular hypertension
  • Bradycardia
  • Vertigo
  • Euphoria, agitation

Rare

  • Anxiety, hallucinations (psychodysleptic effects may occur in the absence of combination with another anesthetic), somnolence

Very Rare

  • Malignant hyperthermia
  • Frequency not knownSevere hematological disorders (megaloblastic anemia, agranulocytopenia, leukopenia) have been described for treatments lasting more than 24 hours
  • Arrhythmia, heart failure
  • Epilepsy, increased intracranial pressure
  • Psychotic disorder, confusion, euphoric mood state
  • Pneumothorax
  • Headache, myelopathy, subacute combined degeneration of the spinal cord, polyneuropathy, generalized convulsions
  • Respiratory depression
  • Addiction

Reporting Side Effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine

5. Storage of Nitrous Oxide Medicinal Messer

Keep this medicine out of the sight and reach of children

Do not use Nitrous Oxide Medicinal Messer after the expiration date

Cryogenic containers:

  • Must be located outdoors in a clean area, without flammable materials, reserved for the storage of medicinal gases
  • It is forbidden to smoke, grease equipment, and make fire in the area where the cryogenic containers are located
  • Do not park in the area of the cryogenic containers
  • Monitor the risk of asphyxiation
  • Cryogenic containers must be protected from the risk of shock, particularly filling, emptying, and safety elements (valves, manometers), heat sources or ignition, temperatures above 50°C, and combustible materials
  • The pressure inside the distribution pipes from the cryogenic container must not exceed 10 bar

6. Package Contents and Additional Information

Composition of Nitrous Oxide Medicinal Messer

The active ingredient is Nitrous Oxide, with a concentration greater than 98% v/v

It does not contain any excipients

Appearance of the Product and Package Contents

Cryogenic containers have different average capacities with the following volumes:

  • A fixed cryogenic container of 3000 liters contains 3447 kg
  • A fixed cryogenic container of 4000 liters contains 4340 kg
  • A fixed cryogenic container of 7000 liters contains 7300 kg
  • A fixed cryogenic container of 10000 liters contains 10470 kg
  • A fixed cryogenic container of 21000 liters contains 21660 kg

Marketing Authorization Holder and Manufacturer

Messer Ibérica de Gases S.A.U

Autovía Tarragona-Salou, Km 3.8

43480 Vilaseca (Tarragona)

Spain

Manufacturer

Ijsfabriek Strombeek N.V

Broeckstraat 70 B-1860

Meise

Belgium

Date of the Last Revision of this Package Leaflet: March 2025

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

…………………………………………………………………………………………………

This information is intended only for healthcare professionals:

Nitrous oxide is reserved for exclusive medical use

Nitrous oxide medicinal must be used exclusively in a mixture with medicinal oxygen; the oxygen concentration (FiO2) must never be less than 21%

To avoid accidents, the following guidelines must be respected:

  • The projection of liquid could cause severe cryogenic burns (very cold). In case of burns, rinse abundantly with water
  • Ventilate the area of use if possible
  • Check the good condition of the materials before use
  • Perform any manipulation of nitrous oxide containers wearing clean, adapted gloves and safety glasses, without any grease
  • Never touch the cold or frosty parts of the material
  • Handle the material with clean, grease-free hands
  • Use a specific connector for nitrous oxide
  • Use connection hoses to wall outlets with specific connections for nitrous oxide medicinal
  • Do not use an intermediate connector that allows connecting two devices that do not fit
  • Check the compatibility of materials in contact with nitrous oxide medicinal beforehand, in particular, use connection gaskets to the manoreducer intended for this gas. Check the condition of the gaskets
  • Do not smoke, do not approach a flame, and do not grease

IMPORTANT:

  • Never introduce this gas into a device that may contain combustible bodies, particularly fatty bodies
  • Never clean the containers that contain this gas, valves, gaskets, closing devices, as well as circuits, with combustible products, particularly fatty bodies
  • Do not apply greasy substances (vaseline, ointments, etc.) to the face of patients
  • Do not use aerosol generators (hair spray, deodorants, etc.), solvents (alcohol, gasoline, etc.) on the material or in its vicinity
  • When the ambient temperature is low, the flow may decrease, even interrupt, due to insufficient pressure
  • Avoid using nitrous oxide medicinal at a temperature below 0°C to avoid a drop in pressure in case of intensive use
  • Never use nitrous oxide medicinal for leak tests, for powering pneumatic equipment, and for blowing pipes
  • The average exposure limit value (over 8 hours) to nitrous oxide is set at 25 ppm for exposure of personnel

Systematically ventilate the area of use, evacuating the exhaled gases to the outside and avoiding places where they could accumulate. It is advisable, before any use, to ensure the possibility of evacuating gases in case of an accident or unexpected leak

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Online doctors for NITROUS OXIDE MESSER 98% V/V MEDICINAL LIQUEFIED GAS IN FIXED CRYOGENIC CONTAINER

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for NITROUS OXIDE MESSER 98% V/V MEDICINAL LIQUEFIED GAS IN FIXED CRYOGENIC CONTAINER – subject to medical assessment and local rules.

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Doctor

Karim BenHarbi

General medicine9 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

CameraBook a video appointment
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Anastasiia Hladkykh

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Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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  • Rehabilitation after stroke, brain injury, and spinal cord trauma.
  • Chronic pain syndromes and musculoskeletal dysfunctions.
  • Sports-related injuries: prevention, treatment, and recovery planning.
  • Coordination and movement disorders affecting mobility and balance.
  • Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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Patients commonly seek her help for:

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  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Patients consult Dr Daria Portnova for the following concerns:

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  • schizophrenia;
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Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.
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Main areas of support:

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  • Anxiety, panic attacks, phobias
  • Post-traumatic stress disorder (PTSD)
  • Psychosomatic symptoms and sleep disturbances
  • Health anxiety (hypochondria)
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  • Adjustment disorders and low self-esteem
Dr Kondratiuk focuses on creating a safe and respectful therapeutic environment where patients feel heard and supported. Her goal is to help each person achieve lasting improvements in their mental well-being.
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During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
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Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

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