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PERME-CURE 50 mg/g CREAM

PERME-CURE 50 mg/g CREAM

Ask a doctor about a prescription for PERME-CURE 50 mg/g CREAM

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Doctor

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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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 PERME-CURE 50 mg/g CREAM

Introduction

Package Leaflet: Information for the User

Perme-cure 50 mg/g cream

permethrin

Read the entire package leaflet carefully before starting to use this medication, 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.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms, as it may harm them.
  • 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 Perme-cure and what is it used for
  2. What you need to know before using Perme-cure
  3. How to use Perme-cure
  4. Possible side effects
  5. Storage of Perme-cure
  6. Package Contents and Additional Information

1. What is Perme-cure and what is it used for

Perme-cure contains permethrin as the active ingredient, which belongs to the group of medications called scabicides.

Perme-cure is indicated for the treatment of scabies in adults and children over 2 months of age.

2. What you need to know before using Perme-cure

Do not use Perme-cure

  • if you are allergic to permethrin or any pyrethrin or synthetic pyrethroids, or to any of the other ingredients of this medication (listed in section 6).

Warnings and Precautions

Consult your doctor or pharmacist before starting to use Perme-cure.

Scabies infestation is often accompanied by itching, mild burning, or stinging after application with Perme-cure. Treatment with Perme-cure may temporarily exacerbate these symptoms, although they usually disappear within 2 to 4 weeks. If irritation persists for a longer period, you should consult your doctor.

In case of a hypersensitivity reaction to Perme-cure, its use should be discontinued.

Be careful with this cream if you are prone to asthma attacks, as the use of permethrin may cause difficulty breathing.

If you know you are allergic to chrysanthemums or other plants of the Compositae family, Perme-cure should only be used after consulting your doctor.

Caregivers are recommended to use gloves when applying permethrin.

Avoid contact between Perme-cure and the eyes. If accidental contact occurs, the eyes should be rinsed immediately with plenty of water.

Do not apply to wounds or mucous membranes.

Children up to 23 months of age

Do not use Perme-cure in newborns and infants under 2 months of age, unless your doctor advises you to do so. There is no adequate experience in infants. Treatment for children up to 23 months of age should only be administered under close medical supervision.

Other medications and Perme-cure

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.

No interactions with other medications have been reported.

Pregnancy and Breastfeeding

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

There is no experience in pregnant women, so Perme-cure should only be used during pregnancy when the doctor recommends it as strictly necessary.

It is not known whether this medication passes into breast milk, so the doctor will decide whether to interrupt breastfeeding or interrupt treatment with Perme-cure, taking into account the benefit of breastfeeding for the child and the benefit of treatment for the mother.

Driving and Using Machines

No effects on the ability to drive or use machines have been reported.

Perme-cure contains castor oil, butylhydroxyanisole, butylhydroxytoluene, ethyl parahydroxybenzoate, propyl parahydroxybenzoate, methyl parahydroxybenzoate, butyl parahydroxybenzoate, and isobutyl parahydroxybenzoate.

This medication may cause skin reactions because it contains castor oil.

This medication may cause local skin reactions (such as contact dermatitis) or eye and mucous membrane irritation because it contains butylhydroxyanisole and butylhydroxytoluene.

It may cause allergic reactions (possibly delayed) because it contains ethyl parahydroxybenzoate, propyl parahydroxybenzoate, methyl parahydroxybenzoate, butyl parahydroxybenzoate, and isobutyl parahydroxybenzoate.

3. How to use Perme-cure

Follow the instructions for administration of this medication exactly as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

Perme-cure should be used only for external use. Generally, a single application is sufficient to eliminate the infestation.

In any case, your doctor should indicate the duration of treatment with Perme-cure 50mg/g cream.

Apply a sufficient amount of cream to cover the area to be treated.

Before applying the cream, make sure the skin is clean and dry.

.

Apply the cream to the entire body from the base of the neck to the tips of the toes, paying special attention to the areas between the fingers of the hands and feet (including the underside and between the nails), wrists, armpits, genitals, and buttocks (always respecting the genital and anal mucous membranes).

The cream should be in contact with the skin for 8 to 14 hours. After this time, any unabsorbed cream should be removed by washing or showering with warm or cool water.

Reapply the cream to the hands if they are washed before 8 hours to ensure proper treatment.

Generally, a single application is sufficient to eliminate the infection. Only in cases where live mites are observed after 14 days of using the cream will a second application be performed.

It is recommended that you consult your doctor for a review 2 or 4 weeks after treatment.

Avoid contact with the eyes. In case of accidental contact, rinse immediately with plenty of water.

Adults and children over 2 years of age

Should apply the cream to the skin of the entire body, including the palms of the hands and the soles of the feet. Do not apply to the head or face.

Adults over 65 years of age

In addition to considering the same application conditions as for adults and children over 2 years of age, apply to the neck, face, and scalp. Be careful not to apply the cream around the eyes and mouth.

Children between 2 months and 2 years of age

Treatment should be performed under medical supervision.

The use of this medication is not recommended in children under 2 months of age. (See section 2).

Avoid letting children suck the cream from their hands. If necessary, the use of gloves in children is advised.

If you use more Perme-cure than you should

If you have used more Perme-cure than you should, consult your doctor or pharmacist immediately.

In case of accidental ingestion, inform your doctor or pharmacist. Gastric lavage and symptomatic treatment are recommended.

For more information, call the National Toxicology Information Service at 91 562 04 20.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

Very common: may affect more than 1 in 10 people:

  • burning sensation on the skin
  • stinging or itching sensation. This sensation is usually brief and disappears quickly.

Common: may affect up to 1 in 10 people:

  • skin sensation (paresthesia) such as tingling, pinching, burning sensation on the skin, pruritus, erythema, numbness, and skin rash,
  • itching sensation that may persist for 2 to 4 weeks after treatment. This is not common and is caused by an allergic reaction to the remains of dead mites that cause scabies, and it is not a sign that the treatment has failed.

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 Medication Surveillance System for Human Use: https://www.notificaram.es.

By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Perme-cure

Keep this medication out of sight and reach of children.

This medication does not require special storage conditions.

Do not use this medication after the expiration date shown on the tube and carton after EXP. The expiration date is the last day of the month indicated.

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

6. Package Contents and Additional Information

Composition of Perme-cure

The active ingredient is permethrin. Each gram of cream contains 50 mg of permethrin.

  • The other ingredients are: Castor Oil, Purified Water, Steareth-2 (polyoxyethylene (2) stearate), butylhydroxyanisole (E-320), citric acid, Ceteareth-2 (C16-18 alcohol, ethoxylated-phosphate), sodium hydroxide (E-524) 20%, Vitamin E acetate, parahydroxybenzoates (2-phenoxyethanol, methyl parahydroxybenzoate (E-218), ethyl parahydroxybenzoate (E-214), butyl parahydroxybenzoate, isobutyl parahydroxybenzoate, propyl parahydroxybenzoate (E-216)), Citric Acid, Disodium EDTA, Butylhydroxytoluene (E-321), and Perfume Timly.

Appearance of the Product and Package Contents

Perme-cure is an oily external phase cream for cutaneous use, presented in polyethylene tubes of 40 and 70 grams.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Galenicum Derma, S.L.U.

Ctra N-1, Km 36

28750 San Agustin del Guadalix (Madrid) Spain

Manufacturer

Laboratorios ERN, S.A.

Polígono Industrial Can Salvatella

Calle Gorcs i Lladó, 188, Barberà del Vallés

08210 (Barcelona) Spain

or

Ferrer Internacional, S.A.

Joan Buscallá, 1-9

08173 -Sant Cugat del Vallés, Barcelona –Spain

or

Laboratorios Bohm S.A.

C/ Molinaseca, 23-25. Polígono Industrial Cobo Calleja

28947 Fuenlabrada.- Madrid (Spain)

Date of the Last Revision of this Package Leaflet: July 2021

Detailed and updated information on this medication 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 PERME-CURE 50 mg/g CREAM cost in Spain ( 2025)?

The average price of PERME-CURE 50 mg/g CREAM in October, 2025 is around 9.73 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
  • Average pharmacy price
    9.73 EUR
  • Active substance
  • Prescription required
    Yes
  • Manufacturer
  • Alternatives to PERME-CURE 50 mg/g CREAM
    Dosage form: CREAM, 5 g permethrin / 100 g
    Active substance: permethrin
    Manufacturer: Unipharma S.A.
    Prescription required

Alternatives to PERME-CURE 50 mg/g CREAM in other countries

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

Alternative to PERME-CURE 50 mg/g CREAM in Poland

Dosage form: Cream, 50 mg/g
Active substance: permethrin
Marketing authorisation holder (MAH): Infectopharm Arzneimittel und Consilium GmbH
Prescription required
Dosage form: Gel, 50 mg/g
Active substance: permethrin
Prescription required
Dosage form: Gel, 40 mg/g
Active substance: permethrin
Prescription required
Dosage form: Shampoo, 10 mg/ml
Active substance: permethrin
Prescription not required
Dosage form: Cream, 50 mg/g
Active substance: permethrin
Prescription not required

Alternative to PERME-CURE 50 mg/g CREAM in Ukraine

Dosage form: ointment, 4 %; 40 g in a tube
Active substance: permethrin
Manufacturer: TOV "LMP
Prescription not required
Dosage form: spray, 0.5% in 50g bottle
Active substance: permethrin
Manufacturer: AT "Stoma
Prescription not required
Dosage form: solution, 0.5% in 50g bottle
Active substance: permethrin
Manufacturer: AT "Stoma
Prescription not required

Online doctors for PERME-CURE 50 mg/g CREAM

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for PERME-CURE 50 mg/g CREAM – subject to medical assessment and local rules.

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Doctor

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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Doctor

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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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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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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Jonathan Marshall Ben Ami

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Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Svetlana Kolomeeva

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Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • 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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Roman Raevskii

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Dr. Roman Raevskii is an oncologist and general practitioner. He provides online consultations focused on cancer-related care, early diagnosis, and personalised treatment – combining clinical expertise with a patient-centred approach.

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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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.
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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.

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