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PROMIXIN 1 Million International Units (IU), Powder for Solution for Nebulizer Inhalation

PROMIXIN 1 Million International Units (IU), Powder for Solution for Nebulizer Inhalation

Ask a doctor about a prescription for PROMIXIN 1 Million International Units (IU), Powder for Solution for Nebulizer Inhalation

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Doctor

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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Doctor

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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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 PROMIXIN 1 Million International Units (IU), Powder for Solution for Nebulizer Inhalation

Introduction

Package Leaflet: Information for the User

PROMIXIN

1 million International Units (IU)

powder for solution

for inhalation by nebulizer

Colistimethate sodium

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their 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 Promixin and what is it used for
  2. What you need to know before you use Promixin
  3. How to use Promixin
  4. Possible side effects
  5. Storage of Promixin
  6. Package contents and further information

1. What is Promixin and what is it used for

Promixin contains the active substance colistimethate sodium and is administered by inhalation to treat chronic respiratory infections in patients with cystic fibrosis. Promixin is used when these infections are caused by a specific bacterium called Pseudomonas aeruginosa.

This is a very common bacterium that infects the lungs of almost all patients with cystic fibrosis at some point in their lives. If the infection is not properly controlled, it will continue to damage the lungs, causing more problems.

Antibiotics are used to treat bacterial infections and are not effective against viral infections such as the flu or the common cold.

It is important that you follow the instructions regarding dosage, administration, and duration of treatment as indicated by your doctor.

Do not store or reuse this medicine. If you have any leftover antibiotic after completing treatment, return it to the pharmacy for proper disposal. Do not throw medicines down the drain or in the trash.

To administer Promixin, the powder in the vial must be dissolved with a suitable solvent, sterile saline solution, or sterile water, and then inhaled (inhaled) into the lungs using a suitable inhalation device, so that most of the antibiotic can reach the bacteria that cause the infection.

2. What you need to know before you use Promixin

In certain circumstances, your doctor may decide not to prescribe Promixin.

Do not use Promixin:

  • If you are allergic(hypersensitive) to colistimethate sodium, colistin, or other polymyxins;

If you are in this situation, inform your doctor before starting to take Promixin.

Warnings and precautions with Promixin and inform your doctor:

  • If you have or have had kidney problems;
  • If you suffer from myasthenia gravis(a rare disease in which your muscles are extremely weak and you get tired quickly);
  • If you suffer from porphyria(a rare metabolic disease with which some people are born);
  • If you suffer from asthma.

If you are in any of these situations, inform your doctor.

In premature infants and newborns, caution should be exercised when using Promixin because the kidneys are not yet fully developed.

Other medicines and Promixin:

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. These medicines may interfere with the effects of Promixin.

  • medicines that may affect how your kidneys work. Taking these medicines at the same time as Promixin may increase the risk of kidney damage.
  • medicines that may affect the nervous system. Taking these medicines at the same time as Promixin may increase the risk of side effects on your nervous system.
  • medicines called muscle relaxants, often used during general anesthesia. Promixin may increase the effects of these medicines. If you are going to be given a general anesthetic, inform your anesthetist that you are using Promixin.

If you have myasthenia gravis and are also taking other antibiotics called macrolides (such as azithromycin, clarithromycin, or erythromycin), or antibiotics called fluoroquinolones (such as ofloxacin, norfloxacin, and ciprofloxacin), taking Promixin increases the risk of muscle weakness and respiratory difficulties even more.

Receiving colistimethate sodium by infusion at the same time as receiving Promixin by inhalation may increase your risk of side effects.

Pregnancy, breastfeeding, and fertility

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

There is no information on the safety of Promixin in pregnant women. Your doctor should advise you before using Promixin when the benefits of the medicine outweigh the risk.

Colistimethate sodium may be secreted in breast milk. Please discuss the use of Promixin with your doctor.

Driving and using machines

Promixin may cause dizziness, confusion, or vision problems, such as blurred vision. If this happens, do not drive or use tools or machines.

3. How to use Promixin

Follow your doctor's instructions for administering this medicine exactly. If in doubt, consult your doctor or pharmacist again.

Consult your doctor if you have kidney problems, as you may need a lower dose of Promixin.

You should use your first doseof Promixin in the presence of your doctor or nurse.

Use Promixin after physiotherapy(if you have physiotherapy). This will ensure that your lungs are clear so that Promixin can work effectively. If you are also taking other inhaled medicines, your doctor will tell you in what order to take them.

The recommended dose in adults, adolescents, and children 2 years of age or older is 1-2 vials(1-2 million units) two or three times a day(up to 6 million units per day).

The recommended dose in children under 2 years of age is half to 1 vial (0.5-1 million units) twice a day (up to 2 million units per day).

Your doctor may decide to adjust the dose depending on your circumstances.

Promixin is inhaled from a device called a nebulizer. Promixin can be administered using any nebulization system that can be used for the release of antibiotics into the lungs in the form of mist. In countries where the I-neb AAD system is available, Promixin is presented with a Promixin Disk that can be used with the I-neb AAD system. For information on using Promixin with the I-neb system, see the detailed instructions provided with the device. If you use a different nebulizer, make sure the room you are in is well ventilated.

How to prepare Promixin

Your doctor or nurse will show you how to prepare and use Promixin with the nebulizer.

Before putting Promixin in the nebulizer and inhaling it, you must first dissolve it with sterile water, sterile saline solution 0.9%or a mixture of equal parts of sterile water and sterile saline solution 0.9%as indicated below. Your doctor or nurse will indicate the correct volume of liquid to be added to each vial of Promixin and how many vials of Promixin to use for each dose with your nebulizer.

  1. Locate the edge on the red plastic cap near the arrow with the mark “FLIP UP”. Then, holding the vial with one hand and the plastic cap with the other, turn the cap slightly counterclockwise. Put your thumb under the edge and push the cap up about 90° (see diagram 1).

Hand holding a medicine vial with a red cap, preparing for injection

  1. Take the plastic cap as shown in diagram 2 and pull it slowly, like a hinge, until almost 180°.

Hand holding a medicine vial with a gray cap and red safety ring, preparing to open it

  1. Turn the vial so that the plastic cap is facing you. Holding the cap by the center as shown, pull it down and turn it slightly to the right (diagram 3a) or to the left so that the metal seal breaks only on one side (diagram 3b).

Hand holding a medicine vial with a gray cap and red ring, removing the top protector

Transparent medicine vial with a gray cap and a connected needle held by fingers

  1. Once the seal is broken, hold the vial firmly and remove the metal seal to expose the entire rubber cap (diagram 4).

Hand holding an auto-injector with a red protective cap, preparing for medication injection

  1. Remove the rubber cap from the Promixin vial by holding only the outer edge of the cap and place it upside down on a clean surface. Slowly add sterile water, sterile saline solution 0.9%, or a mixture of equal parts of sterile water and sterile saline solution 0.9% to the vial, until the volume of liquid indicated by your doctor or nurse is reached.
  1. Put the rubber cap back on and gently turn the vial upside down twice (diagram 6).

Hand holding a white cylindrical device with black rings at the base and arrows indicating up and down movement

  1. Gently roll the vial between your hands to dissolve all visible Promixin powder at the bottom and side of the vial (diagram 7). Do not shake the vial too hard as this could cause the solution to foam.

Hand holding an auto-injector with a gray button and black arrows indicating direction of pressure for activation

  1. When most of the powder has dissolved, let the vial stand for 5-10 minutes to allow any foam to disappear and for any remaining powder to dissolve.

Circular clock face with hands indicating 12 o'clock, showing a time of 5 to 10 minutes in red and white

Pour the solution into the nebulizer and inhale immediately. If it is not possible to use the solution immediately, put the vial back on and store it in the refrigerator for a maximum of 24 hours. Do not use any solution that has been prepared for more than 24 hours.See section 5 “Storage of Promixin” for instructions on how to store or dispose of any unused Promixin.

If you use more Promixin than you should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

The symptoms of using too much Promixin may include:

  • tingling or numbness around the lips and face
  • dizziness and feeling of vertigo
  • poorly articulated speech
  • visual disturbance
  • confusion
  • mental alteration
  • flushing (redness of the face)

If you forget to use Promixin

Apply your dose as soon as you remember, unless it is close to the time of your next dose. Do not take a double dose to make up for the forgotten dose.

If you stop using Promixin

Do not stop your treatment early unless your doctor tells you to.

Your doctor will tell you the duration of your treatment.

If you have more questions about the use of this medicine, ask your doctor or nurse.

4. Possible side effects

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

Promixin may sometimes cause allergic reactionssuch as skin rashes. If this happens, you should stop using Promixinand tell your doctor immediately.

Inhaling Promixin through a nebulizer may cause some people to experience chest tightness, wheezing, coughing, or a feeling of shortness of breath (sometimes described as a feeling of choking). For this reason, the first dose should be administered in the presence of your doctor or nurse. Your doctor may also advise you to take a medicine to prevent breathing difficulties. Your doctor should check your breathing during visits.

Promixin could also affect the kidneys, usually if the dose is high or if you are taking other medicines that may affect the kidneys.

Promixin may occasionally cause pain in the mouth or throat.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible side effects not listed in this leaflet. You can also report them 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 Promixin

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

Do not use this medicine after the expiry date that appears on the vial and on the carton after EXP. The expiry date is the last day of the month indicated.

Unopened Promixin vials do not require special storage conditions.

Promixin does not contain preservatives. Once prepared, Promixin solutions should be used preferably immediately. If this is not possible, the solutions should not be stored for more than 24 hours in a refrigerator. Do not use any solution that has been prepared for more than 24 hours.

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

6. Package contents and further information

Promixin composition

The active substance is colistimethate sodium.

Each vial contains 1 million International Units (IU) of colistimethate sodium, which weighs approximately 80 milligrams (mg). It does not contain other ingredients.

Appearance of the product and package contents

Promixin is a powder for solution for inhalation by nebulizer, supplied as a white or off-white powder in a glass vial.

Promixin is supplied in packs containing 30 vials. In countries where the I-neb AAD system is available, each pack also contains a Promixin Disk for use with the I-neb AAD system.

Marketing authorization holder

Zambon S.p.A.

Via Lillo del Duca 10

20091 Bresso (MI) – Italy

Phone: +39 02 665241

e-mail: [email protected]

Manufacturer

Xellia Pharmaceuticals ApS

Dalslandsgade 11,

DK- 2300, Copenhagen S, Denmark.

You can request more information about this medicine by contacting the local representative of the marketing authorization holder

Zambon S.A.U.

Maresme 5. Pol. Can Bernades-Subirà

08130 Sta. Perpètua de Mogoda – Barcelona

Phone: 93 544 64 00

Fax: 93 574 04 36

This medicine is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Austria, Netherlands, Sweden, France: Tadim

Germany, Denmark, Norway, United Kingdom (Northern Ireland), Italy, Spain, Portugal: Promixin

Date of last revision of this leaflet: June 2022

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/.

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Online doctors for PROMIXIN 1 Million International Units (IU), Powder for Solution for Nebulizer Inhalation

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for PROMIXIN 1 Million International Units (IU), Powder for Solution for Nebulizer Inhalation – subject to medical assessment and local rules.

5.0(8)
Doctor

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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Doctor

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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Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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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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Jonathan Marshall Ben Ami

Family medicine8 years of experience

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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Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Karim BenHarbi

General medicine8 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

Anna Biriukova

General medicine5 years of experience

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

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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€60
December 2113:00
December 2113:50
December 2114:40
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Doctor

Liudmyla Boichuk

Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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€55
December 2113:30
December 2813:30
January 413:30
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5.0(2)
Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

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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€50
December 2209:00
December 2210:05
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