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SULFADIAZINE REIG JOFRE 500 mg TABLETS

SULFADIAZINE REIG JOFRE 500 mg TABLETS

Ask a doctor about a prescription for SULFADIAZINE REIG JOFRE 500 mg TABLETS

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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 SULFADIAZINE REIG JOFRE 500 mg TABLETS

Introduction

Package Leaflet: Information for the User

Sulfadiazine Reig Jofre 500 mg Tablets

Sulfadiazine

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

  • Keep this leaflet, as 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 signs of illness are the same as yours.
  • If you get 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 Sulfadiazine Reig Jofre and what is it used for
  2. What you need to know before you take Sulfadiazine Reig Jofre
  3. How to take Sulfadiazine Reig Jofre
  4. Possible side effects
  5. Storage of Sulfadiazine Reig Jofre
  6. Contents of the pack and further information

1. What is Sulfadiazine Reig Jofre and what is it used for

Sulfadiazine belongs to a group of medicines called sulfonamides, which act by preventing the growth and multiplication of bacteria and other organisms that cause infections.

It is used for the treatment of infections, such as pneumonia, urinary tract infections, meningitis, etc., caused by organisms sensitive to sulfadiazine.

You should consult a doctor if it worsens or does not improve.

2. What you need to know before you take Sulfadiazine Reig Jofre

Do not takeSulfadiazine Reig Jofre

  • If you are allergic to sulfadiazine or any of the other ingredients of this medicine (listed in section 6).
  • If you are allergic to other sulfonamides (antibiotics).
  • If you are allergic to sulfonylureas (medicines used to reduce blood sugar levels), such as chlorpropamide, glibenclamide, or glipizide.
  • If you are allergic to thiazides (medicines used to increase urine production), such as hydrochlorothiazide.
  • If you are allergic to carbonic anhydrase inhibitors, such as acetazolamide or dichlorphenamide, used for glaucoma (increased pressure inside the eye), epilepsy, or to increase urine production.
  • If you have severe kidney or liver function impairment.
  • If you have glucose-6-phosphate dehydrogenase deficiency (an enzyme found in red blood cells), as you are at risk of suffering from anemia due to premature destruction of red blood cells.
  • If you have porphyria (a hereditary disease of metabolism).
  • If you are in your third trimester of pregnancy.
  • It should not be administered to children under 2 months of age.

Warnings and precautions

Consult your doctor or pharmacist before taking Sulfadiazine Reig Jofre:

  • If you have kidney or liver function impairment, as the medicine may accumulate in your body. In these cases, your doctor may decide to reduce the dose.
  • If you have a history of allergy or asthma.
  • Sulfadiazine should be administered with caution in elderly patients.
  • There have been reports of skin reactions that can be life-threatening (Stevens-Johnson syndrome and toxic epidermal necrolysis) with the use of sulfadiazine. Initially, they appear as red, circular spots, often with a central blister.
  • Other additional signs that may appear are sores in the mouth, throat, nose, genitals, and conjunctivitis (swollen and red eyes).
  • These life-threatening skin reactions often occur with flu-like symptoms. The rash can progress to the formation of generalized blisters or peeling of the skin.
  • The period of highest risk of severe skin reactions is during the first few weeks of treatment.
  • If you have developed Stevens-Johnson syndrome or toxic epidermal necrolysis with the use of Sulfadiazine Reig Jofre, you should not use Sulfadiazine Reig Jofre again at any time.
  • If you develop a rash or these skin symptoms, stop using Sulfadiazine Reig Jofre, go to a doctor immediately, and inform them that you are using this medicine.

If any skin disorder (pallor, rash, dermatitis) appears, interrupt treatment with sulfadiazine and consult your doctor, as it may be indicative of very serious side effects.

If treatment is prolonged, your doctor may perform regular blood tests.

As it may cause the presence of crystals in the urine and the formation of kidney stones, adequate fluid intake should be maintained during treatment to avoid these problems.

This medicine may increase skin sensitivity to sunlight, so prolonged sun exposure should be avoided during treatment.

Other medicines and Sulfadiazine Reig Jofre

Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines.

Certain medicines (including herbal or natural products) may influence the action of others; in these cases, it may be necessary to change the dose or interrupt treatment with one of the medicines.

It is important to inform your doctor if you are taking any of the following medicines:

  • Local anesthetics (medicines that produce temporary loss of sensitivity in the area where they are applied), such as benzocaine, procaine, or tetracaine.
  • Oral anticoagulants (used to "thin" the blood and prevent the formation of clots).
  • Methotrexate (used in the treatment of cancer and rheumatic diseases).
  • Phenytoin (used for epilepsy).
  • Sulfonylureas (medicines used to reduce blood sugar levels), such as chlorpropamide, glibenclamide, or glipizide.
  • Cyclosporin (used to prevent transplant rejection).

During treatment with sulfadiazine, the use of substances that produce toxic effects on the liver, bone marrow, and kidneys should be avoided.

Pregnancy and breastfeeding

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

You should not take this medicine during the third trimester of pregnancy. In the first and second trimesters, it should only be used when, in the opinion of your doctor, the benefits outweigh the possible risks.

Sulfadiazine passes into breast milk. Do not take this medicine if you are breastfeeding a child under 2 months of age. In other cases, your doctor should assess the convenience of its administration during breastfeeding.

Driving and using machines

Although it is rare for drowsiness, dizziness, or confusion to occur when taking this medicine, if you notice any of these effects, you should not drive or operate hazardous machinery.

3. How to take Sulfadiazine Reig Jofre

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

The recommended dose is:

Adults:

In severe cases, 4 tablets are recommended in the first dose, followed by 2 tablets every 4 hours. The average dose is 6 to 10 tablets per day for 5 to 10 days.

Children:

1 tablet per 5 kg of body weight is recommended, divided every 4 hours.

This medicine is administered orally.

In the case of small children or people with difficulty swallowing, it is recommended to take the tablets crushed and dissolved in water or another drink.

If you take more Sulfadiazine Reig Jofrethan you should

If you have taken more Sulfadiazine Reig Jofre than you should, consult your doctor, pharmacist, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount taken.

Overdose with sulfadiazine is very rare. If it occurs, loss of appetite, colic, nausea, vomiting, dizziness, headache, drowsiness, loss of consciousness, fever, and the presence of blood and/or crystals in the urine may appear. Jaundice (yellowing of the skin and mucous membranes) and changes in blood cell count may also occur.

The recommended treatment is stomach lavage and administration of large amounts of fluids and sodium bicarbonate (12 g daily), aiming to maintain urine production of at least 2 liters per day.

If you forget to takeSulfadiazine Reig Jofre

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

If you stop takingSulfadiazine Reig Jofre

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

4. Possible side effects

Like all medicines, Sulfadiazine Reig Jofre can cause side effects, although not everybody gets them.

If you notice any of the following symptoms, stop treatment and consult your doctor quickly: fever, severe headache, inflammation of the mouth mucosa, conjunctivitis, rhinitis, skin rash, purpura (red spots on the skin), pallor, yellowing of the skin and mucous membranes, or weakness.

The most characteristic side effects are:

Frequent (at least 1 in 100 patients):

Nausea and vomiting.

Uncommon (at least 1 in 1,000 patients):

Depression, hallucinations, confusion, psychosis, drowsiness, agitation, insomnia, headache, dizziness, movement coordination disorders, balance disorders, ringing in the ears.

Rare (at least 1 in 10,000 patients):

Fever, serum sickness (allergic reaction), skin rash, itching, erythema (inflammatory redness of the skin), exfoliative dermatitis (generalized peeling of the skin), reactions to sunlight, yellowing of the skin and mucous membranes, liver necrosis (death of liver tissue), kidney stones, decreased urine production, presence of crystals, proteins, and/or blood in the urine, increased urea values in the blood, peripheral neuropathy (damage to the nerves that connect the brain and spinal cord to muscles, skin, and other tissues and organs, which can manifest with tingling, numbness, burning, or pain, among other symptoms), decreased red blood cell count (hemolytic anemia, aplastic anemia), decreased white blood cell count (leukopenia, agranulocytosis), decreased platelet count (thrombocytopenia), increased eosinophils (a type of white blood cell), increased methemoglobin in the blood (methemoglobinemia), characterized by the appearance of a bluish discoloration of the skin, and decreased prothrombin in the blood (hypoprothrombinemia), which favors the appearance of bleeding.

Very rare (less than 1 in 10,000 patients):

There have been reports of skin reactions that can be life-threatening (Stevens-Johnson syndrome, toxic epidermal necrolysis) (see section 2).

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

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es

By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Sulfadiazine Reig Jofre

No special storage conditions are required.

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

Do not use this medicine after the expiry date which is stated on the packaging after "EXP". The expiry date is the last day of the month shown.

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

6. Contents of the pack and further information

Composition ofSulfadiazine Reig Jofre

  • The active substance is sulfadiazine. Each tablet contains 500 mg of sulfadiazine.
  • The other ingredients (excipients) are sodium starch glycolate, cellulose, talc, methylcellulose, mannitol (E-421), and magnesium stearate.

Appearance of the product and pack contents

Box of 20 and 500 tablets.

Marketing authorization holder and manufacturer:

LABORATORIO REIG JOFRE, S.A.

Gran Capitán, 10, 08970 Sant Joan Despí (Barcelona)

Date of last revision of this leaflet: 05/2025

About the medicine

How much does SULFADIAZINE REIG JOFRE 500 mg TABLETS cost in Spain ( 2025)?

The average price of SULFADIAZINE REIG JOFRE 500 mg TABLETS in December, 2025 is around 10.58 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.

Online doctors for SULFADIAZINE REIG JOFRE 500 mg TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for SULFADIAZINE REIG JOFRE 500 mg TABLETS – subject to medical assessment and local rules.

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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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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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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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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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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Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Tetiana Fedoryshyn

General medicine29 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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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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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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