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SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe

SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe

Ask a doctor about a prescription for SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe

5.0(14)
Doctor

Tarek Agami

General medicine11 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Doctor

Nuno Tavares Lopes

Family medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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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 SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe

Introduction

Package Leaflet: Information for the User

Supemtek Tetra injectable solution

Influenza vaccine (tetralent, recombinant, prepared in cell culture)

This medicinal product is subject to additional monitoring, which will allow for quick identification of new safety information. You can help by reporting any side effects you may get. The last section of section 4 will tell you how to report side effects.

Read all of this leaflet carefully before you are vaccinated 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, pharmacist, or nurse.
  • This vaccine has been prescribed to you, do not pass it on to others.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.

Contents of the package leaflet

  1. What is Supemtek Tetra and what is it used for
  2. What you need to know before you start using Supemtek Tetra
  3. How to use Supemtek Tetra
  4. Possible side effects
  5. Storage of Supemtek Tetra
  6. Contents of the pack and other information

1. What is Supemtek Tetra and what is it used for

Supemtek Tetra is a vaccine for adults and children from 9 years of age. This vaccine helps protect you against influenza virus. Supemtek Tetra does not contain egg due to the technology used to produce it.

How Supemtek Tetra works

When a person receives Supemtek Tetra, the body's natural defenses (the immune system) produce protection against the influenza virus. None of the vaccine components can cause influenza.

As with all vaccines, Supemtek Tetra may not fully protect all people who are vaccinated.

When to administer the influenza vaccine

Influenza can spread very quickly.

  • It is caused by different types of influenza viruses that can change every year. That's why you may need to be vaccinated every year.
  • The risk of getting influenza increases during the cold months between October and March.
  • If you did not get vaccinated in the fall, it is still a good idea to get vaccinated even in the spring, since you are at risk of getting influenza until then.

Your doctor will recommend the best time for you to get vaccinated.

2. What you need to know before you start using Supemtek Tetra

Do not use Supemtek Tetraif you are allergic to:

  • the active substances or any of the other ingredients of this vaccine (listed in section 6).
  • octylphenol ethoxylate, in trace residual amounts from the manufacturing process.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before starting to use Supemtek Tetra.

As with all vaccines, Supemtek Tetra may not fully protect all people who are vaccinated.

Before receiving the vaccine, tell your doctor, nurse, or pharmacist if:

  • you have an acute illnessassociated with fever. It may be necessary to delay vaccination until the fever has disappeared.
  • you have a weakened immune system(immunodeficiency or are taking medicines that affect the immune system, such as cancer medicines (chemotherapy) or medicines with corticosteroids).
  • you have bleeding problemsor bruise easily.
  • you have faintedafter an injection before. Fainting can occur after or even before an injection.

If any of the above applies to you (or you are not sure), tell your doctor, pharmacist, or nurse before receiving Supemtek Tetra.

Other medicines and Supemtek Tetra

Tell your doctor or nurse if you are using, have recently used, or might use any other medicines, including medicines obtained without a prescription or if you have recently received any other vaccine.

Supemtek Tetra can be administered at the same time as other vaccines using separate limbs.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant, or plan to become pregnant, ask your doctor or pharmacist for advice before using this vaccine. Your doctor/pharmacist will help you decide if you should receive Supemtek Tetra.

Driving and using machines

Supemtek Tetra has no or negligible influence on the ability to drive and use machines.

Supemtek Tetra contains sodium

This medicine contains less than 23 mg of sodium (1mmol) per dose unit, which is essentially "sodium-free".

3. How to use Supemtek Tetra

Your doctor, nurse, or pharmacist will administer Supemtek Tetra as an injection into the upper arm (deltoid muscle).

Adults and children from 9 years of age:

A dose of 0.5 ml.

4. Possible side effects

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

Severe allergic reactions

Immediatelycontact your doctor or healthcare professional or go immediately to the emergency department of the nearest hospital if you have an allergic reaction, as it can be life-threatening.

Symptoms include:

  • difficulty breathing, shortness of breath
  • swelling of the face, lips, throat, or tongue
  • cool, clammy skin
  • palpitations
  • dizziness, weakness, fainting
  • skin rash or itching

The following adverse reactions have been reported with Supemtek Tetra:

Other side effects

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

  • pain at the injection site
  • fatigue
  • headache
  • muscle pain and joint pain

Muscle pain and joint pain are common in adults 50 years of age and older.

Common (may affect up to 1 in 10 people):

  • feeling sick (nausea)
  • redness, swelling, hardness, and bruising at the injection site
  • fever, chills

Fever is rare in adults 50 years of age and older.

Bruising is reported in children/adolescents 9 to 17 years of age.

Uncommon (may affect up to 1 in 100 people):

  • diarrhea, vomiting, abdominal discomfort, and decreased appetite
  • itching, skin irritation, skin rash
  • flu-like symptoms
  • asthma, cough, mouth and throat pain
  • itching at the injection site

Itching is rare in adults 50 years of age and older.

Neither skin irritation nor skin rash has been reported in adults 50 years of age and older.

Flu-like symptoms have not been reported in adults 18 to 49 years of age.

Vomiting, decreased appetite, abdominal discomfort, and asthma have not been reported in adults 18 years of age and older.

Rare (may affect up to 1 in 1,000 people):

  • dizziness
  • hives

Neither dizziness nor hives has been reported in adults 18 to 49 years of age.

Dizziness is uncommon in children/adolescents 9 to 17 years of age.

Frequency not known (cannot be estimated from the available data):

  • neurological disorders that can cause stiff neck, confusion, numbness, pain, and weakness in the limbs, loss of balance, loss of reflexes, paralysis of part or all of the body (Guillain-Barré syndrome).

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report side effects directly through the national reporting system listed in Appendix V*. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Supemtek Tetra

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

Store in a refrigerator (between 2°C and 8°C). Do not freeze.

Store the pre-filled syringe in the outer packaging to protect it from light.

Do not use this vaccine after the expiry date which is stated on the label and carton after EXP.

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. Contents of the pack and other information

Composition of Supemtek Tetra

One dose (0.5 ml) contains:

The active substances are hemagglutinin proteins (HA) of the influenza virus of the following strains*:

Strain similar to A/XXXXXX (H1N1) 45 micrograms HA

Strain similar to A/XXXXXX (H3N2) 45 micrograms HA

Strain similar to B/XXXXXX 45 micrograms HA

Strain similar to B/XXXXXX 45 micrograms HA

  • Produced by recombinant DNA technology using a baculovirus expression system in a stable insect cell line derived from Sf9 cells of the fall armyworm, Spodoptera frugiperda.

This vaccine complies with the recommendation of the World Health Organization (Northern Hemisphere) and with the recommendation of the European Union for the XXXX/XXXX season.

The other ingredients are: polysorbate 20 (E432), sodium chloride, sodium phosphate monobasic, sodium phosphate dibasic, water for injections (see section 2).

Appearance and packaging of the product

Supemtek Tetra is an injectable solution in a pre-filled syringe (ready-to-use syringe).

Supemtek Tetra is a clear and colorless solution, essentially free from visible particles.

A single syringe contains 0.5 ml of injectable solution.

Supemtek Tetra is available in packs containing 1, 5, or 10 pre-filled syringes without a needle or with a separate needle.

Not all pack sizes may be marketed.

Marketing authorization holder

Sanofi Winthrop Industrie, 82 Avenue Raspail, 94250 Gentilly, France

Manufacturer

Sanofi Winthrop Industrie

Voie de l’Institut - Parc Industriel d'Incarville

B P 101

27100 Val de Reuil

France

You can ask for more information about this medicine from the local representative of the marketing authorization holder:

België/Belgique/Belgien

Sanofi Belgium

Tél/Tel.: +32 02 710.54.00

Lietuva

Swixx Biopharma UAB

Tel: +370 5 236 91 40

Swixx Biopharma EOOD

Тел.: +359 (0) 2 4942 480

Luxembourg/Luxemburg

Sanofi Belgium

tel.: +32 2 710.54.00

Ceská republika

Sanofi s.r.o.

Tel: +420 233 086 111

Magyarország

sanofi-aventis zrt

Tel.: +36 1 505 0055

Danmark

Sanofi A/S

Tel: +45 4516 7000

Malta

Sanofi S.r.l.

Tel: +39 02 39394275

Deutschland

Sanofi-Aventis Deutschland GmbH

Tel.: 0800 54 54 010

Tel. from abroad: +49 69 305 21 130

Nederland

Sanofi B.V.

Tel: +31 20 245 4000

Eesti

Swixx Biopharma OÜ

Tel: +372 640 10 30

Norge

Sanofi-aventis Norge AS

Tel: + 47 67 10 71 00

Ελλάδα

ΒΙΑΝΕΞ Α.Ε.

Τηλ: +30.210.8009111

Österreich

Sanofi-Aventis GmbH

Tel: +43 (1) 80185-0.

España

sanofi-aventis, S.A.

Tel: +34 93 485 94 00

Polska

Sanofi sp. z o.o.

Tel.: +48 22 280 00 00

France

Sanofi Winthrop Industrie

Tél: 0800 222 555

Appel depuis l’étranger : +33 1 57 63 23 23

Portugal

Sanofi – Produtos Farmacêuticos, Lda.

Tel: + 351 21 35 89 400

Hrvatska

Swixx Biopharma d.o.o.

Tel: +385 1 2078 500

România

Sanofi Romania SRL

Tel.: +40(21) 317 31 36

Ireland

sanofi-aventis Ireland T/A SANOFI

Tel: + 353 (0) 1 4035 600

Slovenija

Swixx Biopharma d.o.o.

Tel: +386 1 235 51 00

Ísland

Vistor

Tel : +354 535 7000

Slovenská republika

Swixx Biopharma s.r.o.

Tel: +421 2 208 33 600

Italia

Sanofi S.r.l.

Tel: 800536389

Suomi/Finland

Sanofi Oy

Tel: +358 (0) 201 200 300

Κύπρος

C.A. Papaellinas Ltd.

Τηλ: +357 22 741741

Sverige

Sanofi AB

Tel: +46 8-634 50 00

Latvija

Swixx Biopharma SIA

Tel: +371 6 616 47 50

United Kingdom(Northern Ireland)

sanofi-aventis Ireland Ltd. T/A SANOFI

Tel: +44 (0) 800 035 2525

Date of last revision of this leaflet:MM/AAAA

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu.

--------------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Medical treatment and appropriate supervision should be available in case of an anaphylactic episode following administration of the vaccine.

The vaccine should be inspected visually for particles and discoloration before administration. If any foreign particles and/or variation in physical appearance are observed, do not administer the vaccine.

Alternatives to SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe in other countries

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

Alternative to SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe in Poland

Dosage form: Suspension, 1 dose (0.5 ml)
Importer: GlaxoSmithKline Biologicals Filia SmithKline BeechamPharma GmbH & Co. KG
Prescription required
Dosage form: Suspension, 1 dose (0.5 ml)
Importer: Sanofi Winthrop Industrie Sanofi Winthrop Industrie Sanofi-Aventis Zrt.
Prescription required
Dosage form: Suspension, 60 mcg HA/strain, 1 dose (0.5 ml)
Importer: Sanofi Winthrop Industrie
Prescription required
Dosage form: Suspension, 1 dose (0.5 ml)
Importer: Abbott Biologicals B.V.
Prescription required
Dosage form: Suspension, 60 mcg HA/strain, 1 dose (0.7 ml)
Importer: Sanofi Winthrop Industrie
Prescription required
Dosage form: Suspension, 1 dose (0.5 ml)

Alternative to SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe in Ukraine

Dosage form: suspension, 0.25 ml or 0.5 ml
Manufacturer: Grin Kross Korporejsn
Prescription required
Dosage form: suspension, 0.5 ml in a pre-filled syringe
Manufacturer: DziSi Biofarma Korp.
Prescription required
Dosage form: suspension, 0.5 ml in syringe
Manufacturer: Sanofi Paster
Prescription required
Dosage form: suspension, 0.5 ml
Prescription required

Online doctors for SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for SUPEMTEK TETRA Injectable Solution in Pre-filled Syringe – subject to medical assessment and local rules.

5.0(14)
Doctor

Tarek Agami

General medicine11 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

Family medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Duarte Meneses

Family medicine5 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Ngozi Precious Okwuosa

General medicine6 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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Muhammad Tayyab Altaf

General medicine3 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Policlinico San Matteo Hospital Pavia in Italy, Mount Sinai Hospital in New York, United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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Sergio Correa

General medicine8 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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Anastasiia Shalko

Family medicine13 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

Dermatology21 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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Doctor

Daniel Cichi

Family medicine24 years of experience

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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€55
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Doctor

Hocine Lokchiri

General medicine21 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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€58
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