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SURMENALIT 200 mg FILM-COATED TABLETS

SURMENALIT 200 mg FILM-COATED TABLETS

Ask a doctor about a prescription for SURMENALIT 200 mg FILM-COATED TABLETS

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Doctor

Tarek Agami

General medicine10 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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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 SURMENALIT 200 mg FILM-COATED TABLETS

Introduction

Leaflet: information for the user

Surmenalit 200 mg coated tablets

sulbutiamine

Read this leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only and should not be given to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of theleaflet

  1. What Surmenalit 200 mg coated tablets are and what they are used for
  2. What you need to know before taking Surmenalit 200 mg coated tablets
  3. How to take Surmenalit 200 mg coated tablets
  4. Possible side effects
  5. Storage of Surmenalit 200 mg coated tablets
  6. Package contents and additional information

1. What Surmenalit 200 mg tablets are and what they are used for

Surmenalit is a derivative of vitamin B1 (also known as thiamine).

It is indicated in states of thiamine deficiency (vitamin B1) in adults with apathy and reduced activity.

2. What you need to know before taking Surmenalit 200 mg tablets

Do not take Surmenalit

  • If you are allergic (hypersensitive) to the active ingredient or any of the other components of this medication (listed in section 6).
  • If you are allergic to milk proteins since it contains casein.
  • If you are allergic to vitamin B1 or any of its derivatives.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Surmenalit 200 mg tablets

  • If you are over 65 years old. In this case, the dose should be reduced.
  • If you notice mild agitation or symptoms of allergy to the medication, discontinue treatment and consult your doctor.

Interference with analytical tests: If you are going to undergo any diagnostic tests (such as blood tests, urine tests, etc.), inform your doctor that you are using this medication, as it may alter the results, for example, in tests for determining uric acid, urobilinogen, and theophylline.

Children and adolescents

This medication should not be administered to children and adolescents under 18 years of age, as there are no specific studies on the administration of Surmenalit in this population.

Other medications and Surmenalit

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medication, including those purchased without a prescription.

Surmenalit may interact with the following medications:

  • Diuretics (treatment of high blood pressure): may increase the excretion of thiamine in urine.
  • Neuromuscular blockers (muscle relaxants): concomitant use of sulbutiamine with these drugs may increase the effects of neuromuscular blockers.

Taking Surmenalit with food and drinks

Surmenalit can be taken with all types of food and non-alcoholic beverages.

Pregnancy and breastfeeding

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

Pregnancy

Due to the lack of data on the use of sulbutiamine in pregnant women, its use is not recommended during pregnancy.

In case of becoming pregnant during treatment with sulbutiamine, consult your doctor to evaluate the benefit of treatment versus the risk to the fetus.

Breastfeeding

It is unknown whether sulbutiamine is excreted in breast milk.

Due to the lack of data on the potential risks of sulbutiamine in newborns, its use is not recommended during breastfeeding, unless your doctor indicates otherwise.

Driving and using machines

No studies have been conducted on the effects of Surmenalit on the ability to drive and use machines.

Surmenalit 200 mg tablets contain orange yellow S (E-110) dye and milk proteins

This medication may cause allergic reactions because it contains orange yellow S (E-110) dye. It can cause asthma, especially in patients allergic to acetylsalicylic acid.

This medication may cause allergic reactions in patients with milk protein allergy.

3. How to take Surmenalit 200 mg tablets

Follow the administration instructions of this medication exactly as indicated by your doctor or pharmacist. Do not take more medication or more frequently than indicated. If you do, you may increase the possibility of an overdose.

In case of doubt, consult your doctor or pharmacist again.

The recommended dose is:

Adults

The recommended dose ranges from 400 mg to 600 mg per day, administered in 2 or 3 doses (1 coated tablet 2-3 times a day).

Treatment should not exceed one month continuously. The maximum dose of 600 mg/day should not be exceeded.

Elderly

The recommended dose is 200 mg (1 coated tablet) per day.

Patients with hepatic or renal insufficiency

There is not enough information on the use of sulbutiamine in patients with hepatic and/or renal insufficiency.

Tablets should be taken with a glass of water.

If taking 2 tablets, divide the doses between breakfast and lunch, as taking them after noon may interfere with sleep.

If you think the effect of Surmenalit is too strong or too weak, please inform your doctor or pharmacist.

If you take more Surmenalit than you should

In case of overdose, agitation, euphoria, and tremors of the limbs may appear. These symptoms are usually transient, and treatment will be symptomatic.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or contact the emergency service of the nearest hospital and bring the medication with you. You can also call the Toxicology Information Service at 91.562.04.20, indicating the medication and the amount ingested.

If you forget to take Surmenalit

Do not take a double dose to make up for forgotten doses. If you forget to take a dose of Surmenalit, take the next dose at the usual time.

If you interrupt treatment with Surmenalit

Do not interrupt treatment unless your doctor indicates it.

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them. The side effects of Surmenalit are rare if the doses are adjusted as recommended, except in special situations.

The effects that may appear are:

Effects on the nervous system

Rare(affect 1 to 10 in 10,000 patients): tremors, headache.

Psychiatric effects

Rare(affect 1 to 10 in 10,000 patients): mild agitation, excitement, sleep disturbances

Effects on the stomach and intestines

Uncommon(affect 1 to 10 in 1,000 patients): abdominal pain, nausea, vomiting.

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

Effects on the skin

Rare(affect 1 to 10 in 10,000 patients): skin rash

General effects and alterations at the administration site

Rare(affect 1 to 10 in 10,000 patients): discomfort

*This medication contains orange yellow S (E-110) dye and may cause allergic reactions; it can cause asthma, especially in patients allergic to acetylsalicylic acid.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Surmenalit 200 mg tablets

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

No special storage conditions are required.

Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.

Medications should not be thrown down the drain or into the trash. Deposit the packaging and unused medications at the SIGRE point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Surmenalit 200 mg tablets

  • The active ingredient is sulbutiamine. Each coated tablet contains 200 mg of sulbutiamine.
  • The other components (excipients) are: microcrystalline cellulose, casein formalin, magnesium stearate (E-572), titanium dioxide (E-171), methacrylic acid copolymer, ethyl phthalate, and orange yellow S (E-110) dye.

Appearance of the product and package contents

Each package contains 30 orange-colored coated tablets.

Marketing authorization holder

Faes Farma, S.A.

Autonomia Etorbidea, 10

48940 Leioa (Bizkaia)

Spain

Manufacturer

Faes Farma, S.A.

Maximo Agirre Kalea, 14

48940 Leioa (Bizkaia)

Spain

Date of the last revision of this leaflet: September 2021

Detailed information about this medication 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 SURMENALIT 200 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for SURMENALIT 200 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

5.0(6)
Doctor

Tarek Agami

General medicine10 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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Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Duarte Meneses

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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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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:

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  • sudden changes in how a child or adult feels
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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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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.

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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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