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SYMKEVI 100 MG/150 MG FILM-COATED TABLETS

SYMKEVI 100 MG/150 MG FILM-COATED TABLETS

Ask a doctor about a prescription for SYMKEVI 100 MG/150 MG FILM-COATED TABLETS

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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 SYMKEVI 100 MG/150 MG FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the Patient

Symkevi 50 mg/75 mg film-coated tablets

Symkevi 100 mg/150 mg film-coated tablets

tezacaftor/ivacaftor

Read all of this leaflet carefully before you start taking 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 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 pack

  1. What is Symkevi and what is it used for
  2. What you need to know before you take Symkevi
  3. How to take Symkevi
  4. Possible side effects
  5. Storing Symkevi
  6. Contents of the pack and other information

1. What is Symkevi and what is it used for

Symkevi contains two active substances,tezacaftor and ivacaftor. This medicine helps the lung cells to work better in some patients with cystic fibrosis (CF). CF is an inherited condition where the lungs and digestive system can become clogged with thick, sticky mucus.

Symkevi works on a protein called CFTR (cystic fibrosis transmembrane conductance regulator), which is damaged in some people with CF (who have a mutation in the CFTRgene). Ivacaftor makes the protein work better while tezacaftor increases the amount of protein on the cell surface. Symkevi is usually taken with ivacaftor, another medicine.

Symkevi taken together with ivacaftor is for the long-term treatment of patients aged 6 years and older who have CF with certain genetic mutations that result in a reduction in the amount and/or function of the CFTR protein.

Symkevi taken together with ivacaftor helps with breathing by improving lung function. You may notice that you do not get sick as often and/or that it is easier to gain weight.

2. What you need to know before you take Symkevi

Do not take Symkevi:

  • if you are allergic to tezacaftor, ivacaftor or any of the other ingredients of this medicine (listed in section 6).

Consult your doctor,without taking the tablets, if this applies to you.

Warnings and precautions

  • Tell your doctor if you have liver problems or have had them in the past. Your doctor may need to adjust your dose.
  • Your doctor will do some blood tests to check how your liver is working before and during treatment with Symkevi, especially if your blood tests have shown elevated liver enzymes in the past. An increase in liver enzymes in the blood has been seen in CF patients taking Symkevi.
  • Liver damage and worsening of liver function have been seen in patients with severe liver disease who received other CFTR modulators. The worsening of liver function can be severe and may require a transplant.

Tell your doctor immediatelyif you have any symptoms of liver problems. These are listed in section 4.

  • Depression (including thoughts of suicide and suicidal behaviour) has been reported in patients taking Symkevi, usually appearing in the first three months of treatment. Consult your doctor immediately if you (or someone taking this medicine) experience any of the following symptoms, which may be signs of depression: sad or altered mood, anxiety, feeling of emotional distress or thoughts of self-harm or suicide.
  • Your doctor may perform eye examinationsbefore and during treatment with Symkevi. In some children and adolescents who have taken this treatment, cataracts (clouding of the lens in the eye) have occurred without affecting vision.
  • Tell your doctor if you have kidney problemsor have had them in the past.
  • Tell your doctorbefore starting treatment if you have had an organ transplant.

Children under 6 years

Symkevi must not be used in children under 6 years. It is not known if Symkevi is safe and effective in children under 6 years.

Other medicines and Symkevi

Tell your doctor or pharmacistif you are taking, have recently taken or might take any other medicines. Some medicines may affect how Symkevi works or may increase the chance of side effects. In particular, tell your doctor if you are taking any of the medicines listed below. Your doctor may need to change the dose of one of your medicines if you are taking some of these.

  • Antifungals(used to treat fungal infections). These include ketoconazole, itraconazole, posaconazole, voriconazole and fluconazole.
  • Antibiotics(used to treat bacterial infections). These include telithromycin, clarithromycin, erythromycin, rifampicin and rifabutin.
  • Anticonvulsants(used to treat epilepsy and seizures). These include phenobarbital, carbamazepine and phenytoin.
  • Herbal products.These include St. John's Wort (Hypericum perforatum).
  • Immunosuppressants(used after an organ transplant). These include ciclosporin, tacrolimus, sirolimus and everolimus.
  • Cardiac glycosides(used to treat certain heart conditions). These include digoxin.
  • Anticoagulants(used to prevent blood clots). These include warfarin.
  • Medicines for diabetes.These include glimepiride and glipizide.

Taking Symkevi with food and drinks

Avoid foods or drinks that contain grapefruit during treatment as they may increase the side effects of Symkevi by increasing the amount of Symkevi in the blood.

Pregnancy and breast-feeding

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

  • Pregnancy: it may be better to avoid using this medicine during pregnancy. Your doctor will help you decide what is best for you and your baby.
  • Breast-feeding: tezacaftor and ivacaftor may be excreted in breast milk. Your doctor will consider the benefit of breast-feeding for the child and the benefit of treatment for you in order to help you decide whether to stop breast-feeding or stop treatment.

Driving and using machines

Symkevi may cause dizziness. If you feel dizzy, do not drive, cycle or use machines unless you are sure you are not affected.

Symkevi contains sodium

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

3. How to take Symkevi

Always take this medicine exactly as your doctor has told you.

If you are not sure, ask your doctor or pharmacist.

There are different doses of Symkevi for different age groups. Check that you have been prescribed the correct dose (see below).

Symkevi is usually taken with ivacaftor.

Age

Morning

Evening

(1 tablet)

(1 tablet)

6 to <12 years with weight <30 kg

50 mg of tezacaftor/75 mg of ivacaftor

75 mg of ivacaftor

6 to <12 years with weight ≥30 kg

100 mg of tezacaftor/150 mg of ivacaftor

150 mg of ivacaftor

12 years or older

100 mg of tezacaftor/150 mg of ivacaftor

150 mg of ivacaftor

Take the tablets approximately 12 hours apart.

Take the Symkevi and ivacaftor tablets with fat-containing foods.Fat-containing meals or snacks are those prepared with butter or oils or those that contain eggs. Examples of other fat-containing foods are:

  • Cheese, whole milk, whole-milk dairy products, yoghurt, chocolate
  • Meat, oily fish
  • Avocado, hummus (chickpea paste), soy products (tofu)
  • Nuts, nut bars or fatty drinks

The tablets are taken by mouth.

Swallow the tablets whole.Do not chew, crush or break the tablets before swallowing.

You should continue to take all your other medicines as well, unless your doctor tells you to stop.

If you have liver problems,moderate or severe, your doctor may need to reduce your dose of the tablets, as your liver will not process this medicine as quickly as usual.

If you take more Symkevi than you should

Consult your doctor or pharmacist.If possible, take the medicine and this leaflet with you. You may experience side effects, including those listed in section 4 below.

If you forget to take Symkevi

  • If you miss a dose of Symkevi or the ivacaftor tablet in the evening, and you remember within 6 hoursof the time you were supposed to take the dose, take the missed tablet as soon as possible.
  • If more than 6 hourshave passed, do not take the missed tablet. Wait and take the next tablet at the usual time.
  • Do nottake 2 tablets to make up for the missed dose.

If you stop taking Symkevi

Your doctor will tell you how long you need to take Symkevi. It is important that you take this medicine regularly. Do not make any changes unless your doctor tells you to.

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

4. Possible side effects

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

Serious side effects

Possible signs of liver problems

An increase in liver enzymes in the blood is very common in patients with CF. This may be a sign of liver problems:

  • Pain or discomfort in the upper right side of the stomach (abdominal area)
  • Yellowing of the skin or the white part of the eyes
  • Loss of appetite
  • Feeling sick (nausea) or being sick (vomiting)
  • Dark-coloured urine

Depression

Signs of depression include a sad or altered mood, anxiety or feeling of emotional distress.

Tell your doctor immediatelyif you have any of these symptoms.

Side effects seen with Symkevi:

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

  • Headache
  • Common cold

Common(may affect up to 1 in 10 people)

  • Feeling sick (nausea)
  • Stuffy nose (nasal congestion)
  • Dizziness

Side effects seen with ivacaftor:

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

  • Infection in the upper respiratory tract (common cold), including sore throat and nasal congestion
  • Headache
  • Dizziness
  • Stomach pain (abdominal pain)
  • Diarrhoea
  • Increased liver enzymes in the blood
  • Rash
  • Changes in the type of bacteria in the mucus

Common(may affect up to 1 in 10 people)

  • Runny nose
  • Ear pain, discomfort in the ear
  • Ringing in the ears
  • Redness inside the ears
  • Inner ear disorder (feeling of dizziness or spinning)
  • Nasal congestion
  • Redness of the throat
  • Lump in the breast

Uncommon(may affect up to 1 in 100 people)

  • Ear blockage
  • Breast inflammation
  • Enlargement of breast tissue in men
  • Changes or pain in the nipples

Additional side effects in children and adolescents

The side effects seen in children and adolescents are similar to those seen in adults.

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 via 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. Storing Symkevi

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 carton after EXP. The expiry date refers to the last day of that month.

This medicine does not require any special storage conditions.

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 other information

The active substances are tezacaftor and ivacaftor.

Symkevi 50 mg of tezacaftor/75 mg of ivacaftor film-coated tablets

Each film-coated tablet contains 50 mg of tezacaftor and 75 mg of ivacaftor.

The other ingredients are:

  • Tablet core: hypromellose acetate succinate, sodium lauryl sulfate (E487), hypromellose 2910 (E464), microcrystalline cellulose (E460(i)), sodium croscarmellose (E468) and magnesium stearate (E470b) (see section 2 “Symkevi contains sodium”).
  • Tablet coating: hypromellose 2910 (E464), hydroxypropyl cellulose (E463), titanium dioxide (E171) and talc (E553b).

Symkevi 100 mg of tezacaftor/150 mg of ivacaftor film-coated tablets

Each film-coated tablet contains 100 mg of tezacaftor and 150 mg of ivacaftor.

The other ingredients are:

  • Tablet core: hypromellose acetate succinate, sodium lauryl sulfate (E487), hypromellose 2910 (E464), microcrystalline cellulose (E460(i)), sodium croscarmellose (E468) and magnesium stearate (E470b) (see section 2 “Symkevi contains sodium”).
  • Tablet coating: hypromellose 2910 (E464), hydroxypropyl cellulose (E463), titanium dioxide (E171), talc (E553b) and yellow iron oxide (E172).

Appearance and packaging

Symkevi 50 mg/75 mg film-coated tablets are oblong tablets (12.70 mm x 6.78 mm) white in colour with “V50” printed on one side and plain on the other.

Symkevi 100 mg/150 mg film-coated tablets are oblong tablets (15.9 mm x 8.5 mm) yellow in colour with “V100” printed on one side and plain on the other.

Symkevi is available in the following pack sizes:

Pack size of 28 tablets (4 blister cards of 7 tablets each).

Marketing Authorisation Holder

Vertex Pharmaceuticals (Ireland) Limited

Unit 49, Block 5, Northwood Court, Northwood Crescent,

Dublin 9, D09 T665,

Ireland

Tel.: +353 (0)1 761 7299

Manufacturer

Almac Pharma Services (Ireland) Limited

Finnabair Industrial Estate

Dundalk

Co. Louth

A91 P9KD

Ireland

Almac Pharma Services Limited

Seagoe Industrial Estate

Craigavon

County Armagh

BT63 5UA

United Kingdom

Date of last revision of this leaflet:

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu. There are also links to other web sites about rare diseases and orphan medicines.

Alternatives to SYMKEVI 100 MG/150 MG FILM-COATED TABLETS in other countries

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

Alternative to SYMKEVI 100 MG/150 MG FILM-COATED TABLETS in Polónia

Dosage form: Cápsulas, 7 mg
Marketing authorisation holder (MAH): OMEDICAMED Unipessoal Lda
Prescription required
Dosage form: Cápsulas, 3,5 mg
Marketing authorisation holder (MAH): OMEDICAMED Unipessoal Lda
Prescription required
Dosage form: Cápsulas, 3,5 mg
Marketing authorisation holder (MAH): OMEDICAMED Unipessoal Lda
Prescription required
Dosage form: Cápsulas, 7 mg
Marketing authorisation holder (MAH): OMEDICAMED Unipessoal Lda
Prescription required
Marketing authorisation holder (MAH): OMEDICAMED Unipessoal Lda
Prescription required
Dosage form: Cápsulas, 7 mg
Marketing authorisation holder (MAH): OMEDICAMED Unipessoal Lda
Prescription required

Alternative to SYMKEVI 100 MG/150 MG FILM-COATED TABLETS in Ukraine

Dosage form: comprimidos, 14 ou 28 comprimidos em um recipiente
Prescription required
Dosage form: cápsulas, 3,5 mg
Dosage form: cápsulas, 7 mg, 10 cápsulas em um blister
Dosage form: cápsulas, 7 mg, 10 cápsulas em um blister
Manufacturer: OM Farma SA
Prescription required
Dosage form: cápsulas, 3,5 mg; 10 cápsulas em um blister
Manufacturer: OM Farma SA
Prescription required
Dosage form: comprimidos, 10 comprimidos em um blister
Prescription not required

Online doctors for SYMKEVI 100 MG/150 MG FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for SYMKEVI 100 MG/150 MG FILM-COATED TABLETS – subject to medical assessment and local rules.

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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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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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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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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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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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Yevgen Yakovenko

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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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Marta Reguero Capilla

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Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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Svetlana Kolomeeva

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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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Doctor

Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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€50
December 2209:00
December 2209:45
December 2210:30
December 2211:15
December 2212:00
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5.0(10)
Doctor

Tetiana Fursenko

Otolaryngology (ENT)4 years of experience

Dr. Tetiana Fursenko is an ENT (ear, nose, and throat) specialist offering online consultations for both adults and children. She focuses on diagnosing and treating conditions of the upper respiratory tract using evidence-based medical guidelines and personalised treatment plans.

Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

CameraBook a video appointment
€65
December 2209:00
December 2210:00
December 2211:00
December 2212:00
December 2213:00
More times

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