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TARMED 40 MG/G SHAMPOO

TARMED 40 MG/G SHAMPOO

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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 TARMED 40 MG/G SHAMPOO

Introduction

Package Leaflet: Information for the User

Tarmed 40 mg/g Shampoo

coal tar

Read the package leaflet carefully before starting to use this medicine because it contains important information for you.

Follow the instructions for administration of the medicine contained in this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 15 days.

Contents of the Package Leaflet

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

1. What is Tarmed Shampoo and what is it used for

It is a medicinal shampoo that contains coal tar as the active ingredient, which helps to reduce excessive scaling of the scalp.

Tarmed is indicated in scaling disorders of the scalp, such as relief of itching and scaling of the skin in psoriasis (red, often scaly patches), seborrheic dermatitis (inflammatory, scaly eruption), and dandruff.

In particular, Tarmed Shampoo is indicated in:

  • Treatment of redness, thickening, and scaling of mild to moderate psoriasis.
  • Relief of itching, irritation, scaling, and redness in seborrheic dermatitis and dandruff.
  • Maintenance treatment of atopic eczema or atopic dermatitis (itchy skin eruption) under medical supervision.

2. What you need to know before using Tarmed Shampoo

Do not use Tarmed Shampoo

If you are allergic to coal tar or any of the other components of this medicine (listed in section 6).

Do not use Tarmed if you have any of the following skin problems:

  • active and inflamed psoriasis or exudative eczema
  • acute or painful pustular psoriasis
  • photosensitivity
  • folliculitis or common acne.

Warnings and Precautions

Consult your doctor or pharmacist before starting to use Tarmed.

For cutaneous use only, exclusively on the scalp.

If irritation occurs, stop using Tarmed and consult your doctor.

Avoid getting the shampoo in contact with the eyes and mucous membranes. If it accidentally comes into contact with the eyes, rinse with plenty of water.

Do not apply the shampoo to open wounds or skin infections, unless under medical supervision.

Tarmed may temporarily stain light hair, skin, and clothing.

Tarmed may cause sun allergy reactions (photosensitivity) if shampoo residue remains on the scalp. Therefore, it is recommended to rinse the hair thoroughly to completely remove the shampoo after washing. Additionally, caution should be exercised when exposing the treated area to the sun (even on cloudy days) or to UVA lamps.

Children

Do not use Tarmed in children under 12 years of age, as its efficacy and safety have not been established.

Other Medicines and Tarmed Shampoo

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

Tarmed may increase the sensitivity of your skin to sunlight. Its simultaneous use with photosensitizing medicines (which produce an allergic reaction to sunlight; e.g., tetracyclines, methoxsalen, or tretinoin, systemic or topical) may produce additive photosensitizing effects:

  • thiazides (a diuretic)
  • certain antibiotics, including tetracyclines, fluoroquinolones, and sulfonamides.
  • phenothiazines (used to treat some mental illnesses).

Pregnancy, Breastfeeding, and Fertility

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

There is no information on the safety of Tarmed in pregnant women.

Treatment with Tarmed Shampoo is not recommended if you are pregnant, unless the expected benefit to the mother is greater than the risk to the fetus.

Do not use Tarmed Shampoo during the first trimester of pregnancy.

It is not known whether the ingredients of Tarmed can pass into breast milk.

If used during breastfeeding, ensure that the breast is thoroughly rinsed to remove any remaining product before breastfeeding.

Driving and Using Machines

Not applicable.

Tarmed Shampoo contains sodium lauryl ether sulfate 70%, benzyl alcohol, ethanol, and fragrance

This medicine contains 150 mg of sodium lauryl ether sulfate 70% per gram of shampoo.

Sodium lauryl ether sulfate may cause local skin reactions (such as itching or burning sensation) or increase skin reactions caused by other medicines when applied to the same area.

This medicine contains 10 mg of benzyl alcohol per gram of shampoo.

Benzyl alcohol may cause allergic reactions.

Benzyl alcohol may cause moderate local irritation.

This medicine contains 29 mg of alcohol (ethanol) per gram of shampoo.

Ethanol may cause a burning sensation on damaged skin.

This medicine contains fragrances with 3-Methyl-4-(2,6,6-trimethyl-2-cyclohexen-1-yl)-3-buten-2-one, Amyl cinnamaldehyde, Benzyl alcohol, Benzyl salicylate, Citronellol, d-Limonene, Geraniol, Hexyl cinnamaldehyde, Hydroxy citronellal, and Linalool.

3-Methyl-4-(2,6,6-trimethyl-2-cyclohexen-1-yl)-3-buten-2-one, Amyl cinnamaldehyde, Benzyl alcohol, Benzyl salicylate, Citronellol, d-Limonene, Geraniol, Hexyl cinnamaldehyde, Hydroxy citronellal, and Linalool may cause allergic reactions.

3. How to use Tarmed Shampoo

Follow the instructions for administration of the medicine contained in this package leaflet or as indicated by your doctor or pharmacist. If in doubt, ask your doctor or pharmacist.

The recommended dose is:

  • Adults and children over 12 years:

Use Tarmed Shampoo on the scalp one or two times a week.

The usual duration of treatment is 4 weeks, after which improvement should be observed. If longer treatment is needed, it should be done under medical supervision.

How to apply Tarmed Shampoo

For cutaneous use only (exclusively on the scalp).

  1. Wet the hair thoroughly.
  2. Apply enough shampoo to produce a rich lather. The lather should cover the scalp, hair, and adjacent areas, if also affected.
  3. Massage the scalp and adjacent areas, if necessary, with your fingertips.
  4. Rinse the hair and scalp with plenty of water.
  1. Repeat steps 2-4, leaving the product on for a few minutes before rinsing. Considering the two applications, the shampoo should be in contact with the scalp for about 3-5 minutes.
  2. Rinse thoroughly.

Use in Children and Adolescents

Do not use this shampoo in children under 12 years of age (see section 2).

If you use more Tarmed than you should

If you use more Tarmed than you should, you may increase the chances of experiencing skin irritation and photosensitivity.

Ingestion of Tarmed may cause nausea and vomiting. In case of accidental ingestion, induce vomiting and administer plenty of water and antacids.

In case of overdose or accidental ingestion, go immediately to a medical center or consult your doctor or pharmacist, or call the Toxicology Information Service, phone 91 562 04 20, indicating the product and the amount ingested.

If you forget to use Tarmed

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

If you forget to use Tarmed, apply the next dose the following day.

If you have any other questions about 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.

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

  • Severe allergic reactions: hypersensitivity; signs may include:
    • raised, itchy rash
    • swelling of the face or mouth (angioedema)
    • difficulty breathing.
  • If you have these symptoms, contact a doctor immediately. Stop using Tarmed immediately.
  • Other side effects:
    • eye irritation
    • unusual hair loss or thinning
    • itchy skin rash (dermatitis)
    • changes in hair color
    • abnormal hair texture
    • sensitivity to sunlight
    • skin irritation, with possible dryness, redness, itching, or burning sensation
    • skin pain, rash, or inflammation at the application site.

Side effects with unknown frequency:

  • folliculitis
  • generalized pustular psoriasis
  • varicose status alteration.

Reporting of side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Tarmed Shampoo

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

Do not store above 25°C.

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

Medicines should not be disposed of via wastewater or household waste. Return the packaging and any unused medicine to a pharmacy for disposal. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of Tarmed 40 mg/g Shampoo

  • The active ingredient is coal tar solution. Each gram contains 40 mg of coal tar solution (4%).
  • The other ingredients are: polysorbate 80 (E-433), denatured alcohol (contains ethanol and methanol), sodium lauryl ether sulfate 70%, cocamidopropyl betaine, disodium hydrogen phosphate, citric acid monohydrate, benzyl alcohol, polyethylene glycol (PEG) 150 distearate, hexylene glycol, oleic alcohol, polyquaternium-10, fragrance AF17050 (contains 3-Methyl-4-(2,6,6-trimethyl-2-cyclohexen-1-yl)-3-buten-2-one, Amyl cinnamaldehyde, Benzyl alcohol, Benzyl salicylate, Citronellol, d-Limonene, Geraniol, Hexyl cinnamaldehyde, Hydroxy citronellal, and Linalool), and purified water.

Appearance of the product and pack contents

Tarmed is a shampoo; it is viscous, homogeneous, and brown in color.

It is available in 150 ml bottles.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Laboratorio STADA, S.L.

Frederic Mompou, 5

08960 Sant Just Desvern (Barcelona)

Spain

Manufacturer

STADA Arzneimittel AG

Stadastrasse 2-18

61118 Bad Vilbel

Germany

Date of last revision of this package leaflet:October 2023

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es.

Online doctors for TARMED 40 MG/G SHAMPOO

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for TARMED 40 MG/G SHAMPOO – 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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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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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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  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
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  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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Dr Travkina follows evidence-based guidelines and ensures patients receive clear explanations and follow-up recommendations. Whether you need help with ENT symptoms, clarification of test results, or guidance on next steps – she offers expert medical advice in a convenient online format.
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Main areas of consultation:

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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 Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

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Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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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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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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  • 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.
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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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