Background pattern

TOSIVY SYRUP

Ask a doctor about a prescription for TOSIVY SYRUP

5.0(12)
Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

CameraBook a video appointment
€60
December 2009:00
December 2009:30
December 2709:00
December 2709:30
January 309:00
More times
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 TOSIVY SYRUP

Introduction

PACKAGE LEAFLET

Package Leaflet: Information for the User

Tosivy Syrup

Dry extract of Hedera helixL. (ivy)

Read the entire package leaflet carefully before starting to take this medicine, as it contains important information for you.

Follow the administration instructions 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 side effects not listed in this package leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days.

Contents of the package leaflet

  1. What is Tosivy and what is it used for
  2. What you need to know before taking Tosivy
  3. How to take Tosivy
  4. Possible side effects

5 Conservation of Tosivy

  1. Contents of the packaging and additional information

1. What is Tosivy and what is it used for

Tosivy is a traditional herbal medicinal product developed from the dry extract of Hedera helix(ivy) leaves used as an expectorant for productive cough.

It is indicated for adults, adolescents, and children over 2 years of age for use in specific indications based on traditional use.

2. What you need to know before taking Tosivy

Do not take Tosivy

If you are allergic to ivy (Hedera helixL.), to plants of the Araliaceaefamily, or to any of the other components of this medicine (listed in section 6).

Do not administer to children under 2 years of age, as there is a risk that expectorants may worsen respiratory symptoms.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Tosivy.

If dyspnea, fever, and bloody or purulent expectorations occur, consult a doctor immediately.

Patients with gastritis or gastric ulcer should use this medicine with caution.

Tosivy contains a plant extract, which may cause the syrup to be slightly cloudy.

Children

In the case of persistent or recurrent cough in children, consult a doctor before starting treatment.

Warning about excipients:

Tosivy contains sorbitol(E 420): 320 milligrams per milliliter of syrup.

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

Use in patients with impaired renal and/or hepatic function

If you have renal or hepatic insufficiency, consult your doctor or pharmacist before taking the medicine. There are no data for dosage recommendations in these patients.

Taking Tosivy with other medicines

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medicine.

No interaction of Tosivy with other medicines is known.

Concomitant use with other antitussives such as codeine or dextromethorphan is not recommended without prior medical consultation.

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.

Pregnancy:

There are no adequate and well-controlled studies in pregnant women, so its administration is not recommended.

Breastfeeding:

There is no information on the passage of the components of this medicine into breast milk, so its administration is not recommended in breastfeeding women.

Driving and using machines

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

3. How to take Tosivy

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

The recommended dose is:

Adults and adolescents over 12 years of age: 3-4 ml of syrup, 2 or 3 times a day (which corresponds to 44.4 mg or 88.8 mg of ivy extract)

Children from 6 to 11 years of age: 2.5 ml of syrup, 2 or 3 times a day (which corresponds to 37 mg or 55.5 mg of extract)

Children from 2 to 5 years: 1.5 ml, 3 times a day (which corresponds to 33.3 mg of extract)

For administration to children between 2 and 4 years of age with persistent or recurrent cough, medical diagnosis is required before starting treatment.

The use of Tosivy in children under 2 years of age is contraindicated (see section 4.3).

Treatment duration

If symptoms persist during the use of the medicine for more than one week, consult a doctor or pharmacist.

Tosivy is taken/administered orally. Shake the bottle well before use. To ensure that you always take the recommended dose, you must use the dosing syringe, graduated every 0.5 ml up to 5 ml, included in the packaging.

If you take more Tosivy than you should

Do not exceed the recommended daily dose.

In case of taking more Tosivy than you should, or in case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 915 620 420, indicating the medicine and the amount ingested.

Taking higher amounts than recommended may cause nausea, vomiting, diarrhea, and nervousness.

If you forget to take Tosivy

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

If you interrupt treatment with Tosivy

If you have any other doubts 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 everyone gets them.

Gastrointestinal reactions (nausea, vomiting, diarrhea) have been described. The frequency is unknown.

Allergic reactions (urticaria, skin rash, dyspnea, anaphylactic reaction) have been described. The frequency is unknown.

If you notice any of the above-mentioned side effects, particularly symptoms of allergy, stop taking the medicine and consult your doctor.

If any other type of adverse reactions not mentioned above occurs, consult your doctor or pharmacist.

Reporting of side effects

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a possible side effect 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 contribute to providing more information on the safety of this medicine.

5. Conservation of Tosivy

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

Store below 30 °C.

Do not use this medicine after the expiration date stated on the carton and label after the abbreviation CAD. The expiration date is the last day of the month indicated.

Once the packaging is opened, the validity will be 3 months. Remember to record the opening date on the medicine packaging.

Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.

6. Contents of the packaging and additional information

Composition of Tosivy

1 ml of syrup contains 7.4 mg of dry extract of Hedera helixL. (ivy) leaves, (4.0 – 8.0:1) extraction solvent ethanol 30% m/m.

  • The active principle is: dry extract of Hedera helixL. (ivy) leaves.
  • The other components (excipients) are: potassium sorbate, non-crystallizable liquid sorbitol 70% (320 mg per ml), propylene glycol, xanthan gum, citric acid monohydrate, purified water.

Appearance of the product and contents of the packaging

The medicine is presented in type III amber glass bottles with 100 ml of syrup. Child-resistant closure made of high-density polyethylene (HDPE).

Dosing syringe made of low-density polyethylene (LDPE) of 5 ml, graduated every 0.5 ml, with a plunger made of polyethylene (PE).

Marketing authorization holder

Laboratorios Lorien

Av. Josep Tarradellas, 8, Ático 1ª

08029 Barcelona

Spain

Manufacturer

Instituto Universitario de Ciencia y Tecnología, S.A.

c/ Álvarez de Castro, 63

08100 Mollet del Vallès

Spain

Date of the last revision of this package leaflet:October 2019

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

Alternatives to TOSIVY SYRUP in other countries

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

Alternative to TOSIVY SYRUP in Poland

Dosage form: Syrup, 8.25 mg/ml
Active substance: Hederae helicis folium
Importer: Phytopharm Klęka S.A.
Prescription not required
Dosage form: Syrup, 33 mg
Active substance: Hederae helicis folium
Prescription not required
Dosage form: Syrup, 8.25 mg/ml
Active substance: Hederae helicis folium
Importer: Phytopharm Klęka S.A.
Prescription not required
Dosage form: Lozenges, 35 mg
Active substance: Hederae helicis folium
Importer: Krka, d.d., Novo mesto
Prescription not required
Dosage form: Tablets, 52.5 mg
Active substance: Hederae helicis folium
Prescription not required
Dosage form: Syrup, 700 mg/100 ml
Active substance: Hederae helicis folium
Manufacturer: Krewel Meuselbach GmbH
Prescription not required

Alternative to TOSIVY SYRUP in Ukraine

Dosage form: drops, 50 ml in a dropper bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 250 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 100 ml in a bottle
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 100 ml or 200 ml in glass or polymer bottles
Active substance: Hederae helicis folium
Prescription not required
Dosage form: syrup, 7 mg/ml, 150 ml
Active substance: Hederae helicis folium
Manufacturer: KRKA, d.d., Novo mesto
Prescription not required
Dosage form: capsules, 52.5 mg
Active substance: Hederae helicis folium
Prescription not required

Online doctors for TOSIVY SYRUP

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for TOSIVY SYRUP – subject to medical assessment and local rules.

0.0(1)
Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
CameraBook a video appointment
€50
December 2007:00
December 2007:50
December 2008:40
December 2009:30
December 2010:20
More times
5.0(12)
Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

CameraBook a video appointment
€60
December 2009:00
December 2009:30
December 2709:00
December 2709:30
January 309:00
More times
0.0(0)
Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

CameraBook a video appointment
€79
December 2011:00
December 2011:30
December 2012:00
December 2012:30
December 2013:00
More times
0.0(0)
Doctor

Liudmyla Boichuk

Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

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.

CameraBook a video appointment
€55
December 2113:30
December 2813:30
January 413:30
January 1113:30
More times
5.0(2)
Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

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.

CameraBook a video appointment
€50
December 2209:00
December 2210:05
December 2211:10
December 2212:15
December 2213:20
More times
5.0(7)
Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
CameraBook a video appointment
€55
December 2211:00
December 2311:00
December 2411:00
December 2511:00
December 2611:00
More times
0.0(3)
Doctor

Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

CameraBook a video appointment
€59
January 809:00
January 809:30
January 810:00
January 810:30
January 811:00
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe