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VALTREX 500 mg FILM-COATED TABLETS

VALTREX 500 mg FILM-COATED TABLETS

Ask a doctor about a prescription for VALTREX 500 mg FILM-COATED TABLETS

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Doctor

Tarek Agami

General medicine11 years of experience

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

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

Main areas of consultation:

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

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

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Doctor

Nuno Tavares Lopes

Family medicine18 years of experience

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

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

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

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use VALTREX 500 mg FILM-COATED TABLETS

Introduction

Leaflet:information for the user

Valtrex 500mg film-coated tablets

valaciclovir

Read the entire leaflet carefully before starting to takethismedication,as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any doubts, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it 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 side effects not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What is Valtrex and what is it used for
  2. What you need to know before taking Valtrex
  3. How to take Valtrex
  4. Possible side effects
  5. Storage of Valtrex
  6. Package contents and additional information

1. What is Valtrex and what is it used for

Valtrex belongs to a group of medications called antivirals. It works by stopping or slowing the growth of viruses called herpes simplex (HSV), varicella-zoster (VZV), and cytomegalovirus (CMV).

Valtrex can be used to:

  • treat shingles (in adults)
  • treat HSV skin infections and genital herpes (in adults and adolescents over 12 years). It is also used to prevent these infections from coming back
  • treat cold sores (in adults and adolescents over 12 years)
  • prevent CMV infection after organ transplants (in adults and adolescents over 12 years)
  • treat and prevent HSV eye infections that keep coming back (in adults and adolescents over 12 years).

2. What you need to know before taking Valtrex

Do not take Valtrex

  • if you are allergic to valaciclovir or aciclovir or any of the other components of this medication (listed in section 6)
  • if you have ever developed a widespread skin rash associated with fever, swelling of the lymph nodes, elevated liver enzymes, and/or eosinophilia (drug reaction with eosinophilia and systemic symptoms) after taking valaciclovir.
  • Do not take Valtrex if the above point applies to you. If you are unsure, talk to your doctor or pharmacist before taking Valtrex.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Valtrex if:

  • you have kidney problems
  • you have liver problems
  • you are over 65 years old
  • your immune system is weakened.

If you are unsure if any of the above points apply to you, consult your doctor or pharmacist before taking Valtrex.

Be careful with Valtrex – Important Information:

Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) has been reported with the use of valaciclovir. DRESS is initially manifested with symptoms similar to those of the flu, with a skin rash on the face that then spreads to other areas, high body temperature, elevated liver enzymes in blood tests, increased eosinophilia, and swelling of the lymph nodes.

  • If you develop a skin rash associated with fever and swelling of the lymph nodes, stop taking valaciclovir and contact your doctor or seek medical attention immediately.

Preventing the spread of genital herpes to others

If you are taking Valtrex to treat or prevent genital herpes, or have had genital herpes in the past, you should practice safe sex, including the use of condoms. This is important to prevent the infection from spreading to others. You should not have sex if you have genital ulcers or blisters.

Other medications and Valtrex

Tell 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 or herbal remedies.

Tell your doctor or pharmacist if you are taking any medication that affects the kidneys. These include aminoglycosides, platinum compounds, iodinated contrast media, methotrexate, pentamidine, foscarnet, cyclosporine, tacrolimus, cimetidine, and probenecid.

Always tell your doctor or pharmacist about other medications you are taking if you are taking Valtrex for the treatment of shingles or after an organ transplant.

Pregnancy and breastfeeding

Valtrex is not normally recommended for use during pregnancy.

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. Your doctor will weigh the benefits for you against the risks for the baby if you take Valtrex while pregnant or breastfeeding.

Driving and using machines

Valtrex may cause side effects that affect your ability to drive.

→ Do not drive or operate machinery unless you are sure it does not affect you.

3. How to take Valtrex

Follow your doctor's instructions for taking this medication exactly. If you are unsure, consult your doctor or pharmacist again.

The dose you should take will depend on why your doctor has prescribed Valtrex for you. Your doctor will tell you the right dosage.

Treatment of shingles

  • The usual dose is 1,000 mg (one 1,000 mg tablet or two 500 mg tablets) three times a day.
  • You should take Valtrex for seven days.

Treatment of cold sores

  • The usual dose is 2,000 mg (two 1,000 mg tablets or four 500 mg tablets) twice a day.
  • The second dose should be taken 12 hours after the first dose (not before 6 hours).
  • You should take Valtrex only for one day (two doses).

Treatment of HSV skin infections and genital herpes

  • The usual dose is 500 mg (one 500 mg tablet) twice a day.
  • For the first infection, you should take Valtrex for five days or up to ten days if your doctor tells you to. For recurrent infections, the treatment duration is usually 3-5 days.

Prevention of recurrent HSV infections once you have had them

  • The usual dose is one 500 mg tablet once a day.
  • Some people with frequent recurrences may benefit from taking 250 mg twice a day.
  • You should take Valtrex until your doctor tells you to stop treatment.

To prevent CMV infection

  • The usual dose is 2,000 mg (two 1,000 mg tablets or four 500 mg tablets) four times a day.
  • You should space the doses 6 hours apart.
  • Normally, you will start taking Valtrex as soon as possible after surgery.
  • You should take Valtrex for about 90 days after surgery, until your doctor tells you to stop treatment.

Your doctor may adjust the dose of Valtrex if:

  • you are over 65 years old
  • you have a weakened immune system
  • you have kidney problems.
  • Talk to your doctor before taking Valtrex if any of the above points apply to you.

Taking this medication

  • Take this medication orally.
  • Swallow the tablets whole with a glass of water.
  • Take Valtrex at the same time every day.
  • Take Valtrex as instructed by your doctor or pharmacist.

People over 65 years old or with kidney problems

It is very important that while taking Valtrex, you drink water regularlythroughout the day. This will help reduce side effects that can affect the kidneys or nervous system. Your doctor will monitor you for signs of this. Nervous system side effects can include feeling confused or agitated, or feeling abnormally sleepy or drowsy.

If you take more Valtrex than you should

Valtrex is not normally harmful, unless you take too much for several days. If you take too many tablets, you may have nausea, vomiting, kidney problems, or feel confused, agitated, or less alert, see things that do not exist, or lose consciousness. Talk to your doctor or pharmacist if you take too much Valtrex. Bring the package with you. You can also call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount taken.

If you forget to take Valtrex

  • If you forget to take Valtrex, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose.
  • Do not take a double dose to make up for missed doses.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone gets them.

Symptoms to watch out for

  • Stop taking Valtrex and seek medical attention immediately if you notice any of the following symptoms:

Severe allergic reactions(anaphylaxis).These are rare in people taking Valtrex. Rapid development of symptoms including:

  • skin rash with redness, itching
  • swelling of the lips, face, neck, and throat, causing difficulty breathing (angioedema)
  • drop in blood pressure leading to collapse.

Skin rashes or redness. The adverse skin reaction can appear as rashes with or without blisters. They can cause skin irritation, edema (DRESS syndrome), and fever and flu-like symptoms.

The following side effects can also occur with this medication:

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

  • headache.

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

  • nausea
  • dizziness
  • vomiting
  • diarrhea
  • skin reaction after sun exposure (photosensitivity)
  • rash
  • itching (pruritus).

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

  • feeling confused
  • seeing or hearing things that do not exist (hallucinations)
  • feeling very sleepy
  • tremors
  • feeling agitated.

These nervous system side effects usually occur in patients with kidney problems, elderly patients, or transplant patients taking high doses of 8 grams or more of Valtrex per day. They usually improve when treatment with Valtrex is stopped or the dose is reduced.

Other uncommon side effects:

  • difficulty breathing (dyspnea)
  • stomach pain
  • rash, sometimes with itching, hives (urticaria)
  • lower back pain (renal pain)
  • blood in urine (hematuria).

Uncommon side effects may appear in your blood tests:

  • reduction in the number of white blood cells (leukopenia)
  • reduction in the number of plateletsthat help blood clot (thrombocytopenia)
  • increase in substances produced by the liver.

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

  • loss of balance and coordination (ataxia)
  • slow and slurred speech (dysarthria)
  • seizures (convulsions)
  • altered brain function (encephalopathy)
  • loss of consciousness (coma)
  • confused or disturbed thoughts (delirium).

These nervous system side effects usually occur in people with kidney problems, elderly patients, or transplant patients taking high doses of 8 grams or more of Valtrex per day. They usually improve when treatment with Valtrex is stopped or the dose is reduced.

Other rare side effects:

  • kidney problems that cause you to urinate little or not at all.

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

  • Drug Reaction with Eosinophilia and Systemic Symptoms, also known as DRESS or drug hypersensitivity syndrome, characterized by widespread rash, high fever, elevated liver enzymes, blood abnormalities (eosinophilia), swelling of the lymph nodes, and possibly other organs. See also section 2.
  • Kidney inflammation (tubulointerstitial nephritis).

Reporting side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are side effects 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 help provide more information on the safety of this medication.

5. Storage of Valtrex

  • Keep this medication out of sight and reach of children.
  • Do not use this medication after the expiration date shown on the package after CAD. The expiration date is the last day of the month indicated.
  • Store below 30°C.
  • Medications should not be disposed of through wastewater or household waste. Deposit the packages and medications you no longer need at the SIGRE collection point in the pharmacy. If you have any doubts, ask your pharmacist how to dispose of packages and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition ofValtrex

  • The active ingredient is valaciclovir. Each tablet contains 500 mg of valaciclovir (as valaciclovir hydrochloride).

The other components are:

Core of the tablet

Microcrystalline cellulose

Crospovidone

Povidone

Magnesium stearate

Anhydrous colloidal silica

Coating

Hypromellose

Titanium dioxide

Macrogol 400

Polysorbate 80

Carnauba wax

Appearance of the product and package contents

Valtrex tablets are presented in aluminum/polyvinyl chloride blisters.

Valtrex 500 mg tablets are available in packs of 10, 30, 42, or 112 film-coated tablets. They are white and marked with “GX CF1” on one side.

Marketing authorization holder and manufacturer

Marketing authorization holder

GlaxoSmithKline, S.A.

P.T.M. C/ Severo Ochoa, 2

28760 Tres Cantos (Madrid)

Tel: +34 900 202 700

[email protected]

Manufacturer

Glaxo Wellcome, S.A.

Avenida de Extremadura, 3

09400 Aranda de Duero (Burgos)

Spain

This medication is authorized in the member states of the European Economic Area under the following names:

Austria, Bulgaria, Cyprus, Czech Republic, Estonia, Finland, Germany, Greece, Iceland, Ireland, Latvia, Lithuania, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden: Valtrex.

France, Belgium, Italy, Luxembourg, Netherlands: Zelitrex.

Date of last revision of thisleaflet:12/2022

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

About the medicine

How much does VALTREX 500 mg FILM-COATED TABLETS cost in Spain ( 2026)?

The average price of VALTREX 500 mg FILM-COATED TABLETS in January, 2026 is around 11.55 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to VALTREX 500 mg FILM-COATED TABLETS in other countries

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

Alternative to VALTREX 500 mg FILM-COATED TABLETS in Poland

Dosage form: Tablets, 1000 mg
Active substance: valaciclovir
Prescription required
Dosage form: Tablets, 500 mg
Active substance: valaciclovir
Prescription required
Dosage form: Tablets, 500 mg
Active substance: valaciclovir

Alternative to VALTREX 500 mg FILM-COATED TABLETS in Ukraine

Dosage form: tablets, 500mg
Active substance: valaciclovir
Manufacturer: Apoteks Ink.
Prescription required
Dosage form: tablets, 1000 mg
Active substance: valaciclovir
Manufacturer: Apoteks Ink.
Prescription required
Dosage form: tablets, 500 mg tablets in blister
Active substance: valaciclovir
Manufacturer: PAT "Kiivmedpreparat
Prescription required
Dosage form: tablets, 500 mg
Active substance: valaciclovir
Manufacturer: Glakso Vellkom S.A.
Prescription required
Dosage form: tablets, 500 mg
Active substance: valaciclovir
Manufacturer: Farmasajns Ink.
Prescription required
Dosage form: tablets, 500mg
Active substance: valaciclovir
Manufacturer: Getero Labz Limited
Prescription required

Online doctors for VALTREX 500 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for VALTREX 500 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

5.0(14)
Doctor

Tarek Agami

General medicine11 years of experience

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

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

Main areas of consultation:

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

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

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Nuno Tavares Lopes

Family medicine18 years of experience

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

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

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

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Duarte Meneses

Family medicine5 years of experience

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

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

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

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Ngozi Precious Okwuosa

General medicine6 years of experience

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

Key areas of consultation:

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

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

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

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

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

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

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

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

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Sergio Correa

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

His areas of focus include:

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

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

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Anastasiia Shalko

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Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Roman Raevskii

General medicine7 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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Svetlana Kovalenko

Family medicine15 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Doctor

Tomasz Grzelewski

Dermatology21 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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