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XERAVA 100 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

XERAVA 100 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

Ask a doctor about a prescription for XERAVA 100 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

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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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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 XERAVA 100 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

Introduction

Package Leaflet: Information for the Patient

Xerava 100 mg powder for concentrate for solution for infusion

eravacycline

Read all of this leaflet carefully before you start receiving 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 nurse.
  • If you experience any side effects, talk to your doctor or nurse, even if they are not listed in this leaflet. See section 4.

Contents of the pack

  1. What is Xerava and what is it used for
  2. What you need to know before you receive Xerava
  3. How Xerava will be administered
  4. Possible side effects
  5. Storage of Xerava
  6. Contents of the pack and other information

1. What is Xerava and what is it used for

What is Xerava

Xerava is an antibiotic that contains the active substance eravacycline. It belongs to a group of antibiotics called "tetracyclines" that work by stopping the growth of certain infectious bacteria.

What Xerava is used for

Xerava is used to treat adults who have a complicated infection in the abdomen.

2. What you need to know before you receive Xerava

You must not receive Xerava

  • if you are allergic to eravacycline or any of the other ingredients of this medicine (listed in section 6).
  • if you are allergic to any antibiotic of the tetracycline group (e.g. minocycline and doxycycline), as you may also be allergic to eravacycline.

Warnings and precautions

Talk to your doctor or nurse before you start receiving Xerava if you are concerned about any of the following:

Anaphylactic reactions

Anaphylactic reactions (allergic reactions) have been reported with other antibiotics of the tetracycline group. These reactions can occur suddenly and can be life-threatening. Seek urgent medical attentionif you suspect you are having an anaphylactic reaction during treatment with Xerava. The symptoms to watch out for are skin rash, swelling of the face, feeling dizzy or faint, chest tightness, difficulty breathing, rapid heartbeat, or loss of consciousness (see also section 4).

Diarrhea

Talk to your doctor or nurse if you have diarrhea before receiving Xerava. If you get diarrhea during or after treatment, tell your doctor immediately. Do not take any medicine to treat diarrhea without talking to your doctor first (see also section 4).

Infusion site reactions

Xerava is given by infusion (drip) directly into a vein. Tell your doctor or nurseif you notice any of the following effects at the infusion site during or after treatment: skin redness, skin rash, inflammation, and pain or tenderness.

New infection

Although Xerava fights certain bacteria, other bacteria and fungi can still grow. This is called "overgrowth" or "superinfection". Your doctor will monitor you closely for any new infection or will stop treatment with Xerava and give you another treatment if necessary.

Pancreatitis

Severe abdominal and back pain with fever may be a sign of pancreas inflammation. Tell your doctor or nurse if you notice any of these side effects during treatment with Xerava.

Liver problems

Tell your doctor if you have liver problems or are overweight, especially if you are also taking itraconazole (a medicine used to treat fungal infections), ritonavir (a medicine used to treat viral infections), or clarithromycin (an antibiotic), as your doctor will monitor you for possible side effects.

Children and adolescents

This medicine must not be used in children and adolescents under 18 years of age, as it has not been studied sufficiently in these populations. Xerava must not be used in children under 8 years of age, as it may affect teeth permanently with a change in color.

Other medicines and Xerava

Tell your doctor or nurse if you are taking, have recently taken, or might take any other medicines, such as rifampicin and clarithromycin (antibiotics), phenobarbital, carbamazepine, and phenytoin (used to treat epilepsy), St. John's Wort (a herbal medicine used to treat depression and anxiety), itraconazole (a medicine used to treat fungal infections), ritonavir, atazanavir, lopinavir, and saquinavir (medicines used to treat viral infections), and cyclosporin (a medicine used to suppress the immune system).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before receiving this medicine. Xerava is not recommended during pregnancy, as it may:

  • permanently stain the fetus's teeth;
  • delay the natural formation of the fetus's bones.

It is not known if Xerava passes into breast milk. Long-term use of other similar antibiotics by breastfeeding mothers may permanently stain the child's teeth. Ask your doctor for advice before breastfeeding your child.

Driving and using machines

Xerava may affect your ability to drive or use machines. Do not drive or use machines if you feel dizzy, drowsy, or unsteady after receiving this medicine.

3. How Xerava will be administered

Your doctor or nurse will administer Xerava to you.

The recommended dose for adults depends on body weight and is 1 mg/kg every 12 hours. Your doctor may increase the dose (1.5 mg/kg every 12 hours) if you are taking other medicines such as rifampicin, phenobarbital, carbamazepine, phenytoin, or St. John's Wort.

It will be administered by infusion directly into a vein (intravenously) over approximately 1 hour.

A treatment cycle usually lasts from 4 to 14 days. Your doctor will decide how long you should receive treatment.

If you receive more Xerava than you should

A doctor or nurse will administer Xerava to you in a hospital. Therefore, it is unlikely that you will receive too much. Tell your doctor or nurse immediately if you are concerned that you may have received too much Xerava.

If you miss a dose of Xerava

A doctor or nurse will administer Xerava to you in a hospital. Therefore, it is unlikely that you will miss a dose. Tell your doctor or nurse immediately if you are concerned that you may have missed a dose.

4. Possible side effects

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

Seek urgent medical attentionif you suspect you are having an anaphylactic reaction or experience any of the following symptoms during treatment with Xerava:

  • skin rash
  • swelling of the face
  • feeling dizzy or faint
  • chest tightness
  • difficulty breathing
  • rapid heartbeat
  • loss of consciousness

Tell your doctor or nurse immediatelyif you experience diarrhea during or after treatment. Do not take any medicine to treat diarrhea without talking to your doctor first.

Other side effects may be:

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

  • nausea
  • vomiting
  • inflammation and pain caused by blood clots at the injection site (thrombophlebitis)
  • inflammation of a vein that causes pain and swelling (phlebitis)
  • redness or swelling at the injection site
  • low levels of fibrinogen in the blood (a protein involved in blood clotting)
  • blood test results that indicate a decrease in blood clotting ability

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

  • diarrhea
  • allergic reaction
  • inflammation of the pancreas, which causes severe abdominal or back pain (pancreatitis)
  • skin rash
  • dizziness
  • headache
  • increased sweating
  • abnormal liver test results in blood tests

Tell your doctor or nurse if you experience any of these side effects.

Other tetracycline antibiotics

Other side effects have been reported with other tetracyclines, such as minocycline and doxycycline. These include sensitivity to light, headache, vision problems, or abnormal blood test results. Tell your doctor or nurse if you notice any of these side effects during treatment with Xerava.

Reporting of side effects

If you experience any side effects, talk to your doctor or nurse, even if they are not listed in this leaflet. You can also report side effects directly through 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. Storage of Xerava

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 label of the vial after "EXP" and on the carton after "CAD". The expiry date is the last day of the month shown.

Store in a refrigerator (2°C - 8°C). Keep the vial in the outer carton to protect it from light.

Once the powder has been reconstituted and diluted and is ready for use, it must be administered immediately. Otherwise, it can be stored at room temperature and used within 12 hours.

Xerava reconstituted must be a clear solution with a color between light yellow and orange. The solution must not be used if it appears to contain solid particles or is cloudy.

6. Container Content and Additional Information

Xerava Composition

The active ingredient is eravacycline. Each vial contains 100 mg of eravacycline.

The other components are mannitol (E421), hydrochloric acid (for pH adjustment), and sodium hydroxide (for pH adjustment).

Product Appearance and Container Content

Xerava is a compacted powder with a color ranging from light yellow to dark yellow in a 10 ml glass vial. The powder for concentrate for solution for infusion (powder for concentrate) will be reconstituted in the vial with 5 ml of water or with 5 ml of a 9 mg/ml (0.9%) sodium chloride solution for injectable preparations. The reconstituted solution will be extracted from the vial and added to an infusion bag of injectable solution of 9 mg/ml (0.9%) sodium chloride in the hospital.

Xerava is available in containers that contain 1 vial, 10 vials, or in multiple containers that contain 12 boxes, each with 1 vial.

Only some package sizes may be marketed.

Marketing Authorization Holder

PAION Pharma GmbH

Heussstraße 25

52078 Aachen

Germany

Manufacturer

PAION Pharma GmbH

Heussstraße 25

52078 Aachen

Germany

PAION Deutschland GmbH

Heussstraße 25

52078 Aachen

Germany

You can request more information about this medicinal product by contacting the local representative of the marketing authorization holder:

België/Belgique/Belgien

Viatris

Tel: + 32 (0)2 658 61 00

Lietuva

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Text in Bulgarian and German with contact information of PAION Deutschland GmbH and phone number

Luxembourg/Luxemburg

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Ceská republika

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Magyarország

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Danmark

PAION Deutschland GmbH

Tlf: + 49 800 4453 4453

Malta

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Deutschland

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Nederland

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Eesti

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Norge

PAION Deutschland GmbH

Tlf: + 49 800 4453 4453

Ελλάδα

Viatris Hellas Ltd

Τηλ: +30 210 0100002

Österreich

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

España

Viatris Pharmaceuticals, S.L.

Tel: + 34 900 102 712

Polska

Viatris Healthcare Sp. z o.o.

Tel: + 48 22 546 64 00

France

Viatris Santé

Tél: +33 4 37 25 75 00

Portugal

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Hrvatska

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

România

BGP Products SRL

Tel: +40 372 579 000

Ireland

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Slovenija

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Ísland

PAION Deutschland GmbH

Sími: + 49 800 4453 4453

Slovenská republika

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Italia

Viatris Italia S.r.l.

Tel: + 39 02 612 46921

Suomi/Finland

PAION Deutschland GmbH

Puh/Tel: + 49 800 4453 4453

Κύπρος

PAION Deutschland GmbH

Τηλ: + 49 800 4453 4453

Sverige

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Latvija

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

United Kingdom (Northern Ireland)

PAION Deutschland GmbH

Tel: + 49 800 4453 4453

Date of Last Revision of this Prospectus:

Detailed information on this medicinal product is available on the European Medicines Agency website: http://www.ema.europa.eu.

--------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Important: Before prescribing this medicinal product, consult the Summary of Product Characteristics or Package Leaflet.

Xerava must be reconstituted with water for injectable preparations or with a 9 mg/ml (0.9%) sodium chloride solution for injectable preparations and then diluted with a 9 mg/ml (0.9%) sodium chloride injectable solution.

Xerava must not be mixed with other medicinal products. If the same intravenous line is used for the sequential infusion of different medicinal products, the line must be flushed before and after infusion with a 9 mg/ml (0.9%) sodium chloride injectable solution.

The dose must be calculated based on the patient's weight: 1 mg/kg body weight.

Reconstitution Instructions

Aseptic technique must be used to prepare the infusion solution. Each vial must be reconstituted with 5 ml of water for injectable preparations or with 5 ml of a 9 mg/ml (0.9%) sodium chloride solution for injectable preparations and gently rotated until the powder is completely dissolved. Avoid agitation or rapid movement, as this may cause foam formation.

Reconstituted Xerava must be a clear solution with a color ranging from light yellow to orange. The solution must not be used if it contains solid particles or is turbid.

Preparation of the Infusion Solution

For administration, the reconstituted solution must be further diluted with a 9 mg/ml (0.9%) sodium chloride injectable solution. The calculated volume of the reconstituted solution must be added to the infusion bag to achieve a target concentration of 0.3 mg/ml, within a range of 0.2 to 0.6 mg/ml. Table 1 provides examples of calculations.

Gently invert the bag to mix the solution.

Table 1: Examples of Calculations for Weights between 40 kg and 200 kg1

Patient Weight

(kg)

Total Dose (mg)

Number of Vials to Reconstitute

Total Volume to Dilute (ml)

Recommended Infusion Bag Size

40

40

1

2

100 ml

60

60

1

3

250 ml

80

80

1

4

250 ml

100

100

1

5

250 ml

150

150

2

7.5

500 ml

200

200

2

10

500 ml

1 The exact dose must be calculated based on the patient's specific weight.

For patients who weigh between ≥ 40 kg and 49 kg:

Calculate the required volume of reconstituted solution based on the patient's weight and inject it into a 100 ml infusion bag.

For patients who weigh between 50 kg and 100 kg:

Calculate the required volume of reconstituted solution based on the patient's weight and inject it into a 250 ml infusion bag.

For patients who weigh > 100 kg:

Calculate the required volume of reconstituted solution based on the patient's weight and inject it into a 500 ml infusion bag.

Infusion

The infusion solution must be visually inspected for the presence of solid particles before administration.

Reconstituted and diluted solutions that contain visible solid particles or appear turbid must be discarded.

After dilution, Xerava is administered intravenously over approximately 1 hour. The recommended dosage regimen for Xerava is 1 mg/kg every 12 hours for 4 to 14 days.

The reconstituted and diluted solution must be administered only by intravenous infusion. It must not be administered as an intravenous bolus.

For single use; unused solution must be discarded.

Online doctors for XERAVA 100 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for XERAVA 100 mg POWDER FOR CONCENTRATE FOR INFUSION SOLUTION – subject to medical assessment and local rules.

5.0(2)
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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Key areas of consultation:

  • Preventive and family medicine
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  • Mental health support, anxiety, and counselling
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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 Policlinico San Matteo Hospital Pavia in Italy, Mount Sinai Hospital in New York, 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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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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Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
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  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
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  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
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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.

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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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Doctor

Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
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Doctor

Anastasiia Shalko

Family medicine13 years of experience

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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€50
January 708:00
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