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Thiogamma 600 mg comprimidos recubiertos con película

Prescription review online

Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
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 THIOGAMMA ORAL 600 mg FILM-COATED TABLETS

Contents of the leaflet

  1. Introduction
  2. What is Thiogamma Oral and what is it used for
  3. What you need to know before taking Thiogamma Oral
  4. How to take Thiogamma Oral
  5. Possible side effects
  6. Storage of Thiogamma Oral
  7. Contents of the pack and further information

Introduction

Package Leaflet: Information for the Patient

Thiogamma Oral 600 mg Film-Coated Tablets

Thioctic Acid

Read this package leaflet carefully before you start taking this medicine, because it contains important information for you.

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

  • Keep this package leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed to you, 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 not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Thiogamma Oral and what is it used for
  2. What you need to know before taking Thiogamma Oral
  3. How to take Thiogamma Oral
  4. Possible side effects
  5. Storage of Thiogamma Oral
  6. Contents of the pack and further information

1. What is Thiogamma Oral and what is it used for

Thiogamma Oral contains the active substance thioctic acid. Thioctic acid is produced naturally in the human body and protects against the degradation of nerve cells.

Thiogamma Oral is used in the symptomatic treatment of pain and other sensory disturbances in adults with mild to moderate diabetic polyneuropathy, which is nerve damage caused by diabetes. Other sensory disturbances are often described as a lack of sensitivity in the legs and/or arms.

This medicine is usually used as part of a complex treatment for controlling the underlying disease, diabetes, which includes diet and exercise and/or other therapies to provide sufficient blood sugar control and pain management.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Thiogamma Oral

Do not takeThiogamma Oral

  • if you are allergic to thioctic acid or any of the other ingredients of this medicine (listed in section 6).
  • if you are taking cisplatin (a medicine for cancer treatment).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Thiogamma Oral.

Patient with a certain human leukocyte antigen genotype (which is more frequent in Japanese and Korean patients but also found in Caucasians) are more prone to developing autoimmune insulin syndrome (a disorder of glucose-regulating hormones with a pronounced decrease in blood sugar levels) when treated with thioctic acid.

If you have liver problems, your doctor will consider whether to prescribe this medicine or not.

Children and adolescents

The use of this medicine in children and adolescents under 18 years of age is not recommended, as its efficacy and safety have not yet been established.

Other medicines and Thiogamma Oral

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

The effect of cisplatin (a medicine for cancer treatment) may be reduced if used in combination with this medicine.

If you use medicines containing iron or magnesium or if you use dairy products containing calcium, do not take them at the same time as Thiogamma Oral, as it may reduce the effect of this medicine. If you take Thiogamma Oral half an hour before breakfast, you can take the iron and magnesium medicines (or dairy products) at lunchtime or in the evening.

When using insulin or other diabetes medicines and your doctor also prescribes Thiogamma Oral, you should frequently monitor your blood sugar levels. Your doctor may decide to reduce the dose of insulin and/or other diabetes medicines.

Taking Thiogamma Oral with food, drinks, and alcohol

Regular alcohol consumption is an important risk factor for the development and progression of neuropathic diseases and therefore also impairs the success of treatment with this medicine; alcohol consumption may also reduce the effect of this medicine. For this reason, patients with diabetic polyneuropathy are generally advised to avoid alcohol consumption as much as possible. This also applies to therapy-free intervals.

This medicine should not be taken with dairy products (see "Other medicines and Thiogamma Oral").

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.

You should not use Thiogamma Oral during pregnancy unless your doctor considers it essential for treatment.

Your doctor will also advise you whether to breastfeed, taking into account the benefit of breastfeeding for your child and the benefits of your treatment with this medicine.

Driving and using machines

The influence of Thiogamma Oral on the ability to drive and use machines is negligible.

This medicine contains lactose and sodium.

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

This medicine contains less than 1 mmol of sodium (23 mg) per tablet, which is essentially "sodium-free".

3. How to take Thiogamma Oral

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

The recommended dose is 1 film-coated tablet (corresponding to 600 mg of thioctic acid) per day, approximately 30 minutes before the first meal.

If you experience severe symptoms, consult your doctor, who will decide on adequate therapeutic alternatives.

Method of administration

Thiogamma Oral is administered orally.

The tablets should be swallowed whole (not chewed) with plenty of water, on an empty stomach. Take this medicine half an hour before breakfast. Do not take this medicine with food, as it may reduce its effect.

The score line is only for breaking the tablet if you have difficulty swallowing it whole, but not for dividing it into equal doses.

Duration of treatment

Since diabetic polyneuropathy is a chronic disease, it may require prolonged treatment with this medicine.

Your doctor will decide on your treatment individually.

If you take more Thiogamma Oral than you should

In case of overdose, nausea, vomiting, and headache may occur.

In isolated cases, severe symptoms of poisoning, partly fatal (e.g., generalized seizures, acid-base balance disorders with lactic acidosis, severe coagulation disorders), have occurred after taking more than 10 g of thioctic acid, particularly when combined with alcohol.

If a significant overdose with Thiogamma Oral is suspected (e.g., more than 10 tablets of 600 mg in adults and more than 50 mg/kg body weight in children), immediate hospitalization and initiation of standard measures for the treatment of poisoning are required.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to take Thiogamma Oral

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

If you stop taking Thiogamma Oral

Before stopping treatment, consult your doctor, otherwise, your symptoms may worsen.

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

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

Very rare (may affect up to 1 in 10,000 people):

  • Gastrointestinal disorders such as nausea, vomiting, stomach pain, intestinal pain, and diarrhea
  • Taste disturbances
  • Allergic reactions such as skin rash, urticaria, itching
  • The use of this medicine may cause a decrease in blood sugar levels, whose symptoms are dizziness, sweating, headache, and visual disturbances.

Frequency not known: cannot be estimated from the available data:

  • Various allergic reactions that affect the whole body. It can cause:
  • difficulty breathing
  • collapse and loss of consciousness
  • swelling of the lips, face, or throat (angioedema)
  • Disorder of glucose-regulating hormones with a pronounced decrease in blood sugar levels (autoimmune insulin syndrome).
  • Liver damage

Do not take this medicine again if you experience any of the above side effects. Inform your doctor so that he or she can decide on the severity of the condition and whether additional measures are required.

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, www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Thiogamma Oral

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

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

Do not store above 25°C.

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

6. Contents of the pack and further information

Composition of Thiogamma Oral

  • The active substance is thioctic acid.

Each film-coated tablet contains 600 mg of thioctic acid.

  • The other ingredients are:
  • Core of the tablet: hypromellose, colloidal anhydrous silica, microcrystalline cellulose, lactose monohydrate, sodium croscarmellose, talc, dimethicone, magnesium stearate.
  • Coating material: macrogol 6000, hypromellose, talc, sodium lauryl sulfate.

Appearance of the product and contents of the pack

Film-coated tablet, oblong, yellow, with a score line on both sides.

The score line is only for breaking the tablet if you have difficulty swallowing it whole, but not for dividing it into equal doses.

Thiogamma Oral is available in packs of 30, 60, and 100 film-coated tablets.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Wörwag Pharma GmbH & Co. KG

Flugfeld-Allee 24

71034 Böblingen

Germany

Manufacturer

DRAGENOPHARM APOTHEKER PÜSCHL GMBH

Göllstraße 1

84529 Tittmoning, Germany

Or

Wörwag Pharma GmbH & Co. KG

Flugfeld-Allee 24

71034 Böblingen

Germany

Or

Wörwag Pharma Operations Sp. z o.o.

Ul. Gen. Mariana Langiewicza 58

95-050 Konstantynów Łódzki

Poland

This medicine is authorized in the Member States of the European Economic Area under the following names:

Germany Thioctsäure Wörwag Pharma 600 mg Filmtabletten

Austria Thiogamma 600 mg Filmtabletten

Italy Thiogamma

Spain Thiogamma Oral 600 mg film-coated tablets

Date of last revision of this package leaflet: June 2024

Other sources of information

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 THIOGAMMA ORAL 600 mg FILM-COATED TABLETS

Discuss questions about THIOGAMMA ORAL 600 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General 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.

Book a video appointment
€70
Doctor
0.0(0)

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.
Book a video appointment
€64

Frequently Asked Questions

THIOGAMMA ORAL 600 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in THIOGAMMA ORAL 600 mg FILM-COATED TABLETS is thioctic acid. This information helps identify medicines with the same composition but different brand names.

THIOGAMMA ORAL 600 mg FILM-COATED TABLETS is manufactured by Woerwag Pharma Gmbh & Co. Kg. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether THIOGAMMA ORAL 600 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, THIOGAMMA ORAL 600 mg FILM-COATED TABLETS is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request a review, you can use Oladoctor:

Other medicines with the same active substance (thioctic acid) include AMMONAPS 500 mg TABLETS, AMMONAPS 940 mg/g GRANULES, CERDELGA 84 mg HARD CAPSULES. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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