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CITRAMON EKSTRA

CITRAMON EKSTRA

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

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

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

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

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

Patients commonly seek his care for:

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

How to use CITRAMON EKSTRA

INSTRUCTIONS for medical use of the medicinal product KLIMAKTOPLAN (KLIMAKTOPLAN®)

Composition

active substances: 1 tablet contains: Cimicifuga D2 25 mg, Ignatia D3 25 mg, Sepia D2 25 mg, Sanguinaria D6 25 mg; auxiliary substances: lactose monohydrate, magnesium stearate, wheat starch.

Pharmaceutical form

Tablets.

Main physical and chemical properties

gray, biconvex tablets with a beveled edge, sometimes slightly speckled.

Pharmacotherapeutic group

Complex homeopathic preparation. Other preparations for the treatment of gynecological diseases. ATC code G02CX.

Pharmacological properties

Klimaktoplan contains four ingredients that determine the effect of the preparation. Cimicifuga affects the hypothalamus, eliminating or weakening hot flashes, nervous excitement, and depression. Sepia regulates the common functions of hormones of the adrenal cortex, sex organs, and pituitary gland. Sepia, like Ignatia, primarily acts on mental reactions, but it also affects flashes of heat, hot flashes, headaches, and a state of weakness. Sanguinaria is particularly effective in hot flashes accompanied by transient flushing and rapid heartbeat, as well as in migraine-type headaches.

Therefore, Klimaktoplan, due to the combination of specific ingredients, treats a complex of symptoms typical of the climacteric period. Thanks to its good tolerability, Klimaktoplan can be taken for a long time.

Clinical characteristics

Indications

Climacteric disorders: hot flashes, increased sweating, feeling of heartbeat, dizziness, itching, internal anxiety, sleep disturbances, depressive state, nervous excitability.

Contraindications

Increased sensitivity to the active substances or to any of the auxiliary substances of the medicinal product.

Interaction with other medicinal products and other types of interactions

Not known to date.

The use of a homeopathic medicinal product does not exclude the use of other medicinal products.

Patients should consult a doctor if they are taking or have recently taken any other medications, including medicinal products that can be purchased without a prescription.

Note. The action of homeopathic medicinal products may vary depending on general negative factors associated with harmful habits (stimulants: for example, coffee or tea, alcohol, smoking).

Special instructions

It is necessary to consult a doctor if the condition has not improved or worsened, or if additional complaints have appeared.

The medicinal product contains lactose, so patients with rare hereditary forms of galactose intolerance, lactase deficiency, or glucose-galactose malabsorption syndrome should not use it.

One of the auxiliary substances that make up the preparation is wheat starch. In connection with this, tablets should not be used by patients with increased sensitivity or intolerance to gluten.

Use during pregnancy or breastfeeding

Not used during pregnancy and breastfeeding.

Ability to affect the speed of reaction when driving vehicles or other mechanisms

Does not affect.

Method of administration and dosage

Take 1-2 tablets 3 times a day. The maximum daily dose is 6 tablets. Tablets should be taken 30 minutes before meals or 30 minutes after meals, slowly dissolving in the oral cavity. If necessary, tablets can be dissolved in a small amount of water. In case of improvement, the dosage should be reduced. Klimaktoplan should be used for at least 3 months. Treatment can be extended if necessary.

Children

Not used in children.

Overdose

Overdose has not been observed.

Adverse reactions

When using the preparation, hypersensitivity reactions are possible, menstrual and nasal bleeding may occur, or the frequency of menstrual bleeding may increase.

Note. When using homeopathic medicinal products, a temporary worsening of existing disease symptoms (primary worsening) is possible. In this case, the use of the preparation should be stopped and a doctor should be consulted.

In case of any adverse reactions, you should consult a doctor. This applies to all possible side effects, including those not described in this instruction.

Shelf life

5 years.

Do not use after the expiration date stated on the packaging.

Storage conditions

Store at a temperature not exceeding 25 ºC in a dry, inaccessible place for children.

Packaging

20 tablets in a blister pack; 3 or 5 blister packs in a cardboard box.

Release category

Without a prescription.

Manufacturer

Dr. Gustav Klein GmbH & Co. KG

Location of the manufacturer and address of the place of its activity

Steinenfeld 3, 77736 Zell am Harmersbach, Germany

Alternatives to CITRAMON EKSTRA in other countries

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

Alternative to CITRAMON EKSTRA in Spain

Dosage form: TABLET, 500 mg/200 mg
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 1000 mg/4 mg/10 mg
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 600 mg/10 mg
Prescription not required
Dosage form: TABLET, 500 mg / 200 mg
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 500 mg/200 mg
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 500 mg/10 mg/200 mg
Prescription not required

Alternative to CITRAMON EKSTRA in Poland

Dosage form: Granulate, 280 mg + 100 mg + 10 mg
Marketing authorisation holder (MAH): UPSA SAS
Prescription not required
Dosage form: Granulate, 280 mg + 100 mg + 10 mg
Marketing authorisation holder (MAH): UPSA SAS
Prescription not required
Dosage form: Tablets, 250 mg + 150 mg + 50 mg
Marketing authorisation holder (MAH): Bayer B.V.
Prescription not required
Dosage form: Granulate, 500 mg + 200 mg + 25 mg
Marketing authorisation holder (MAH): UPSA SAS
Prescription not required
Dosage form: Granulate, 500 mg + 200 mg + 25 mg
Marketing authorisation holder (MAH): UPSA SAS
Prescription not required
Dosage form: Granulate, 280 mg + 100 mg + 10 mg
Marketing authorisation holder (MAH): UPSA SAS
Prescription not required

Online doctors for CITRAMON EKSTRA

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

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Doctor

Svetlana Kovalenko

Family medicine14 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

Dermatology20 years of experience

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

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

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

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

Patients commonly seek his care for:

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

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Yevgen Yakovenko

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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.

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Andrei Popov

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He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
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  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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