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DARSIL

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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 DARSIL

INSTRUCTIONS for medical use of the medicinal product CALENDULA OINTMENT (Unguentum Calendulae)

Composition

active substance: calendula tincture; 1 g of ointment contains 0.1 g of calendula tincture; excipients: white soft paraffin, purified water, emulsifier T-2.

Pharmaceutical form

Ointment.

Main physical and chemical properties

Ointment of yellowish color.

Pharmacotherapeutic group

Preparations that promote wound healing. ATC code D03A X.

Pharmacological properties

Pharmacodynamics

Calendula ointment contains flavonoids, carotenoids, saponins, tannins, organic acids, and other compounds. It has antiseptic, anti-inflammatory, and reparative properties.

Clinical characteristics

Indications

Burns, cuts, skin cracks, purulent wounds.

Contraindications

Increased individual sensitivity to the components of the preparation.

Interaction with other medicinal products and other types of interactions

Not established.

Special instructions

Should not be used by individuals prone to allergic reactions to calendula preparations. Avoid getting the ointment in the eyes. If the ointment accidentally gets into the eyes, they should be rinsed with water and medical attention should be sought immediately.

Use during pregnancy or breastfeeding

The safety and clinical efficacy of the preparation during pregnancy or breastfeeding have not been studied, so it is not recommended to prescribe it to this category of patients.

Ability to affect reaction speed when driving vehicles or operating other mechanisms

Does not affect.

Method of application and dosage

The ointment should be applied in a thin layer to the affected areas (can be used under an occlusive dressing). The duration of the treatment course is determined by the doctor individually and depends on the nature and severity of the pathological process or the achieved effect.

Children

The safety and efficacy of the ointment in children under 12 years of age have not been established, so the preparation can be used in this category of patients only after a careful assessment of the risk/benefit ratio (as prescribed by a doctor).

Overdose

Not detected. Possible enhancement of adverse reaction symptoms.

Adverse reactions

In case of increased individual sensitivity, allergic reactions may occur, including skin redness, rash, itching, angioedema.

Shelf life

2 years 6 months.

Storage conditions

Store in the original packaging at a temperature not exceeding 25 °C; freezing is not allowed. Store in a place inaccessible to children.

Packaging

40 g in containers, 20 g or 30 g in aluminum or laminated tubes.

1 tube in a pack or without a pack.

Release category

Without a prescription.

Manufacturer

Viola Pharmaceutical Factory, PrJSC.

Manufacturer's location and address of its business activity

69063, Ukraine, Zaporizhzhia, Akademika Amosova Street, 75.

Applicant

Viola Pharmaceutical Factory, PrJSC.

Applicant's location

69063, Ukraine, Zaporizhzhia, Akademika Amosova Street, 75.

Alternatives to DARSIL in other countries

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

Alternative to DARSIL in Польща

Dosage form: Таблетки, 70 мг силімарину, перерахованого на силібінін
Active substance: silymarin
Prescription not required
Dosage form: Таблетки, 150 мг
Active substance: silymarin
Marketing authorisation holder (MAH): Wörwag Pharma GmbH & Co. KG
Prescription not required
Dosage form: Капсули, 140 мг
Active substance: silymarin
Marketing authorisation holder (MAH): Viatris Healthcare Limited
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Dosage form: Таблетки, 150 мг
Active substance: silymarin
Marketing authorisation holder (MAH): Wörwag Pharma GmbH & Co. KG
Prescription not required
Dosage form: Капсули, 140 мг
Active substance: silymarin
Manufacturer: Biofarm Sp. z o.o.
Prescription not required
Dosage form: Капсули, 140 мг
Active substance: silymarin
Marketing authorisation holder (MAH): Viatris Healthcare Limited
Prescription not required

Alternative to DARSIL in Іспанія

Dosage form: КАПСУЛА, 100 мг Сухий екстракт розторопші плямистої (еквівалентно 80 мг силімарину)
Active substance: silymarin
Prescription required
Dosage form: КАПСУЛА, 150 мг силімарину
Active substance: silymarin
Prescription required
Dosage form: КАПСУЛА, 300 мг
Prescription not required
Dosage form: РОЗЧИН ДЛЯ ІНФУЗІЙ, ЩО ВВОДИТЬСЯ ІН'ЄКЦІЙНО, 350 мг силібініну сукцинату натрію
Prescription required
Dosage form: ТАБЛЕТКА, 4,6 мг сухого екстракту цинарії розтопиреної (Cynara scolimus) (1:30-31); 1,2 мг сухого екстракту кульбаби лікарської (Taraxacum officinalis) (1:17-18); 0,7 мг сухого екстракту пеумуса сміливого (Peumus boldus) (1:10-11); 3,2 мг сухого екстракту розторопші плямистої (Silibum marianum) (1:2-2.1)
Prescription not required
Dosage form: КАПСУЛА, 390 мг
Prescription not required

Online doctors for DARSIL

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

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Tetiana Fedoryshyn

General medicine30 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

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.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
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

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.
CameraBook a video appointment
€80
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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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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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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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You can consult Dr. Ben Harbi for:

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

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Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

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Patients commonly seek her help for:

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  • Metabolic syndrome, excess weight, high cholesterol.
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  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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  • Diagnostic consultations for suspected endocrine disorders
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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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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).
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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.
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  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
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  • 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:
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  • 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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