Background pattern
DIAREMIKS

DIAREMIKS

Ask a doctor about a prescription for DIAREMIKS

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 DIAREMIKS

INSTRUCTIONS FOR MEDICAL USE OF ROVATINEKSA MEDICINAL PRODUCT

Composition:

active substance: 1 capsule contains: α-pinene 24.8 mg, β-pinene 6.2 mg, camphene 15.0 mg, cineole 3.0 mg, phenchone 4.0 mg, borneol 10.0 mg, anethole 4.0 mg.

excipients: purified olive oil, enteric-coated, soft capsule: gelatin, glycerin (85%), sodium ethyl para-hydroxybenzoate (E215), sodium propyl para-hydroxybenzoate (E217), colorant "yellow west FCF" (E110), quinoline yellow (E104).

Pharmaceutical Form

Enteric-coated, soft capsules.

Main Physical and Chemical Properties

enteric-coated, soft yellow capsules, spherical in shape.

Pharmacotherapeutic Group

Other medicinal products for the treatment of urological diseases. ATC code G04B X.

Pharmacological Properties

Pharmacodynamics

Rovatineksa promotes the disintegration and removal of kidney stones and urinary tract stones. Borneol and terpenes are completely modified in the human body, after which they are excreted in the form of glucuronides by the kidneys. As a result, the solubility of calcium salts, which are the main components of kidney stones and urinary tract stones, increases. In experimental conditions, it was found that Rovatineksa also prevents the formation of stones.

The drug has a spasmolytic effect, stimulates the passage of stones through the urinary tract, reduces the intensity of pain during ureteral and renal colic, normalizes renal blood flow, which leads to an improvement in renal function and an increase in diuresis.

Rovatineksa has a pronounced anti-inflammatory and antimicrobial (against many gram-negative and gram-positive microorganisms) effect, increases the content of colloids and glucuronic acid in the urine.

Pharmacokinetics

Individual components of the drug are well absorbed and metabolized in the liver (glucuronidation reaction) and excreted in bile and urine.

Clinical Characteristics

Indications

Treatment of urolithiasis.

Contraindications

Hypersensitivity to the components of the drug.

Childhood age up to 6 years.

Interaction with Other Medicinal Products and Other Types of Interactions

Rovatineksa should be used with caution in patients taking oral anticoagulants.

When taking medications that are mainly metabolized in the liver and/or excreted through the liver, caution should be exercised.

Special Instructions

See the section "Interaction with Other Medicinal Products and Other Types of Interactions".

Rovatineksa is not recommended for patients with pronounced anuria, renal colic, and severe infections of the urinary tract.

During therapy with Rovatineksa, it is necessary to increase fluid intake.

The capsule contains sodium ethyl para-hydroxybenzoate (E215) and sodium propyl para-hydroxybenzoate (E217), colorant "yellow west FCF" (E110), which can cause allergic reactions (including delayed ones).

Use During Pregnancy or Breastfeeding

Information on the use of the medicinal product during pregnancy is absent. There is no evidence of a teratogenic effect when used in animals. Some components of the drug penetrate the placenta. During breastfeeding, to avoid unwanted effects on the infant, Rovatineksa should not be used.

The use of the drug during pregnancy is justified only when the expected benefit to the pregnant woman outweighs the risk to the fetus.

Ability to Affect Reaction Speed When Driving a Vehicle or Operating Other Mechanisms

Data on the effect on reaction speed when driving a vehicle or operating other mechanisms are absent.

Method of Administration and Dosage

The drug is administered before meals. Capsules should be taken whole, it is not recommended to chew or crush the capsules. Rovatineksa should be washed down with a sufficient amount of water, at least 100 ml.

Adults and adolescents over 14 years old

Recommended dose - 1 capsule 4-5 times a day, before meals.

Children from 6 to 14 years old

Recommended dose - 1 or 2 capsules 2 times a day, before meals.

The duration of therapy is determined by the doctor.

If you missed a dose, you should take it as soon as you remember. The next dose should be taken at the usual time (do not take two doses at the same time).

If you accidentally took a larger dose than recommended, you should inform your doctor about it.

Children

Children under 6 years old should not be given the drug. Children from 6 to 14 years old should be given the drug under the supervision of a doctor.

Overdose

Cases of overdose have not been detected.

If the medicinal product was used in a larger dose than recommended, and this happened recently, it is necessary to rinse the stomach. In this case, it is necessary to monitor the patient's vital functions and, if necessary, apply symptomatic treatment.

Possible irritation of the stomach, which can lead to an increase in side effects from the gastrointestinal tract, such as nausea, vomiting, or diarrhea.

Side Effects

Individually, side effects from the gastrointestinal tract may occur in the form of mild discomfort in the stomach, vomiting.

In rare cases, in persons with hypersensitivity to any component of the drug, allergic reactions are possible.

The capsule contains sodium ethyl para-hydroxybenzoate (E215) and sodium propyl para-hydroxybenzoate (E217), colorant "yellow west FCF" (E110), which can cause allergic reactions (including delayed ones).

Shelf Life

5 years.

Storage Conditions

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

Packaging

10 capsules in a PVC/PVDC aluminum blister pack. 5 blister packs in a cardboard box.

Release Category

By prescription.

Manufacturer

Rova Pharmaceuticals Ltd.

Manufacturer's Location and Address

Newtown, Bantry, Co. Cork, R75 V009, Ireland.

Alternatives to DIAREMIKS in other countries

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

Alternative to DIAREMIKS in Spain

Dosage form: TABLET, 2 mg Loperamide // Simethicone equivalent to 125 mg
Active substance: loperamide, combinations
Prescription not required
Dosage form: CAPSULE, 2 mg
Active substance: loperamide
Manufacturer: Teva Pharma S.L.U.
Prescription not required
Dosage form: TABLET, 2 mg
Active substance: loperamide
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 1 mg
Active substance: loperamide
Prescription not required
Dosage form: ORALLY DISINTEGRATING TABLET/LIOTAB, 2 mg
Active substance: loperamide
Prescription not required
Dosage form: CAPSULE, 2 mg
Active substance: loperamide
Prescription not required

Online doctors for DIAREMIKS

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

0.0(4)
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.

CameraBook a video appointment
€55
November 2110:00
November 2110:25
November 2110:50
November 2111:15
November 2111:40
More times
5.0(22)
Doctor

Sergio Correa

General medicine7 years of experience

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

His areas of focus include:

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

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

CameraBook a video appointment
€40
November 2113:00
November 2114:00
November 2115:00
November 2116:00
November 2117:00
More times
0.0(0)
Doctor

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.

CameraBook a video appointment
€60
November 2115:00
November 2115:30
November 2116:00
November 2116:30
November 2117:00
More times
0.0(0)
Doctor

Tetiana Fedoryshyn

General medicine29 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.
CameraBook a video appointment
€65
November 2118:00
November 2118:25
November 2118:50
November 2119:15
November 2119:40
More times
5.0(20)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

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.
CameraBook a video appointment
€60
November 2207:00
November 2207:50
November 2208:40
November 2209:30
November 2313:00
More times
0.0(1)
Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
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.
CameraBook a video appointment
€50
November 2207:00
November 2207:50
November 2208:40
November 2209:30
November 2210:20
More times
5.0(11)
Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

CameraBook a video appointment
€60
November 2209:00
November 2209:30
November 2909:00
November 2909:30
December 609:00
More times
0.0(0)
Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

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.

CameraBook a video appointment
€79
November 2211:00
November 2211:30
November 2212:00
November 2212:30
November 2213:00
More times
0.0(1)
Doctor

Khrystyna Habrykevych

Gastroenterology6 years of experience

Dr Khrystyna Habrykevych is a gastroenterologist providing online consultations for adults with digestive and abdominal health concerns. She helps patients understand the causes of their symptoms, interpret test results, and choose appropriate next steps – whether it’s further investigation, treatment, or lifestyle adjustments.

Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
  • concern about gut health or long-term digestive issues
  • changes in lab results, questions about test interpretation
  • digestive system cancer screening and prevention
  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
CameraBook a video appointment
€60
November 2306:00
November 3006:00
December 706:00
December 1406:00
More times
0.0(0)
Doctor

Muhammad Tayyab Altaf

General medicine2 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Italy, the United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity. He trained at leading institutions such as IRCCS Policlinico San Matteo in Pavia, Mount Sinai Hospital in New York, Baptist Hospital in Texas and a private practice in Dallas, working across outpatient care, inpatient medicine, intensive care, hospice and nursing home management.

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.

CameraBook a video appointment
€65
November 2309:30
November 2309:45
November 2310:00
November 2310:15
November 2310:30
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe