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GASTRAL' M'ATNA SUSPENZIA

GASTRAL' M'ATNA SUSPENZIA

Ask a doctor about a prescription for GASTRAL' M'ATNA SUSPENZIA

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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 GASTRAL' M'ATNA SUSPENZIA

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 GASTRAL' M'ATNA SUSPENZIA in other countries

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Alternative to GASTRAL' M'ATNA SUSPENZIA in Poland

Dosage form: Suspension, 500 mg + 213 mg + 325 mg
Active substance: alginic acid
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Dosage form: Tablets, 250 mg + 106.5 mg + 187.5 mg
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Active substance: alginic acid
Manufacturer: RB NL Brands B.V.
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Dosage form: Suspension, (500 mg + 267 mg + 160 mg)/10 ml
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Importer: RB NL Brands B.V
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Alternative to GASTRAL' M'ATNA SUSPENZIA in Spain

Dosage form: NULL, 500 mg/213 mg/325 mg
Prescription not required
Dosage form: CHEWABLE TABLET, 250 mg/106.5 mg/187.5 mg
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 50+26.7+16 mg/ml+mg/ml+mg/ml
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 32.5 mg/ml + 50 mg/ml + 21.3 mg/ml
Prescription not required
Dosage form: CHEWABLE TABLET, 187.5 mg/250 mg/106.5 mg
Prescription not required
Dosage form: CHEWABLE TABLET, 250/133.5/80 mg/mg/mg
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Online doctors for GASTRAL' M'ATNA SUSPENZIA

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for GASTRAL' M'ATNA SUSPENZIA – subject to medical assessment and local rules.

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Roman Raevskii

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  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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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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Areas of medical expertise:

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  • 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.
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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 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.
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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:

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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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