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INSVADA

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Doctor

Dmytro Horobets

Family medicine7 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.

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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 INSVADA

INSTRUCTIONS for medical use of the medicinal product EVKAFILIPTE®(EUCAPHYLIPT)

Composition

The active substance: tincture (1:10) of eucalyptus leaves (Eucalypti folium) (extractant - ethanol 96%); 1 ml of the preparation contains 1 ml of tincture (1:10) of eucalyptus leaves (Eucalypti folium) (extractant - ethanol 96%) in terms of cineole - at least 0.2 mg;

excipient: zinc chloride.

Pharmaceutical form

Tincture.

Main physical and chemical properties

liquid from green to dark green color. During storage, sedimentation is allowed.

Pharmacotherapeutic group

Means used in throat diseases. Antiseptics. ATC code R02A A20.

Pharmacological properties

The tincture contains in its composition tanning substances, ellagic acid, flavonoids, resins, wax, essential oil, which includes various terpene compounds, especially active against gram-positive, gram-negative microorganisms, which have a detrimental effect on fungi and protozoa. Eucalyptus suppresses the growth of golden staphylococcus, Escherichia, tuberculosis mycobacteria, trichomonads, dysentery amoeba. The main component of essential oil is monocyclic terpene cineole. The tincture has an antiseptic, anti-inflammatory and disinfectant effect, which is due to the oxidizing effect of monocyclic terpene cineole and anti-inflammatory influence, associated with almost all physiologically active substances that are part of its composition. The medicinal product also has a moderate sedative (calming) effect.

The preparation exhibits antibacterial activity against staphylococci.

Clinical characteristics

Indications

Inflammatory diseases of the upper respiratory tract, nasopharynx and oral cavity (tracheitis, laryngitis, pharyngitis, gingivitis, stomatitis), skin lesions (including infected wounds), as well as mild forms of neurotic disorders (irritability, emotional lability, sleep disturbances).

Contraindications

Bronchial asthma, bronchospasm. Inflammatory diseases of the gastrointestinal tract and bile ducts. Liver diseases of severe course. Increased individual sensitivity to the medicinal product.

Interaction with other medicinal products and other types of interactions

Not established.

Special instructions

The medicinal product contains ethyl alcohol in an amount of not less than 88.0% (v/v).

Use during pregnancy or breastfeeding

Since the tincture contains ethyl alcohol, it is not recommended to be used internally by women during pregnancy or breastfeeding.

Ability to affect the reaction rate when driving vehicles or other mechanisms

When taking the tincture internally, one should refrain from driving vehicles and working with potentially hazardous mechanisms.

Method of application and doses

The tincture is taken internally, as well as used for rinsing and steam inhalations.

Before use, shake well.

Adults are recommended to take internally, previously dissolving 15-30 drops of the tincture (1 teaspoon) in ¼ cup of boiling water, 3-4 times a day after meals. Children over 12 years old - at the rate of 1 drop per 1 year of life, 3-4 times a day after meals.

For rinsing, dilute 10-15 drops of the tincture in 200 ml of warm boiled water.

Steam inhalations are carried out using inhalers of any type, using the tincture in an undiluted state or after preliminary dilution with water (as for rinsing).

The duration of the medicinal product application depends on the achieved therapeutic effect, which is determined by the doctor.

Children

Since the tincture contains ethyl alcohol, it is not recommended to be prescribed internally to children under 12 years old.

Overdose

Not established.

Adverse reactions

Nausea, vomiting, and diarrhea. With increased sensitivity to the medicinal product, allergic reactions (hives, redness, and skin rash, itching, Quincke's edema) may occur, sometimes - contact dermatitis (in the lip area). In case of pronounced reactions, the use of the preparation should be stopped.

Shelf life

2 years.

Storage conditions

Store in a place inaccessible to children.

Store in the original packaging at a temperature not exceeding 25 °C.

During storage, sedimentation is allowed.

Do not use after the expiration date.

Packaging

100 ml in bottles No. 1 in a pack.

100 ml in jars No. 1 in a pack.

Release category

Without a prescription.

Manufacturer

PRAT "Khimfarmzavod "Chervona Zirka".

Location of the manufacturer and its address

Ukraine, 61010, Kharkiv region, city of Kharkiv, Gorodienkovskaya street, building 1.

Alternatives to INSVADA in other countries

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

Alternative to INSVADA in Spain

Dosage form: TABLET, 2 mg
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Prescription required
Dosage form: TABLET, 1 mg
Active substance: repaglinide
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Dosage form: TABLET, 0.5 mg
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Manufacturer: Teva B.V.
Prescription required
Dosage form: TABLET, 2 mg
Active substance: repaglinide
Prescription required
Dosage form: TABLET, 1 mg
Active substance: repaglinide
Prescription required
Dosage form: TABLET, 0.5 mg
Active substance: repaglinide
Prescription required

Online doctors for INSVADA

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

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Doctor

Iryna Reznychenko

Gynecology26 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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Doctor

Dmytro Horobets

Family medicine7 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.

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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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Marianna Neshta

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Marianna Neshta is a medical doctor specialising in endocrinology and ultrasound diagnostics. She provides online consultations for adults, focusing on the diagnosis, treatment, and long-term management of endocrine disorders. Her approach includes personalised care plans, analysis of lab results and ultrasound scans, and evidence-based treatment.

Key areas of expertise:

  • Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
  • Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
  • Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
  • Male hypogonadism – age-related or hormonal, including diagnostics and therapy
  • Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
  • Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism
Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.
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Mar Tabeshadze

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Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • 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
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
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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Anna Biriukova

General medicine6 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.
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