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KLOTREKS

KLOTREKS

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Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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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 KLOTREKS

INSTRUCTIONS for medical use of the medicinal product LIOGEL 1000

Composition

The active substance: 1 g of gel contains sodium heparin in terms of 100% substance 1000 IU; excipients: ethanol 96%, methylparaben (methylhydroxybenzoate) (E 218), carbomers, tromethamine, lavender oil, neroli oil, purified water.

Pharmaceutical form

Gel for external use.

Main physical and chemical properties

Transparent or almost transparent, colorless or with a slightly yellowish tint gel with a specific odor. It should be homogeneous in appearance.

Pharmacotherapeutic group

Agents used for varicose vein enlargement.

ATC code C05V A03.

Pharmacological properties

Pharmacodynamics

LioGel 1000, when applied to the skin, has anti-edematous, anti-exudative, anti-inflammatory, and anticoagulant effects.

Pharmacokinetics

Heparin is detected in plasma within 24 hours after application of the preparation, with the peak concentration of heparin reached after 8 hours. Excretion occurs mainly through the kidneys. The preparation applied to the skin does not affect blood coagulation parameters.

Clinical characteristics

Indications

Treatment of superficial vein diseases, such as varicose vein enlargement and related complications, phlebothrombosis, thrombophlebitis, superficial periphlebitis. Postoperative varicose phlebitis, complications after surgical removal of the subcutaneous vein of the leg. Injuries and hematomas, infiltrates, and localized edema, subcutaneous hematomas. Injuries and stretching of muscle-tendon and capsular-ligamentous structures.

Contraindications

Increased sensitivity to heparin or other components of the preparation, trophic ulcers of the legs that bleed, open and/or infected wounds, hemorrhagic diathesis, purpura, thrombocytopenia, hemophilia. Tendency to bleeding.

Interaction with other medicinal products and other types of interactions

The use of heparin can contribute to the prolongation of prothrombin time in patients taking oral anticoagulants. The preparation should not be used together with topical preparations, such as those containing tetracycline, hydrocortisone, salicylic acid, or anticoagulants.

Special instructions

As an excipient, the medicinal product contains methylhydroxybenzoate, so it should not be used in patients with an allergy to parabens. If the patient has hemorrhagic symptoms, the possibility of using the LioGel 1000 preparation should be carefully weighed. The preparation should not be prescribed for bleeding, applied to open wounds, infected skin areas with purulent processes, mucous membranes, eyes, and areas around the eyes, or to ulcers and blisters. In case of blood coagulation disorders, the gel is not recommended to be applied to large areas of skin. In the treatment of phlebitis, this medicinal product should not be rubbed into the skin.

Use during pregnancy or breastfeeding

Data on the use of the preparation during pregnancy or breastfeeding are not available.

Ability to affect the speed of reaction when driving vehicles or operating machinery

The preparation does not affect the ability to drive vehicles or operate machinery.

Method of administration and dosage

Adults should use the preparation 1-3 times a day. Apply 3-10 cm of gel to the affected skin area and gently rub in. The duration of treatment is determined by the doctor individually, taking into account the severity of the disease.

Children

Due to limited experience with the use of the preparation, it should not be prescribed to children.

Overdose

Overdose symptoms have not been described to date. Due to the low systemic absorption, the risk of overdose of the preparation for local use is absent. In the event of accidental oral administration of the gel (e.g., by a child), nausea or vomiting may occur. In this case, the stomach should be rinsed, and if necessary, symptomatic therapy should be prescribed. The action of heparin can be neutralized with protamine sulfate.

Adverse reactions

In individual cases, hypersensitivity reactions may occur, such as redness, itching, and swelling of the skin, burning sensation, skin rash, urticaria, angioedema, hemorrhages, and sometimes the formation of small pustules, blisters, or bubbles that quickly resolve after discontinuation of the preparation. When applied to large areas of skin, systemic side effects are possible.

Shelf life

3 years.

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

Storage conditions

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

Store in a place inaccessible to children.

Packaging

30 g, 50 g, or 100 g in a tube; 1 tube in a pack.

Release category

Over-the-counter.

Manufacturer

PRJSC "FITOFARM".

Location of the manufacturer and its address

Ukraine, 84500, Donetsk region, Bakhmut, Sibirceva street, 2.

Applicant

PRJSC "FITOFARM".

Location of the applicant and/or representative of the applicant

Ukraine, 02092, Kyiv, Almatinskaya street, 12.

Alternatives to KLOTREKS in other countries

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

Alternative to KLOTREKS in Польща

Dosage form: Крем, 10 мг/г
Prescription not required

Alternative to KLOTREKS in Іспанія

Dosage form: КРЕМ, 20 мг/г + 10 мг/г
Active substance: miconazole, combinations
Prescription required
Dosage form: РОЗЧИН ДЛЯ ЗОВНІШНЬОГО ЗАСТОСУВАННЯ, 10 мг/мл
Active substance: flutrimazole
Manufacturer: Laboratorios Ern S.A.
Prescription required
Dosage form: ТВЕРДА ФОРМА ДЛЯ МІСЦЕВОГО ЗАСТОСУВАННЯ, 1 г флутримазолу/100 г порошку
Active substance: flutrimazole
Manufacturer: Laboratorios Ern S.A.
Prescription required
Dosage form: ГЕЛЬ, 1 г флутримазолу/100 мл
Active substance: flutrimazole
Manufacturer: Laboratorios Ern S.A.
Prescription required
Dosage form: КРЕМ, 1 г флутримазолу/100 г крему
Active substance: flutrimazole
Manufacturer: Laboratorios Ern S.A.
Prescription required

Online doctors for KLOTREKS

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

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Farouk Laafif

Psychiatry4 years of experience

Dr. Farouk Laafif is a psychiatrist providing online consultations for adults and adolescents facing emotional or mental health challenges. His clinical approach integrates psychopharmacology with psychotherapy, with a strong focus on the connection between mental and physical well-being.

He offers compassionate, evidence-based support for individuals dealing with:

  • depression and anxiety disorders
  • bipolar affective disorder
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  • psychosomatic symptoms and chronic stress
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Dr. Laafif combines scientific expertise with human empathy, helping patients restore emotional balance, improve daily functioning, and regain confidence in their recovery journey.
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Doctor

Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
CameraBook a video appointment
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January 408:00
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Roman Raevskii

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Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
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  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • 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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Svetlana Kovalenko

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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
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  • 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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Katia Benko

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Dr Katia Benko is a paediatrician with over 9 years of clinical experience and international training. She completed her medical education and residency in Argentina and is fully licensed to practise in Spain. Her work spans newborns, children and adolescents, with a focus on whole-person care that integrates physical, emotional and developmental health.

Areas of expertise:

  • online consultations for newborns, children and teens
  • evaluation and treatment of acute symptoms: fever, cough, infections, bronchiolitis, earache, etc.
  • long-term care for chronic paediatric conditions
  • preventive care at every stage of growth and development
  • child wellness visits and routine health check-ups
  • vaccination guidance according to standard and special schedules
  • assessment of neurodevelopment in infants and toddlers
  • feeding concerns: picky eating, food refusal, healthy habits, eating disorders
  • parental support in everyday health, emotional wellbeing and prevention
  • guidance for teenagers on healthy habits, self-care and risk prevention
Dr Benko sees paediatrics as a space for partnership with families – not only to treat illness, but to guide each child’s health journey with clarity, empathy and trust. Her goal is for every family to feel supported in making confident, informed decisions for their child’s wellbeing.
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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
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  • liver conditions, including alcohol-related disease
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  • 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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  • 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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  • Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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