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NEOTSAN-1000

Ask a doctor about a prescription for NEOTSAN-1000

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Doctor

Svetlana Kolomeeva

Cardiology18 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • 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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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 NEOTSAN-1000

INSTRUCTIONS for medical use of the medicinal product PHENCAROL®(PHENCAROL)

Composition

active substance: chlorpheniramine; 1 tablet contains chlorpheniramine hydrochloride 25 mg; excipients: potato starch, sucrose, calcium stearate.

Pharmaceutical form

Tablets.

Main physical and chemical properties

Flat-cylindrical tablets of white or almost white color, with a facet.

Pharmacotherapeutic group

Antihistamines for systemic use.

ATC code R06A X31.

Pharmacological properties

Pharmacodynamics

Chlorpheniramine is a derivative of quinuclidylcarbinol, which reduces the effect of histamine on organs and systems. Chlorpheniramine is a competitive blocker of H1-receptors. Additionally, it activates the enzyme diamine oxidase, which breaks down approximately 30% of endogenous histamine. This explains the effectiveness of chlorpheniramine in patients who are insensitive to other antihistamines. Chlorpheniramine poorly penetrates the blood-brain barrier and has little effect on serotonin desamination processes in the brain, weakly affects monoamine oxidase activity. The antihistamine properties of chlorpheniramine are associated with the presence of a quinuclidine ring in its structure and the distance between the diphenylcarbinol group and the nitrogen atom. In terms of antihistamine activity and duration of action, chlorpheniramine surpasses dimedrol. Chlorpheniramine reduces the toxic effect of histamine, relieves or weakens its bronchoconstrictor effect and spasmodic effect on the smooth muscles of the intestine, has a moderate antiserotonin and weak anticholinergic effect, well-expressed antipruritic and desensitizing properties. Chlorpheniramine weakens the hypotensive effect of histamine and its effect on capillary permeability, does not directly affect cardiac activity and arterial pressure, does not have a protective effect in aconitine arrhythmias.

Chlorpheniramine does not suppress the central nervous system, but in case of individual increased sensitivity, a weak sedative effect is possible. The drug is slightly lipophilic, and its content in brain tissue is low (less than 0.05), which explains the absence of a suppressive effect on the central nervous system.

Pharmacokinetics

Chlorpheniramine is quickly absorbed from the gastrointestinal tract and is already present in the body's tissues after 30 minutes. The maximum concentration is reached after 1 hour.

Metabolites and the unchanged fraction of chlorpheniramine are mainly excreted in the urine, bile, and through the lungs within 48 hours.

Clinical characteristics

Indications

Pollinosis, food and drug allergy, other allergic diseases, acute and chronic urticaria, angioedema (Quincke's edema), hay fever, allergic rhinopathy, dermatoses (eczema, psoriasis, neurodermatitis, skin itching), as well as infectious-allergic reactions with a bronchospastic component.

Contraindications

Increased sensitivity to chlorpheniramine or to the excipients of the medicinal product.

Interaction with other medicinal products and other types of interactions

Phencarol®does not enhance the suppressive effect of alcohol and sedatives on the central nervous system, has weak M-cholinoblocking properties, but with decreased motor activity of the gastrointestinal tract, the absorption of slowly absorbed medications may be enhanced (e.g., indirect anticoagulants - coumarins).

Special warnings and precautions for use

The drug should be prescribed with caution to patients with severe cardiovascular, gastrointestinal, renal, and hepatic diseases.

The drug contains sucrose, which should be taken into account in patients with diabetes.

Patients with rare hereditary diseases, such as fructose intolerance or sucrase-isomaltase insufficiency, should not use the drug.

Use during pregnancy or breastfeeding

There are no sufficient studies in animals to assess the impact of the medicinal product on pregnancy.

The drug is contraindicated during the first trimester of pregnancy. It is not recommended to use the drug during the second and third trimesters of pregnancy.

There are no data on the penetration of the drug into breast milk, so the use of Phencarol®is contraindicated during breastfeeding.

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

Persons whose work requires rapid physical or mental reactions (drivers) should first establish individual sensitivity (through short-term use) to the sedative effect. If there is increased sensitivity, such persons should be especially careful when using the drug.

Method of administration and dosage

Phencarol®should be taken orally immediately after meals.

A single dose for adults is 25-50 mg 2-4 times a day.

In case of pollinosis, a daily dose of less than 75 mg is ineffective. The maximum daily dose is 200 mg. The duration of the treatment course is 10-15 days.

For children over 12 years old, 25 mg 2-3 times a day. The duration of the treatment course is 10-20 days. If necessary, the treatment course can be repeated (after consulting a doctor).

If a dose is missed, the treatment course should be continued using the previously prescribed doses. If necessary, consult a doctor.

Children

The drug can be used in children over 12 years old.

For children under 12 years old, it is recommended to use the drug in a different dosage (Phencarol®, 10 mg tablets).

Overdose

There have been no reports of overdose. A daily dose of up to 300 mg/day does not cause serious clinically significant side effects. High doses may cause dryness of the mucous membranes, headache, nausea, vomiting, epigastric pain, and dyspeptic symptoms.

Symptomatic treatment should be performed if necessary.

There is no specific antidote.

Side effects

From the nervous system: dizziness, headache.

Sometimes a weak sedative effect is possible, which manifests as weakness, drowsiness, slowing of response reactions.

From the gastrointestinal tract: dryness of the mucous membranes of the oral cavity, dyspeptic symptoms (nausea, vomiting, bitterness in the mouth), which usually pass when the dose is reduced or the drug is discontinued.

From the respiratory system, organs of the thoracic cavity, and mediastinum: sneezing, difficult breathing.

From the psyche: anxiety.

From the kidneys and urinary tract: proteinuria, interstitial nephritis.

From the musculoskeletal and connective tissue: joint pain.

From the organs of vision: lacrimation.

In persons with gastrointestinal diseases, the possibility of side effects increases.

If any undesirable effects occur, the use of the medicinal product should be discontinued and a doctor consulted.

Shelf life

5 years.

Storage conditions

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

Store in a place inaccessible to children.

Packaging

10 tablets in a blister pack. 2 blister packs in a cardboard box.

Release category

Without a prescription.

Manufacturer

JSC "Olainfarm" / AS "Olainfarm".

Manufacturer's location and address

5 Rupnicu street, Olaine, LV-2114, Latvia / 5 Rupnicu iela, Olaine, LV-2114, Latvija.

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Online doctors for NEOTSAN-1000

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for NEOTSAN-1000 – subject to medical assessment and local rules.

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Liudmyla Boichuk

Family medicine11 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

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

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Doctor

Svetlana Kolomeeva

Cardiology18 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • 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.

CameraBook a video appointment
€50
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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.

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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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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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Taisiya Minorskaya

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She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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Antonio Cayatte

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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.

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  • 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.

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Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
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  • Preconception counselling and postpartum support.
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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Alexander Nazarchuk

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You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
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  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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Alina Tsurkan

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Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

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  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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