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PANOCID 40

PANOCID 40

Ask a doctor about a prescription for PANOCID 40

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Doctor

Tomasz Grzelewski

Dermatology20 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 PANOCID 40

INSTRUCTIONS for medical use of the medicinal product AMMONIA SOLUTION 10%

Composition

active substance: ammonia; 100 ml of solution contain 10 g of ammonia; excipient: purified water.

Pharmaceutical form

Solution for external use.

Main physical and chemical properties

Transparent, colorless, volatile, highly alkaline liquid with a pungent odor. During storage, the presence of sparkles and/or slight turbidity is allowed.

Pharmaco-therapeutic group

Agents that affect the respiratory system. ATC code R07A B.

Pharmacological properties

Pharmacodynamics

Ammonia solution belongs to medicinal products that irritate nerve endings. The mechanism of action of ammonia when inhaled is based on the reflex stimulation of the respiratory center through receptors of the upper respiratory tract - the endings of the trigeminal nerve.

When applied to the skin, it has an irritating and antimicrobial effect.

Pharmacokinetics

The preparation does not enter the bloodstream.

Clinical characteristics

Indications

Unconscious state, in case of insect bites.

Contraindications

Increased sensitivity to the medicinal product.

Interaction with other medicinal products and other types of interactions

Not established.

Special instructions

Local application is possible only on intact skin.

In case of accidental exposure to the mucous membrane of the eye, rinse with water several times (within 15 minutes with a 10-minute break) or 3% boric acid solution. Oils and ointments are not used. In case of exposure to the nose and throat, use 0.5% lemon acid solution or natural juices. If taken internally, drink water, fruit juice, milk, or better - 0.5% lemon acid solution or 1% acetic acid solution until the stomach contents are fully neutralized.

Do not violate the rules for using the medicinal product, as this can harm health.

Use during pregnancy or breastfeeding

During pregnancy and breastfeeding, the use of the preparation is possible only when the expected benefit to the mother outweighs the potential risk to the fetus or child.

Ability to affect the speed of reaction when driving vehicles or other mechanisms

Does not affect.

Method of application and doses

To stimulate the respiratory center as a first aid measure: a small piece of gauze or cotton wool, moistened with ammonia solution, is carefully brought to the nostrils for 0.5-1 second.

In case of insect bites, ammonia solution is applied externally in the form of compresses (procedure duration - up to 30 seconds).

Children

The preparation is not used in children under 3 years of age.

Overdose

Enhancement of side reaction symptoms. Symptomatic therapy.

Side reactions

When inhaling ammonia vapors, reflex respiratory arrest may occur.

With local application, irritation, dermatitis, eczema at the site of application, allergic reactions are possible.

In case of any adverse reactions, it is necessary to consult a doctor.

Shelf life

2 years.

The preparation cannot be used 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

40 ml in a vial in a pack or without a pack, 100 ml or 200 ml in vials.

Release category

Without a prescription.

Manufacturer

Private Joint-Stock Company Pharmaceutical Factory "Viola".

Location of the manufacturer and its address

69063, Ukraine, Zaporizhzhia, Amosov Street, 75.

Applicant

Private Joint-Stock Company Pharmaceutical Factory "Viola".

Location of the applicant

69063, Ukraine, Zaporizhzhia, Amosov Street, 75.

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Online doctors for PANOCID 40

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for PANOCID 40 – subject to medical assessment and local rules.

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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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Tomasz Grzelewski

Dermatology20 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.
CameraBook a video appointment
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Additional care areas:

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  • Test interpretation and diagnostic guidance.
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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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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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