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SEDAFITON FORTE

SEDAFITON FORTE

Ask a doctor about a prescription for SEDAFITON FORTE

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Doctor

Hocine Lokchiri

General medicine20 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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Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • 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.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

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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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 SEDAFITON FORTE

INSTRUCTIONS for medical use of the medicinal product TERBINORM (TERBINORM)

Composition

active substance: terbinafine; 1 ml of the preparation contains 10.08 mg of terbinafine hydrochloride; excipients: propylene glycol, macrogol 300, ethanol 96%, purified water.

Pharmaceutical form

Spray for external use, solution.

Main physical and chemical properties

Transparent or slightly opalescent solution, colorless or with a yellowish tint.

Pharmacotherapeutic group

Antifungal agents for topical use. ATC code D01A E15.

Pharmacological properties

Pharmacodynamics

Terbinafine is an allylamine with a broad spectrum of antifungal activity against skin infections caused by dermatophytes such as Trichophyton (e.g., T. rubrum, T. mentagrophytes, T. verrucosum, T. violaceum), Microsporum canis, and Epidermophyton floccosum. At low concentrations, it has a fungicidal effect on dermatophytes and mold fungi. The activity against yeast fungi is either fungicidal (e.g., Pityrosporum orbiculare or Malassezia furfur) or fungistatic, depending on the species.

Terbinafine specifically inhibits the early stage of sterol biosynthesis in the fungal cell membrane. This leads to a deficiency of ergosterol and an intracellular accumulation of squalene, resulting in the death of the fungal cell. The effect of terbinafine is exerted by inhibiting the enzyme squalene epoxidase in the fungal cell membrane. This enzyme does not belong to the cytochrome P450 system. Terbinafine does not affect the metabolism of hormones or other medicinal products.

Pharmacokinetics

After external application, less than 5% of the applied dose is absorbed, so the systemic exposure to terbinafine is very low.

Clinical characteristics

Indications

Treatment of interdigital epidermophytosis of the feet ("athlete's foot") and inguinal dermatophytosis ("jockey's itch"), caused by dermatophytes such as Trichophyton (e.g., T. rubrum, T. mentagrophytes, T. verrucosum, T. violaceum) and Epidermophyton floccosum.

Contraindications

Increased sensitivity to the active substance or to other components of the preparation.

Interaction with other medicinal products and other types of interactions

Although there is no information about the occurrence of any medicinal interactions, as a precautionary measure, it is not recommended to apply other medicinal products to areas treated with the preparation.

Special instructions

The preparation should be used with caution in patients with skin lesions, as ethanol, which is part of its composition, can cause irritation.

The preparation is intended for external use only. The spray should not be applied to the face.

The preparation may cause eye irritation. In case of accidental contact with the eyes, they should be rinsed immediately with running water.

Do not inhale. In case of accidental inhalation of the preparation, consult a doctor if any side symptoms worsen or persist.

The spray contains 46.56 mg of alcohol (ethanol) per daily dose, which is equivalent to 250 mg/g of 96% ethanol. May cause a burning sensation on damaged skin.

The preparation also contains propylene glycol, which can cause skin irritation.

Use during pregnancy or breastfeeding
Pregnancy

Animal studies have not revealed any teratogenic or embryotoxic effects of terbinafine. To date, there have been no reports of birth defects in humans. Clinical experience with the use of the preparation in pregnant women is limited. Studies of fetal toxicity in animals indicate no adverse effects.

The preparation should not be used during pregnancy, except in cases of urgent need.

Breastfeeding period

Terbinafine penetrates into breast milk, so the preparation should not be used during breastfeeding.

Avoid contact between infants and any area of skin where the preparation has been applied.

Fertility

Animal studies have not shown any effect of terbinafine on fertility.

Ability to affect reaction speed when driving vehicles or operating other mechanisms

Does not affect.

Method of application and dosage

Method of application

The preparation is intended for external use only.

Before its application, the affected areas of the skin should be thoroughly cleaned and dried. The spray should be sprayed at a distance of 1-15 cm onto the affected areas in an amount sufficient to thoroughly moisten them, and also applied to adjacent areas of both affected and intact skin.

Dosage

Adults and children over 16 years old

The preparation should be applied once a day for a week.

Relief of disease symptoms is usually expected within a few days. Non-systematic application or premature termination of treatment can lead to the occurrence of relapses of the disease.

If there are no signs of improvement after a week of treatment, consult a doctor.

Special categories of patients

Elderly patients

No dose adjustment is required for elderly patients.

Children.

Do not use the preparation in children under 16 years old. Experience with the use of terbinafine 1% spray in children is limited, so it is not recommended to use the preparation in children.

Overdose

Low systemic absorption of terbinafine during local application makes the likelihood of overdose extremely low.

In case of accidental ingestion, the contents of one vial of the medicinal product (containing 200 mg of terbinafine) can be compared to the use of one tablet of terbinafine 250 mg (single dose for adults for oral use).

In case of accidental ingestion, consider the content of ethyl alcohol in the medicinal product (4032.8 mg/vial).

In case of accidental ingestion of more than one vial, manifestations of such side reactions as headache, nausea, epigastric pain, dizziness are possible.

Treatment of overdose consists in removing the active substance, primarily by using activated charcoal, and conducting symptomatic therapy if necessary.

Side reactions

Local symptoms such as itching, peeling, or burning of the skin, pain, and irritation at the site of application, pigmentation disorders, erythema, crust formation, and others may be observed at the site of application. These minor symptoms should be distinguished from hypersensitivity reactions, including rash, widespread itching, bullous eruptions, and urticaria, which are reported in individual cases and require discontinuation of treatment. In case of accidental contact with the eyes, the preparation may cause eye irritation. In rare cases, exacerbation of hidden fungal infection is possible.

Side reactions listed below are classified by organs and systems and by frequency of occurrence (very often: ≥1/10; often: ≥1/100 to <1/10; uncommon: ≥1/1000 to <1/100; rare: ≥1/10000 to <1/1000; very rare: <1/10000), frequency unknown (frequency cannot be calculated from available data).

Immune system disorders

Frequency unknown - hypersensitivity reactions.

Eye disorders

Rare - eye irritation.

Skin and subcutaneous tissue disorders

Often - peeling of the skin, itching; uncommon - skin damage, crust formation, skin lesions, pigmentation disorders, erythema, burning sensation; rare - dryness of the skin, contact dermatitis, eczema; frequency unknown - rash.

General disorders and administration site reactions

Uncommon - pain, pain at the site of application, irritation at the site of application; rare - exacerbation of symptoms.

Reporting suspected side reactions

Reporting side reactions after registration of the medicinal product is important. This allows monitoring the benefit/risk ratio of using this medicinal product. Medical and pharmaceutical workers, as well as patients or their authorized representatives, should report all cases of suspected side reactions and lack of efficacy of the medicinal product through the Automated Information System for Pharmacovigilance at: https://aisf.dec.gov.ua.

Shelf life

3 years. Do not use after the expiration date.

Storage conditions

Store at a temperature not exceeding 25°C in a place inaccessible to children.

Packaging

20 ml of the preparation in a polymer vial with a sprayer and a cap. One vial in a cardboard box.

Release category

Without prescription.

Manufacturer

C.O. Rompharm Company S.R.L./ S.C. Rompharm Company S.R.L.

Location of the manufacturer and address of the place of its activity

Otopeni, Eroilor Street No. 1A, 075100, Ilfov County, Romania.

Applicant

WORLD MEDICINE, LLC, Ukraine.

Alternatives to SEDAFITON FORTE in other countries

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

Alternative to SEDAFITON FORTE in Hiszpania

Dosage form: KAPSUŁKA, 240 mg
Prescription not required
Dosage form: KAPSUŁKA, 350 mg
Active substance: Valerianae radix
Prescription not required
Dosage form: KAPSUŁKA, 400 mg/kapsułka
Manufacturer: Soria Natural S.A.
Prescription not required
Dosage form: TABLETKA, 200 mg/68 mg
Active substance: Valerianae radix
Prescription not required
Dosage form: TABLETKA, 125 mg suchego ekstraktu z waleriany
Active substance: Valerianae radix
Prescription not required
Dosage form: ROZTÓR/ZAPIESZONA POSTAĆ DOUSTNA, 94,2 MG/ML korzeń waleriany
Active substance: Valerianae radix
Prescription not required

Alternative to SEDAFITON FORTE in Polska

Dosage form: Tabletki, 500 mg
Importer: Tilman S.A.
Prescription not required
Dosage form: Tabletki, 200 mg
Importer: Tilman S.A.
Prescription not required
Dosage form: Tabletki, 200 mg + 68 mg
Prescription not required

Online doctors for SEDAFITON FORTE

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

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Doctor

Hocine Lokchiri

General medicine20 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
€75
Today18:15
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November 2111:00
November 2207:00
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5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • 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.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

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.

CameraBook a video appointment
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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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Salome Akhvlediani

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Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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Common reasons for consultation include:

  • chronic pharyngitis and recurrent tonsillitis
  • allergic, vasomotor and medication-induced rhinitis
  • sinusitis, nasal obstruction, and postnasal drip
  • nosebleeds, earwax build-up, or foreign bodies in the ear, nose, or throat
  • Eustachian tube dysfunction and related complaints
Dr Travkina follows evidence-based guidelines and ensures patients receive clear explanations and follow-up recommendations. Whether you need help with ENT symptoms, clarification of test results, or guidance on next steps – she offers expert medical advice in a convenient online format.
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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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Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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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:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • 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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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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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • 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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