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ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION

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About the medicine

How to use ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Patient Information Leaflet

Ultra-Levura 250 mg powder for oral suspension

Saccharomyces boulardiiCNCM I-745

Read the entire leaflet carefully before starting to take this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet. See section 4.
  • You should consult a doctor if your condition worsens or does not improve after 2 days.

Contents of the leaflet:

  1. What Ultra-Levura is and what it is used for.
  2. What you need to know before taking Ultra-Levura
  3. How to take Ultra-Levura
  4. Possible side effects
  5. Storage of Ultra-Levura
  6. Package contents and additional information

1. What Ultra-Levura is and what it is used for

Ultra-Levura is a medication that contains the probiotic yeast Saccharomyces boulardiias its active ingredient.

It is indicated for the symptomatic treatment of non-specific origin diarrhea and prevention of diarrhea processes produced by antibiotic administration in adults and children.

You should consult a doctor if your condition worsens or does not improve after 2 days of treatment.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Ultra-Levura

Do not take Ultra-Levura:

  • If you are allergic (hypersensitive) to the active ingredient or any of the other components of Ultra-Levura (listed in section 6)
  • If you are allergic (hypersensitive) to yeasts.
  • Patient with central venous catheter (see "Warnings and precautions").
  • Immunocompromised or hospitalized patients due to severe illness or immune system alteration/impairment.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Ultra-Levura.

Be particularly careful with Ultra-Levura:

  • If diarrhea is accompanied by fever or vomiting.
  • In case of blood in the stool
  • In case of very intense thirst or dry mouth sensation, as these are symptoms of dehydration.
  • The sachets should not be opened near patients with a central venous catheter to avoid any colonization, especially those transmitted by hands to the catheter.

Children and adolescents

Administration in children under 2 years of age will require medical advice.

Taking Ultra-Levura with other medications

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

Ultra-Levura may interact with medications such as antifungal medications (to treat fungi).

Taking Ultra-Levura with food, beverages, and alcohol

During treatment with Ultra-Levura, do not consume hot beverages or foods (above 50°C), cold foods, or those containing alcohol, as Saccharomyces boulardiicontains live cells.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

The benefit-risk ratio should be evaluated before using it in pregnancy and breastfeeding.

No effects on fertility were detected during animal studies. There are no clinical data; the possible risk to humans is unknown.

Driving and using machines

Ultra-Levura has no influence on the ability to drive and use machines.

Ultra-Levura contains lactose, fructose, and sorbitol (E-420)

This medication contains lactose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

This medication contains 471.9 mg of fructose in each sachet. If your doctor has told you that you (or your child) have an intolerance to certain sugars or have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disease in which the patient cannot break down fructose, consult with your doctor before taking this medication.

This medication contains 0.1 mg of sorbitol in each sachet.

3. How to take Ultra-Levura

Follow the administration instructions for the medication contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The dose to be used will depend on the evolution of the symptoms and the lowest effective dose should always be used.

The recommended dose is:

Adults and adolescents from 12 years: 1 to 2 sachets (250 mg to 500 mg) per day, divided into two doses (morning and evening).

Use in children

Children from 2 years: 1 sachet (250 mg) per day.

Administration in children under 2 years of age will require medical advice.

How to take:

This medication is taken orally.

The sachets are taken dissolved in a glass of water.

Administer preferably before meals.

Special populations

Patient with central venous catheter, immunocompromised, or critically ill: This medication is contraindicated in these patients (see section 2). Additionally, due to the risk of airborne contamination, the sachets should not be opened in the rooms of these patients; special precautions should be taken when opening them near the patients, and hands should be washed well after handling the medication.

If you take more Ultra-Levura than you should

If you have taken more Ultra-Levura than you should, consult your doctor or pharmacist immediately.

In case of overdose or accidental ingestion, go immediately to your doctor or call the Toxicology Information Service (telephone: 91.5620420), indicating the medication and the amount ingested.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, Ultra-Levura can cause side effects, although not everyone will experience them.

The most common side effect, although rare, is flatulence.

The side effects that can occur are:

Infections and infestations

  • Very rare (<1/10,000): yeast penetration into the blood (fungemia).
  • Frequency not known: severe hematological infection (sepsis)

Gastrointestinal disorders

  • Rare (>1/10,000 to <1/1,000): flatulence.
  • Frequency not known (cannot be estimated from available data): constipation.

Immune system disorders

  • Very rare (<1/10,000): anaphylactic reaction with itching, urticaria, skin rash, skin redness, and local or general swelling.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: https://www.notificaram.es.

By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Ultra-Levura

Keep this medication out of sight and reach of children.

Store in the original package to protect it from moisture.

Do not use this medication after the expiration date shown on the package after CAD. The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the packages and medications you no longer need at the SIGRE collection point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packages and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Ultra-Levura

The active ingredient is Saccharomyces boulardii.

The other components (excipients) are: fructose, lactose, anhydrous colloidal silica, tuttifrutti flavor (contains sorbitol).

Appearance of the product and package contents

Ultra-Levura is presented in sachets with powder for oral suspension.

Each package contains 10 or 20 sachets of powder.

Marketing authorization holder:

BIOCODEX

22 rue des Aqueducs

94250 Gentilly (France)

Manufacturer:

BIOCODEX

1 Avenue Blaise Pascal

60000 Beauvais (France)

Local representative:

Zambon S.A.U.

Maresme 5, Pol. Can Bernades-Subirà

08130 Sta. Perpètua de Mogoda – Barcelona (Spain)

Date of the last revision of this leaflet:July 2021

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.

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Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

Over the years, he has gained solid experience in interpreting MRI studies in various areas, including:

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Additionally, Dr. Garipov is open to new collaboration opportunities in radiology and teleradiology projects. He offers his expertise in MRI, providing both first and second readings of studies, as well as advanced image interpretation, ensuring accurate and high-quality diagnostics.

You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

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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:

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Endocrinology – Diabetes, thyroid, metabolism:
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Gastroenterology – Digestive health:
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  • 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.
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Dmytro Horobets

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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.

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  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
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  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
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  • 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.

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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).
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  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
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  • Anaemia, including iron deficiency and related conditions.
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Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

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Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
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  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
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Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

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Frequently Asked Questions

Is a prescription required for ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION?
ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION?
The active ingredient in ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION is saccharomyces boulardii. This information helps identify medicines with the same composition but different brand names.
Who manufactures ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION?
ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION is manufactured by Biocodex. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ULTRA-LEVURA 250 mg POWDER FOR ORAL SUSPENSION?
Other medicines with the same active substance (saccharomyces boulardii) include ULTRA-LEVURA 250 mg HARD CAPSULES, ULTRA-LEVURA 250 mg POWDER AND SOLVENT FOR ORAL SUSPENSION, ULTRA-LEVURA 50 mg HARD CAPSULES. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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