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ULTRA-LEVURA 250 mg POWDER AND SOLVENT FOR ORAL SUSPENSION

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About the medicine

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

Translated with AI

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

Leaflet: information for the patient

Ultra-Levura 250 mg powder and solvent for oral suspension

Saccharomyces boulardiiCNCM I-745?

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

Follow the administration instructions of the medicine 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 it worsens or does not improve after 2 days.

Contents of the leaflet:

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

Ultra-Levura is a medicine that contains a probiotic yeast called Saccharomyces boulardiias an active ingredient.

It is indicated for the symptomatic treatment of diarrhea of unspecified origin and prevention of diarrheal processes produced by the administration of antibiotics in adults and children.

You should consult a doctor if it 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 takeUltra-Levura:

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

Warnings and precautions

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

Be particularly careful with Ultra-Levura:

  • If the 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 vials should not be opened near patients with a central venous catheter, to avoid any colonization, especially those transmitted by hand to the catheter.

Children and adolescents

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

TakingUltra-Levurawith other medicines

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

Ultra-Levura may interact with medicines such as: Antifungal medicines (to treat fungi).

TakingUltra-Levurawith food, drinks, and alcohol

During treatment with Ultra-Levura, do not take hot drinks or foods (above 50°C), icy 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 medicine.

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

No effect on fertility was detected during animal studies. There are no clinical data, and 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 sodium benzoate

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

This medicine contains 1.520.0 mg of fructose in each vial. 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 medicine.

This medicine contains 8.0 mg of sodium benzoate in each vial. Sodium benzoate may increase the risk of jaundice (yellowing of the skin and eyes) in newborns (up to 4 weeks of age).

This medicine contains less than 23 mg of sodium (1mmol) per vial; it is essentially "sodium-free".

3. How to take Ultra-Levura

Follow the administration instructions of the medicine 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 minimum effective dose should always be used.

The recommended dose is:

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

Use in children

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

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

Method of administration:

This medicine is taken orally. It is recommended to take it before meals.

Sequence of four steps showing how to use a self-injector device with arrows indicating direction and movement

  • Screw the cap to the end, automatically the piston pierces the tab, releasing the powder into the solvent contained in the vial.
  • Shake the vial well to mix the powder and the solvent.
  • Unscrew and open the vial
  • Drink the preparation immediately.

Special populations

Patients with a central venous catheter, immunocompromised, or in critical condition: This medicine is contraindicated in these patients (see section 2). Additionally, due to the risk of airborne contamination, the vials should not be opened in the rooms of these patients, and special precautions should be taken when opening them near the patients, and hands should be washed well after handling the medicine.

If you take moreUltra-Levurathan 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, (phone: 91.5620420), indicating the medicine 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 medicines, Ultra-Levura can cause side effects, although not everyone gets 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): penetration of the yeast 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, 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 Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es.

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

5. Storage of Ultra-Levura

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.

Keep the packaging in the outer packaging to protect it from light.

Do not use this medicine if you observe visible signs of deterioration.

Medicines should not be thrown down the drain or into the trash. Deposit the packaging and medicines you no longer need at the SIGRE point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.

6. Package contents and additional information

Composition ofUltra-Levura

The active ingredient is: Saccharomyces boulardiiCNCM I-745: 250 mg

The other components (excipients) are: lactose, fructose, forest fruit flavor, citric acid, potassium sorbate, sodium benzoate, purified water.

Appearance of the product and package contents

Ultra-Levura is a polyethylene terephthalate (PET) vial, equipped with a cap container composed of a polypropylene (PP) blade and a container of low-density polyethylene (LDPE) for the powder (active substance). The vial closure is a low-density polyethylene (LDPE) screw cap (anti-tamper-evident cap). Each vial contains 8 ml of sugary solution.

Each package contains 10 or 14 vials.

Marketing authorization holder and manufacturer

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:April 2022

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

Online doctors for ULTRA-LEVURA 250 mg POWDER AND SOLVENT FOR ORAL SUSPENSION

Discuss questions about ULTRA-LEVURA 250 mg POWDER AND SOLVENT FOR ORAL SUSPENSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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€55
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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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€60
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Doctor

Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

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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€50
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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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€55
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Doctor

Bulat Garipov

General medicine 15 years exp.

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:

  •  Neuroimaging
  •  Musculoskeletal system (MSK)
  •  Angiography
  •  Abdomen and pelvis
  •  Soft tissues

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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€60

Frequently Asked Questions

Is a prescription required for ULTRA-LEVURA 250 mg POWDER AND SOLVENT FOR ORAL SUSPENSION?
ULTRA-LEVURA 250 mg POWDER AND SOLVENT 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 AND SOLVENT FOR ORAL SUSPENSION?
The active ingredient in ULTRA-LEVURA 250 mg POWDER AND SOLVENT 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 AND SOLVENT FOR ORAL SUSPENSION?
ULTRA-LEVURA 250 mg POWDER AND SOLVENT 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 AND SOLVENT 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 AND SOLVENT 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 AND SOLVENT FOR ORAL SUSPENSION?
Other medicines with the same active substance (saccharomyces boulardii) include ULTRA-LEVURA 250 mg HARD CAPSULES, ULTRA-LEVURA 250 mg POWDER 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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