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VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS

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About the medicine

How to use VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS

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

Package Leaflet: Information for the User

Valganciclovir Teva 450 mg film-coated tablets EFG

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information

  1. What is Valganciclovir Teva and what is it used for
  2. What you need to know before you take Valganciclovir Teva
  3. How to take Valganciclovir Teva
  4. Possible side effects
  5. Storage of Valganciclovir Teva

Contents of the pack and further information

1. What is Valganciclovir Teva and what is it used for

Valganciclovir belongs to a group of medicines that act directly to prevent the growth of viruses. In the body, the active substance of the tablets, valganciclovir, is converted to ganciclovir. Ganciclovir prevents the virus called cytomegalovirus (CMV) from multiplying and invading healthy cells. In patients with a weakened immune system, CMV can cause an infection in the body's organs. This can be life-threatening.

Valganciclovir is used

  • to treat eye infections caused by cytomegalovirus in adult patients with acquired immune deficiency syndrome (AIDS). CMV infection in the eye can cause vision problems and even blindness

to prevent cytomegalovirus (CMV) infections in adults and children who have not been infected with CMV but have received a solid organ transplant from a donor who was infected with CMV.

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 you take Valganciclovir Teva

Do not take Valganciclovir Teva

  • if you are allergic to valganciclovir, ganciclovir or any of the other ingredients of this medicine (listed in section 6).
  • if you are breast-feeding.

Warnings and precautions

Consult your doctor or pharmacist before taking Valganciclovir Teva

  • if you are allergic to aciclovir, penciclovir, valaciclovir or famciclovir. These are other medicines used for viral infections.

Be careful with Valganciclovir Teva

  • if you have a low number of white blood cells, red blood cells or platelets (small cells involved in blood clotting) in your blood. Your doctor will perform a blood test before starting Valganciclovir and will perform more tests while you are taking the tablets
  • if you are receiving radiotherapy or haemodialysis
  • if you have kidney problems. Your doctor may prescribe a lower dose and may need frequent blood tests during treatment
  • if you are taking ganciclovir capsules and your doctor tells you to switch to Valganciclovir tablets. It is important that you do not take more tablets than prescribed by your doctor or you may be at risk of an overdose.

Taking Valganciclovir with other medicines

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

If you take other medicines at the same time as taking Valganciclovir, the combination may affect the amount of medicine that reaches the bloodstream or may cause harmful effects. Tell your doctor if you are already taking any of the following medicines:

  • imipenem-cilastatin (antibiotic). Taking this medicine with Valganciclovir Teva can cause seizures (fits)
  • zidovudine, didanosine, lamivudine, stavudine, tenofovir, abacavir, emtricitabine or similar medicines for the treatment of AIDS.
  • Adefovir or any other medicine for the treatment of Hepatitis B.
  • probenecid (medicine for the treatment of gout). Taking probenecid and Valganciclovir at the same time can increase the amount of ganciclovir in the blood
  • mycophenolate mofetil, cyclosporin or tacrolimus (used after transplants)
  • vincristine, vinblastine, doxorubicin, hydroxyurea or similar medicines for the treatment of cancer
  • trimethoprim, trimethoprim/sulfa combinations and dapsone (antibiotics)
  • pentamidine (medicine for the treatment of parasites or lung infections)
  • flucytosine or amphotericin B (antifungal agents)

Taking Valganciclovir Teva with food and drinks

Valganciclovir should be taken with food. If for any reason you cannot eat, you should continue to take your usual dose of Valganciclovir.

Pregnancy, breast-feeding and fertility

Pregnancy

Do not take Valganciclovir if you are pregnant, unless your doctor recommends it. If you are pregnant or plan to become pregnant, you must inform your doctor. If you take Valganciclovir when you are pregnant, it may harm the unborn baby.

Breast-feeding

Do not take Valganciclovir during breast-feeding. If your doctor wants you to start treatment with Valganciclovir, you must stop breast-feeding before starting to take this medicine.

Fertility

Women of childbearing age

Women of childbearing age must use effective contraceptive methods while taking Valganciclovir Teva and for at least 30 days after treatment has finished.

Men

Men, whose partners may become pregnant, must use a condom while taking Valganciclovir and for 90 days after finishing treatment.

Driving and using machines

Do not drive or use tools or machines if you feel dizzy, tired, agitated or confused when taking this medicine.

Valganciclovir Teva contains lactose

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

3. How to take Valganciclovir Teva

Follow exactly the instructions of administration of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

You must be careful when handling your tablets. They must not be broken or crushed.

You must swallow them whole and with food whenever possible. If you accidentally touch a broken tablet, wash your hands carefully with soap and water. If the powder from the tablets comes into contact with your eyes, rinse them with sterile water, or clean water if sterile water is not available.

To avoid an overdose, you must stick to the number of tablets prescribed by your doctor.

Valganciclovir tablets should be taken with food whenever possible - see section 2 “Taking Valganciclovir Teva with food and drinks”.

Adults

Prevention of CMV infection in transplant patients

You should start taking this medicine within 10 days of the transplant. The usual dose is two tablets ONCE a day. You should continue with this dose until 100 days after the transplant. If you have received a kidney transplant, your doctor may advise you to take the tablets for 200 days.

Treatment of CMV retinitis in patients with AIDS (also called induction treatment)

The usual dose of Valganciclovir is two tablets taken TWICE a day for 21 days (three weeks). Do not continue with this dose for more than 21 days unless your doctor tells you to, as this dose may increase the risk of possible side effects.

Long-term treatment to prevent the recurrence of active inflammation in AIDS patients with CMV retinitis (also called maintenance treatment)

The usual dose is two tablets taken ONCE a day. You should try to take the tablets at the same time every day. Your doctor will tell you how long you should continue to take Valganciclovir. If your retinitis worsens while you are taking this dose, your doctor will decide whether you should repeat the induction treatment (as above) or may decide to give you a different medicine to treat the CMV infection.

Elderly patients

Valganciclovir Teva has not been studied in elderly patients.

Patients with renal impairment

If your kidneys do not work properly, your doctor will tell you to take fewer tablets each day or to take the tablets only on certain days of the week. It is very importantthat you only take the number of tablets prescribed by your doctor.

Patients with hepatic impairment

Valganciclovir Teva has not been studied in patients with liver problems.

Use in children and adolescents:

Prevention of CMV disease in transplant patients

Children should start taking this medicine within 10 days of the transplant.

The dose to be taken will depend on the size of the child and should be taken ONCE a day. Your doctor will decide what dose is most suitable for your child based on their height, weight and kidney function.

You should continue with this dose until 100 days. If your child has received a kidney transplant, your doctor may recommend that they take the prescribed dose for 200 days.

If you take more Valganciclovir Teva than you should

Contact your doctor or hospital immediately if you have taken or think you have taken more Valganciclovir Teva tablets than you should. Taking more tablets can cause serious side effects, particularly affecting the blood or kidneys. You may need hospital treatment.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service on 91 562 04 20, stating the medicine and the amount taken.

If you forget to take Valganciclovir Teva

If you forget to take your tablets, take the missed dose as soon as you remember and take the next dose at the usual time. Do not take a double dose to make up for forgotten tablets.

If you stop taking Valganciclovir Teva

Do not stop treatment unless your doctor tells you to.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

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, Valganciclovir can cause side effects, although not everybody gets them.

Allergic reactions

In 1 in 1,000 people, a sudden and severe allergic reaction to valganciclovir (anaphylactic shock) may occur. STOPtaking Valganciclovir and go to the emergency department of the nearest hospitalwhen you experience any of the following effects:

  • Raised itchy rash (urticaria)
  • Sudden swelling of the throat, face, lips and mouth that can cause difficulty in swallowing or breathing
  • Sudden swelling of hands, feet or ankles

Severe side effects

Tell your doctor immediately if you notice any of the following severe side effects. Your doctor may tell you to stop taking Valcyte and you may need urgent medical treatment:

Very common side effects(may affect more than 1 in 10 people)

  • decrease in the number of white blood cells in the blood, with signs of infection such as sore throat, mouth ulcers or fever
  • decrease in the number of red blood cells in the blood, with signs that include shortness of breath or tiredness, palpitations or paleness

Common side effects(may affect up to 1 in 10 people)

  • blood infection (sepsis), with signs that include fever, chills, palpitations, confusion and difficulty speaking
  • decrease in the number of platelets, with signs that include bleeding or bruising more often than usual, blood in urine or faeces or bleeding from the gums, which can be severe
  • severe decrease in the number of blood cells
  • pancreatitis with signs such as severe stomach pain that radiates to the back
  • seizures

Uncommon side effects(may affect up to 1 in 100 people)

  • inability of the bone marrow to produce blood cells
  • hallucinations (seeing or hearing things that are not real)
  • disturbed thinking or feelings, loss of contact with reality
  • kidney failure

The following side effects have been reported with valganciclovir or ganciclovir:

Other side effects

Tell your doctor, pharmacist or nurse if you notice any of the following side effects:

Very common side effects(may affect more than 1 in 10 people)

  • candidiasis and oral candidiasis
  • upper respiratory tract infection (e.g. sinusitis, tonsillitis)
  • loss of appetite
  • headache
  • cough
  • shortness of breath
  • diarrhoea
  • feeling of being sick or sick
  • abdominal pain
  • eczema
  • fatigue
  • fever

Common side effects(may affect up to 1 in 10 people)

  • flu
  • urinary tract infection, with signs that include fever, more frequent urination, pain when urinating
  • skin and subcutaneous tissue infections
  • mild allergic reactions, with signs that include redness and swelling of the skin
  • weight loss
  • feeling of depression, anxiety or confusion
  • sleep disorders
  • numbness or weakness in hands and feet, which can affect your balance
  • changes in touch, tingling, prickling, pinching or burning sensation
  • changes in taste
  • chills
    • eye inflammation (conjunctivitis), inflammation inside the eye (edema), separation of the back of the eye (retinal detachment), eye pain or vision problems
  • ear pain
  • low blood pressure, which can make you feel dizzy or have blurred vision
  • difficulty swallowing
  • constipation, gas, indigestion, stomach pain, abdominal distension
  • mouth ulcers
  • abnormal liver and kidney test results
  • night sweats
  • itching, rash
  • hair loss
  • back pain, muscle or joint pain, muscle spasms
  • feeling of dizziness, weakness or general malaise

Uncommon side effects(may affect up to 1 in 100 people)

  • agitation
  • tremors
  • deafness
  • irregular heartbeat
  • urticaria and dry skin
  • blood in urine
  • infertility in men (see section 2 “Pregnancy, breast-feeding and fertility”)
  • chest pain

Rare: may affect up to 1 in 1,000 people

  • Blood and bone marrow disorders: failure to produce all types of blood cells (red blood cells, white blood cells and platelets) in the bone marrow.

#Only in patients with AIDS treated with Valcyte for CMV infection has retinal detachment occurred.

Additional side effects in children and adolescents

The side effects reported in children and adolescents are similar to the side effects reported in adults.

Reporting of side effects:

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

You can also report side effects directly to the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Valganciclovir Teva

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

Do not use this medicine after the expiry date which is stated on the label and carton after EXP. The expiry date is the last day of the month shown.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Valganciclovir Teva

  • The active ingredient is: 450 mg of valganciclovir, in the form of 496.3 mg of valganciclovir hydrochloride.
  • The other ingredients are: microcrystalline cellulose (E460(i)), mannitol (E421), magnesium stearate (E470b), anhydrous colloidal silica (E551), crospovidone, type A (E1202). The excipients of the film coating are hypromellose (E464), lactose monohydrate, titanium dioxide (E171), triacetin (E1518) and red iron oxide (E172)

Appearance and packaging of the product

Valganciclovir Teva tablets are film-coated, oval, pink tablets with beveled edges, with the engraving “93” on one side and “5465” on the other.

Valganciclovir Teva 450 mg film-coated tablets are available in the following pack sizes:

PVC/ACLAR/PVC/Aluminum blister packs available in packs of 10, 30, and 60 tablets

High-density polyethylene (HDPE) bottles with a desiccant carton (3 g) and a child-resistant polypropylene (PP) cap, available in packs of 30 and 60 tablets.

For bottles:

This medicine should be used within 9 months of opening the bottle.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Teva Pharma S.L.U.

C/ Anabel Segura 11, Ed. Albatros B, 1st floor

28108 Alcobendas

Madrid

Manufacturer

PLIVA Hrvatska d.o.o. (PLIVA Croatia Ltd.)

Prilaz baruna Filipovica 25, 10000 Zagreb

Croatia

Or

TEVA Pharmaceutical Works Private Limited Company

Pallagi út 13, 4042 Debrecen

Hungary

Or

TEVA UK Ltd

Brampton Road, Hampden Park, Eastbourne,

East Sussex, BN22 9AG

United Kingdom

Or

Teva Czech Industries s.r.o.

Ostravska 29, c.p. 305, 74770 Opava-Komarov

Czech Republic

Or

Teva Operations Poland Sp. z.o.o

ul. Mogilska 80, 31-546, Krakow

Poland

Or

TEVA PHARMA S.L.U.

C/C, n. 4, Poligono Industrial Malpica, 50016 Zaragoza

Spain

Or

Merckle GmbH

Ludwig-Merckle-Straße 3, 89143 Blaubeuren

Germany

Or

HBM Pharma s.r.o

Sklabinska 30, SK-03680 Martin

Slovak Republic

This medicinal product is authorized in the Member States of the European Economic Areaand in the United Kingdom (Northern Ireland)under the following names:

Austria: Valganciclovir ratiopharm 450 mg Filmtabletten

Czech Republic: Valganciclovir Teva 450 mg

Denmark: Valganciclovir Teva

France: VALGANCICLOVIR TEVA 450 mg, comprimé pelliculé

Germany: TeValgan 450 mg Filmtabletten

Italy: Valganciclovir Teva

Norway: Valganciclovir Teva

Poland: Valganciclovir Teva

Spain: Valganciclovir Teva 450 mg film-coated tablets EFG

Sweden: Valganciclovir Teva

Slovenia: GANAXA 450 mg film-coated tablets

Netherlands: Valganciclovir Teva 450 mg, filmomhulde tabletten

United Kingdom (Northern Ireland): Valganciclovir 450 mg Film-coated Tablets

Date of last revision of this leaflet:December 2021

Detailed and updated information on this medicinal product is available on the website of the

Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es/.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

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

Tomasz Grzelewski

Dermatology 21 years exp.

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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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

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.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

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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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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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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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Frequently Asked Questions

Is a prescription required for VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS?
VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS requires 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 VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS?
The active ingredient in VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS is valganciclovir. This information helps identify medicines with the same composition but different brand names.
Who manufactures VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS?
VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS is manufactured by Teva Pharma S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS 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 VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS 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 VALGANCICLOVIR TEVA 450 mg FILM-COATED TABLETS?
Other medicines with the same active substance (valganciclovir) include VALCYTE 50 mg/ml ORAL SOLUTION POWDER, VALGANCICLOVIR AUROVITAS 450 mg FILM-COATED TABLETS, VALGANCICLOVIR CIPLA 450 mg FILM-COATED TABLETS. 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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