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XERMELO 250 mg FILM-COATED TABLETS

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A doctor will review your case and decide whether a prescription is medically appropriate.

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Discuss your symptoms and possible next steps in a quick online consultation.

5.0 (86)
Doctor

Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
  • endocrine and metabolic diseases
  • musculoskeletal and dermatological conditions
  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

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 XERMELO 250 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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Introducción

Prospecto: información para el paciente

Xermelo 250 mg comprimidos recubiertos con película

telotristat de etilo

Este medicamento está sujeto a seguimiento adicional, lo que agilizará la detección de nueva información sobre su seguridad. Puede contribuir comunicando los efectos adversos que pudiera usted tener. La parte final de la sección 4 incluye información sobre cómo comunicar estos efectos adversos.

Lea todo el prospecto detenidamente antes de empezar a tomar este medicamento, porque contiene información importante para usted.

  • Conserve este prospecto, ya que puede tener que volver a leerlo.
  • Si tiene alguna duda, consulte a su médico o farmacéutico.
  • Este medicamento se le ha recetado solo a usted, y no debe dárselo a otras personas aunque tengan los mismos síntomas que usted, ya que puede perjudicarles.
  • Si experimenta efectos adversos, consulte a su médico, farmacéutico o enfermero, incluso si se trata de efectos adversos que no aparecen en este prospecto. Véase sección 4.

Contenido del prospecto

  1. Qué es Xermelo y para qué se utiliza
  2. Qué necesita saber antes de empezar a tomar Xermelo
  3. Cómo tomar Xermelo
  4. Posibles efectos adversos
  5. Conservación de Xermelo
  6. Contenido del envase e información adicional

1. Qué es Xermelo y para qué se utiliza

Qué es Xermelo

Este medicamento contiene el principio activo telotristat de etilo.

Para qué se utiliza Xermelo

Este medicamento se utiliza en adultos con una enfermedad llamada “síndrome carcinoide”, que se produce cuando un tumor, llamado “tumor neuroendocrino”, libera una sustancia llamada serotonina en el torrente sanguíneo.

Su médico le recetará este medicamento si su diarrea no se controla bien con inyecciones de otros medicamentos llamados “análogos de la somatostatina” (lanreotida u octreotida). Debe seguir recibiendo las inyecciones de estos otros medicamentos mientras esté tomando Xermelo.

Cómo funciona Xermelo

Cuando el tumor libera demasiada serotonina en el torrente sanguíneo puede tener diarrea.

Este medicamento funciona al reducir la cantidad de serotonina formada por el tumor y reducir la diarrea.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a tomar Xermelo

No tome Xermelo:

  • Si es alérgico a telotristat o a alguno de los demás componentes de este medicamento

(incluidos en la sección 6).

Advertencias y precauciones

Consulte a su médico o farmacéutico antes de empezar a tomar Xermelo:

  • Si tiene problemas en el hígado. Esto es debido a que este medicamento no se ha estudiado en pacientes con problemas graves en el hígado. Su médico decidirá si debe reducir la dosis diaria de Xermelo. Su médico también vigilará su hígado.
  • Si tiene problemas en el riñón. Esto es debido a que este medicamento no se ha estudiado

completamente en pacientes con problemas en el riñón.

Buscar efectos adversos

Informe inmediatamente a su médico si presenta alguno de los siguientes signos y síntomas que indican que su hígado podría no estar funcionando correctamente:

  • Sentir o tener náuseas (náuseas o vómitos inexplicados), orina anormalmente oscura, piel u ojos amarillos, dolor en el lado derecho del vientre.

El médico realizará análisis de sangre para comprobar cómo está el hígado y decidirá si debe seguir tomando o no este medicamento.

Consulte a su médico o farmacéutico:

  • Si está desanimado, deprimido o si no tiene interés ni le alegra realizar sus actividades habituales, mientras toma este medicamento.
  • Si tiene signos de estreñimiento, porque telotristat reduce el número de deposiciones.

Pruebas

  • Su médico puede realizar análisis de sangre antes de que empiece a tomar este medicamento y mientras lo esté tomando. Es para comprobar que el hígado funciona con normalidad.

Niños y adolescentes

Este medicamento no se recomienda para pacientes menores de 18 años, debido a que no se ha estudiado en este grupo de edad.

Otros medicamentos y Xermelo

Informe a su médico o farmacéutico si está tomando, ha tomado recientemente o pudiera tener que tomar cualquier otro medicamento. Esto se debe a que Xermelo puede afectar el funcionamiento de otros medicamentos u otros medicamentos pueden afectar al funcionamiento de Xermelo. Esto podría significar que su médico tiene que cambiar las dosis que está tomando. Debe informar al médico de todos los medicamentos, que incluyen:

  • Medicamentos para la diarrea. Tanto Xermelo como este tipo de medicamentos reducen el número de deposiciones y, al tomarlos juntos, pueden provocar un estreñimiento grave. El médico podría tener que cambiar la dosis de sus medicamentos.
  • Medicamentos utilizados para tratar la epilepsia, como ácido valproico.
  • Medicamentos utilizados para tratar el tumor neuroendocrino, como sunitinib o everolimus.
  • Medicamentos para tratar la depresión, como bupropión o sertralina.
  • Medicamentos utilizados para evitar el rechazo de un trasplante, como ciclosporina.
  • Medicamentos utilizados para reducir los niveles de colesterol, como simvastatina.
  • Anticonceptivos orales, como etinilestradiol.
  • Medicamentos utilizados para tratar la hipertensión, como amlodipino.
  • Octreotida. Si necesita tratamiento con inyecciones subcutáneas de octreotida, deberá recibir la inyección al menos 30 minutos después de tomar Xermelo.

Embarazo y lactancia

Si está embarazada o en periodo de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico o farmacéutico antes de tomar este medicamento.

No debe tomar este medicamento si está embarazada o podría estarlo. Se desconoce cómo puede afectar telotristat al bebé.

Las mujeres deben utilizar métodos anticonceptivos efectivos durante el tratamiento con este medicamento.

No debe dar el pecho si está tomando Xermelo, porque este medicamento podría pasar al bebé.

Conducción y uso de máquinas

Telotristat puede tener un pequeño efecto en la capacidad para conducir o utilizar máquinas o herramientas. Si nota cansancio, debe esperar a encontrarse mejor antes de conducir o utilizar máquinas o herramientas.

Xermelo contiene lactosa

Xermelo contiene lactosa (un tipo de azúcar). Si el médico le ha comentado que usted tiene intolerancia a algunos azúcares, consulte con él antes de tomar este medicamento.

3. Cómo tomar Xermelo

Siga exactamente las instrucciones de administración de este medicamento indicadas por su médico o farmacéutico. En caso de duda, consulte de nuevo a su médico o farmacéutico.

Qué cantidad tomar

La dosis recomendada es de un comprimido (250 mg) tres veces al día. La dosis máxima de Xermelo es de 750 mg en 24 horas.

Su médico decidirá durante cuánto tiempo debe tomar Xermelo.

Si tiene problemas en el hígado, su médico decidirá si debe reducir la dosis diaria de Xermelo.

Tomar este medicamento

  • Tome siempre este medicamento con una comida o con algún alimento.
  • Debe seguir recibiendo las inyecciones de análogos de la somatostatina (lanreotida u octreotida) mientras esté tomando Xermelo.

Si toma más Xermelo del que debe

Puede sentir o tener náuseas, diarrea o dolor en el estómago. Hable con un médico. Lleve consigo el envase del medicamento.

Si olvidó tomar Xermelo

Si olvidó tomar una dosis, tome la siguiente dosis cuando toque, saltándose la dosis olvidada. No tome una dosis doble para compensar las dosis olvidadas.

Si interrumpe el tratamiento con Xermelo

No deje de tomar Xermelo sin consultarlo al médico.

Si tiene cualquier otra duda sobre el uso de este medicamento, pregunte a su médico o farmacéutico.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, este medicamento puede producir efectos adversos, aunque no todas las personas los sufran.

Informe inmediatamente al médico si nota alguno de los siguientes efectos adversos:

  • Sentir o tener náuseas, orina anormalmente oscura, piel u ojos amarillos, dolor en el lado superior derecho del vientre. Pueden ser signos de que el hígado no funciona correctamente. Esto se podría reflejar en cambios en los resultados de los análisis de sangre, como un aumento de enzimas hepáticas: gamma-glutamil transferasa (muy frecuentes, pueden afectar a más de 1 de cada

10 personas), transaminasas y fosfatasa alcalina en sangre (frecuentes, pueden afectar hasta 1 de cada 10 personas).

Otros efectos adversos

Informe a su médico, farmacéutico o enfermero si nota alguno de los siguientes efectos adversos:

Efectos adversos muy frecuentes:

  • Dolor en el vientre (dolor abdominal)
  • Sentirse cansado o débil (fatiga)

Efectos adversos frecuentes:

  • Gases
  • Fiebre
  • Dolor de cabeza
  • Estreñimiento
  • Vientre hinchado
  • Disminución del apetito
  • Hinchazón (acúmulo de líquido en el cuerpo)

Informe a su médico, farmacéutico o enfermero si nota alguno de los efectos adversos enumerados anteriormente.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su médico, farmacéutico o enfermero, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del sistema nacional de notificación incluido en el Apéndice V. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Xermelo

Mantener este medicamento fuera de la vista y del alcance de los niños.

No utilice este medicamento después de la fecha de caducidad que aparece en el envase y el blíster después de CAD. La fecha de caducidad es el último día del mes que se indica.

Los medicamentos no se deben tirar por los desagües ni a la basura. Pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que ya no necesita. De esta forma, ayudará a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composición de Xermelo

  • El principio activo es telotristat de etilo. Cada comprimido contiene etiprato de telotristat equivalente a 250 mg de telotristat de etilo.
  • Los demás componentes son: lactosa anhidra (ver sección 2 “Xermelo contiene lactosa”), hidroxipropilcelulosa, croscarmelosa sódica, estearato de magnesio, sílice coloidal anhidra, alcohol de polivinilo (parcialmente hidrolizado) (E1203), dióxido de titanio (E171), macrogol 3350 (E1521) y talco (E553b).

Aspecto del producto y contenido del envase

Los comprimidos son de color blanco a blanquecino, recubiertos con película y ovalados. Cada comprimido mide aproximadamente 17 mm de largo y 7,5 mm de ancho y con la inscripción “T-E” en una cara y “250” en la otra. Los comprimidos están acondicionados en un blíster de aluminio- PVC/PCTFE/PVC. Los blísteres están acondicionados en un envase de cartón.

Cajas de 90 y 180 comprimidos. Puede que solamente estén comercializados algunos tamaños de envases.

Titular de la autorización de comercialización

SERB SAS

40 Avenue George V

75008 Paris

Francia

Fabricante

Beaufour Ipsen Industrie Rue Ethé Virton

28100 Dreux Francia

Fecha de la última revisión de este prospecto:

Otras fuentes de información

La información detallada de este medicamento está disponible en la página web de la Agencia Europea de Medicamentos: http://www.ema.europa.eu.También existen enlaces a otras páginas web sobre enfermedades raras y medicamentos huérfanos.

Online doctors for XERMELO 250 mg FILM-COATED TABLETS

Discuss questions about XERMELO 250 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (1201)
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.

5.0 (100)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

5.0 (188)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

0.0 (11)
Doctor

Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

5.0 (86)
Doctor

Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
  • endocrine and metabolic diseases
  • musculoskeletal and dermatological conditions
  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

0.0 (0)
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.

Get XERMELO 250 mg FILM-COATED TABLETS Prescription Online

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Frequently Asked Questions

Is a prescription required for XERMELO 250 mg FILM-COATED TABLETS?

XERMELO 250 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 XERMELO 250 mg FILM-COATED TABLETS?

The active ingredient in XERMELO 250 mg FILM-COATED TABLETS is telotristat. This information helps identify medicines with the same composition but different brand names.

Who manufactures XERMELO 250 mg FILM-COATED TABLETS?

XERMELO 250 mg FILM-COATED TABLETS is manufactured by Serb. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of XERMELO 250 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 XERMELO 250 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.

How to buy XERMELO 250 mg FILM-COATED TABLETS in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy XERMELO 250 mg FILM-COATED TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to XERMELO 250 mg FILM-COATED TABLETS?

Other medicines with the same active substance (telotristat) include AMMONAPS 500 mg TABLETS, AMMONAPS 940 mg/g GRANULES, CERDELGA 84 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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