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CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS

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Prescription review online

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Talk to a doctor about this medicine

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

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 CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE 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 usuario

Ácido Carglúmico Tillomed 200 mg comprimidos dispersables EFG

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. o enfermero.
  • Este medicamento se le ha recetado solamente 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 o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Su medicamento se llamará “acido carglúmico” en todo el prospecto.

Contenido del prospecto

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

1. Qué es Ácido Carglúmico Tillomed y para qué se utiliza

El ácido carglúmico puede ayudar a eliminar niveles plasmáticos excesivos de amoníaco (nivel elevado de amoníaco en la sangre). El amoníaco es especialmente tóxico para el cerebro y produce, en casos graves, disminución del nivel de conocimiento y coma.

La hiperamoniemia puede deberse a

  • la falta de una enzima hepática específica (N-acetilglutamato sintasa). Los pacientes con este raro trastorno no son capaces de eliminar los desechos nitrogenados, que se acumulan tras ingerir proteínas.
  • Este trastorno persiste toda la vida del paciente afectado, por lo que este tratamiento es necesario de por vida.
  • acidemia isovalérica, acidemia metilmalónica o acidemia propiónica. Los pacientes que sufren uno de estos trastornos necesitan tratamiento durante la crisis de hiperamoniemia.
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 Ácido Carglúmico Tillomed

No tome Ácido Carglúmico Tillomed:

  • si es alérgico al ácido carglúmico o a alguno de los demás componentes de este medicamento (incluidos en la sección 6).
  • durante la lactancia (ver sección Embarazo y lactancia).

Advertencias y precauciones

Consulte con su médico o farmacéutico antes de tomar ácido carglúmico.

El tratamiento con ácido carglúmico debe iniciarse bajo la supervisión de un médico con experiencia en el tratamiento de trastornos metabólicos.

Su médico evaluará su respuesta individual al ácido carglúmico antes de iniciar cualquier tratamiento a largo plazo.

Debe ajustarse individualmente la dosis a fin de mantener niveles plasmáticos de amoníaco normales.

Su médico puede recetarle suplementos de arginina o limitar su ingesta de proteínas.

A fin de hacer un seguimiento de su enfermedad y tratamiento, el médico podrá examinarle el hígado, los riñones, el corazón y la sangre de forma periódica.

Otros medicamentos y Ácido Carglúmico Tillomed

Informe a su médico o farmacéutico si está tomando, ha tomado recientemente o pudiera tener que tomar cualquier otro medicamento, incluidos los medicamentos adquiridos sin receta.

Uso de Ácido Carglúmico Tillomed con alimentos y bebidas

El ácido carglúmico debe tomarse por vía oral antes de las principales comidas o de la ingestión de alimentos. Los comprimidos deben dispersarse en un mínimo de 5 a 10 ml de agua y deben tomarse inmediatamente. La suspensión tiene un sabor ligeramente ácido.

Embarazo y lactancia

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

Embarazo

Se desconocen los efectos del ácido carglúmico sobre el embarazo y en el feto

Lactancia

No se ha estudiado el paso a la leche materna humana del ácido carglúmico. Sin embargo, se ha demostrado que el ácido carglúmico está presente en la leche de las ratas en período de lactancia, con posibles efectos tóxicos para las crías lactantes. Por lo tanto, no deberá dar el pecho a su hijo si está tomando Ácido Carglúmico Tillomed.

Conducción y uso de máquinas

Se desconocen los efectos sobre la capacidad de conducir y usar máquinas.

Acido Carglúmico Tillomed contiene sodio

Este medicamento contiene menos de 1 mmol de sodio (23 mg) por comprimido, esto es, esencialmente «exento de sodio».

3. Cómo tomar Ácido Carglúmico Tillomed

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

El comprimido se puede dividir en mitades iguales.

La dosis habitual:

La dosis diaria inicial suele ser de 100 mg por kg de peso corporal, hasta un máximo de 250 mg por kg de peso corporal (por ejemplo, si pesa 10 kg, debe tomar 1 g al día ó 5 comprimidos).

Para pacientes que padecen deficiencia de la N-acetilglutamato sintasa, a largo plazo, la dosis diaria habitualmente oscila entre 10 mg y 100 mg por kg de peso corporal.

Su médico determinará la dosis idónea para usted para mantener los niveles normales de amoníaco en su sangre.

El ácido carglúmico se debe administrar ÚNICAMENTE por vía oral o a través de una sonda nasogástrica (usando una jeringa, si es necesario).

Cuando el paciente está en coma hiperamonémico, el ácido carglúmico se administra mediante una administración rápida con una jeringa a través de la sonda que se utiliza para alimentarle.

Informe a su médico en caso de que padezca insuficiencia renal. Se debe reducir su dosis diaria.

Si toma más Ácido Carglúmico Tillomed del que debe

Si accidentalmente toma demasiados comprimidos, póngase en contacto inmediatamente con su médico o con el servicio de urgencias del hospital más cercano para recibir asesoramiento. Recuerde llevar consigo este prospecto o los comprimidos restantes.

También puede consultar con su farmacéutico o llamar al Servicio de Intoxicación Toxicológica. Teléfono 91 562 04 20, indicando el medicamento y la cantidad ingerida.

Si olvidó tomar Ácido Carglúmico Tillomed

Tómelo tan pronto como lo recuerde, a menos que sea casi la hora de su siguiente dosis. No tome una dosis doble para compensar la dosis olvidada.

Si interrumpe el tratamiento con Ácido Carglúmico Tillomed

No deje de tomar el ácido carglúmico sin informar primero a su 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.

Busque atención médica inmediatamente si desarolla los siguientes síntomas:

  • Reacciones alérgicas: Hinchazón de la cara, garganta o lengua, dificultad para respirar, mareos.

Frecuentes (pueden afectar hasta 1 de cada 10 personas):

  • aumento de la sudoración

Poco frecuentes (pueden afectar hasta 1 de cada 100 personas):

  • Latidos cardíacos más lentos (Bradicardia)
  • Diarrea
  • Fiebre
  • Aumento de las transaminasas
  • Sentirse enfermo (Vómitos).

Frecuencia no conocida (no puede estimarse a partir de los datos disponibles)

  • erupción cutánea

Si alguno de los efectos secundarios empeora o si nota algún efecto secundario no mencionado en este prospecto, informe a su médico o farmacéutico.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su médico o farmacéutico, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de Medicamentos de Uso Humano: https://www.notificaram.es. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Ácido Carglúmico Tillomed

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 blíster y en la caja después de «CAD». La fecha de caducidad es el último día del mes que se indica.

Este medicamento no requiere condiciones especiales de conservación.

Los medicamentos no se deben tirar por los desagües ni a la basura. Deposite los envases y los medicamentos que no necesita en el Punto SIGRE de la farmacia. En caso de duda pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que no necesita De esta forma, ayudará a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composicion de Ácido Carglúmico Tillomed

  • El principio activo es el ácido carglúmico. Cada comprimido contiene 200 mg de ácido carglúmico.
  • Los demás componentes son celulosa microcristalina (E460), hipromelosa (E464), laurilsulfato de sodio, croscarmelosa sódica (E468), sílice coloidal anhidra (E551), y fumarato de estearilo y sodio (E485).

Aspecto del producto y contenido del envase

Ácido Carglúmico Tillomed está disponible con material de cubierta en lámina lisa de aluminio/PAP/PET y con material de formación en aluminio-aluminio liso/OPA/AL/PVC, blíster perforado unidosis que contiene 5, 15 y 60 comprimidos dispersables.

Puede que no estén comercializados todos los tamaños de envases.

Titular de la autorización de comercialización y responsable de la fabricación

Titular de la autorización de comercialización

Laboratorios Tillomed Spain, S.L.U.

c/ Cardenal Marcelo Spinola, 8

28016 Madrid (España)

Responsable de la fabricación

Tillomed Malta Limited,

Malta Life Sciences Park,

LS2.01.06 Industrial Estate,

San Gwann, SGN 3000, Malta

Este medicamento está autorizado en los estados miembros del Espacio Económico Europeo con los siguientes nombres:

Nombre del país

Nombre del producto

Alemania

Carglumsäure Zentiva 200 mg Tabletten zur Herstellung einer Suspension zum Einnehmen

España

Ácido Carglúmico Tillomed 200 mg comprimidos dispersables EFG

Francia

ACIDE CARGLUMIQUE TILLOMED 200 mg, comprimé dispersible sécable

Grecia

Carglumic acid Tillomed 200mg διασπειρ?μενα δισκ?α

Países Bajos

Carglumaatzuur Tillomed 200 mg dispergeerbare tabletten

Fecha de la última revisión de este prospecto:Febrero 2025

La información detallada de este medicamento está disponible en la página web de la Agencia Española de Medicamentos y Productos Sanitarios (AEMPS) http://www.aemps.gob.es/

Online doctors for CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS

Discuss questions about CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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
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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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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.
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  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
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  • 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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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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Doctor

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.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

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 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

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

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

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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Anna Biriukova

General medicine 6 years exp.

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:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
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Gastroenterology – Digestive health:
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  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Frequently Asked Questions

Is a prescription required for CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS?
CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE 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 CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS?
The active ingredient in CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS is carglumic acid. This information helps identify medicines with the same composition but different brand names.
Who manufactures CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS?
CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS is manufactured by Laboratorios Tillomed Spain S.L.U. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE 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 CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE 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 CARGLUMIC ACID TILLOMED 200 mg DISPERSIBLE TABLETS?
Other medicines with the same active substance (carglumic acid) include CARGLUMIC ACID WAYMADE 200 mg DISPERSIBLE TABLETS, CARBAGLU 200 mg DISPERSIBLE TABLETS, CARBAGLU 200 mg DISPERSIBLE 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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