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NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis

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Prescription review online

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

Talk to a doctor about this medicine

Talk to a doctor about this medicine

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

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.

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 NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis

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

Nutrineal PD4 con 1,1% de aminoácidos con Sistema de Desconexión Integrado, solución para diálisis peritoneal

Lea todo el prospecto detenidamente antes de empezar a usar 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.
  • Si experimenta efectos adversos, consulte a su médico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto:

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

1. Qué es Nutrineal y para qué se utiliza

Nutrineal es una solución de diálisis peritoneal que no contiene glucosa. Elimina el agua y los productos de desecho de la sangre y corrige los niveles anormales de los distintos componentes de la sangre.

Nutrineal se le puede recetar:

  • si sufre insuficiencia renal que requiera una diálisis peritoneal
  • en particular, si está desnutrido.
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 usar Nutrineal

Su médico valorará si Nutrineal es una solución adecuada para su tratamiento de diálisis peritoneal. Tendrá en cuenta cualquier factor de su historia clínica que pueda excluir el uso de soluciones para diálisis peritoneal.

No use Nutrineal

No debe usar Nutrineal:

  • si es alérgico a los principios activos o a alguno de los demás componentes de este medicamento (incluidos en la sección 6)
  • si su nivel de urea en sangre es superior a 38 mmol/l
  • si sufre un trastorno que afecte al metabolismo de los aminoácidos
  • si su nivel de potasio en sangre es demasiado bajo
  • si muestra síntomas de hiperuremia como pérdida de apetito, náuseas o vómitos
  • si sus niveles de bicarbonato en sangre son demasiado bajos
  • si sufre insuficiencia hepática
  • si padece acidosis láctica grave (demasiada cantidad de ácido en sangre)
  • si tiene alguna alteración quirúrgica incorregible que afecta a su pared o cavidad abdominal o una alteración incorregible que aumente el riesgo de infecciones abdominales.

Advertencias y precauciones

Consulte a su médico antes de empezar a usar Nutrineal:

  • si nota pérdida de apetito, náuseas o vómitos. Es posible que el médico necesite reducirle el número de intercambios de Nutrineal o interrumpir el tratamiento con Nutrineal
  • si siente dolor abdominal o advierte que el líquido de drenaje está turbio, tiene grumos o presenta partículas. Esto puede ser un signo de peritonitis (peritoneo inflamado) o de infección. Debe ponerse en contacto con su equipo médico urgentemente. Anote el número de lote y lléveselo junto con la bolsa del líquido drenado al equipo médico. El equipo médico decidirá si se debe interrumpir el tratamiento o si se debe iniciar un tratamiento corrector. Por ejemplo, si padece una infección su médico puede realizar varias pruebas para determinar qué antibiótico es el más adecuado para usted. Su médico puede darle un antibiótico que sea efectivo frente a un amplio número de bacterias diferentes hasta que sepa qué infección tiene. A este tipo de antibiótico se le denomina antibiótico de amplio espectro
  • si experimenta una reacción de hipersensibilidad (una reacción alérgica) – ver también sección 4. Su médico puede necesitar parar el tratamiento con Nutrineal
  • durante una diálisis peritoneal su cuerpo puede perder proteínas, aminoácidos y vitaminas. Su médico determinará si necesita reponer esas pérdidas.
  • si sufre problemas que afecten a la integridad de la pared o cavidad abdominal. Por ejemplo, en caso de hernia o infección crónica o enfermedad inflamatoria que afecte a los intestinos
  • si ha tenido un injerto de aorta
  • si sufre una enfermedad pulmonar grave, por ejemplo enfisema
  • si tiene dificultades respiratorias
  • si utiliza insulina o cualquier otro tratamiento para corregir la hiperglucemia. Es posible que su médico necesite ajustar su dosis
  • si está recibiendo tratamiento para el hiperparatiroidismo secundario, su médico decidirá si puede utilizar una solución de diálisis con un contenido bajo de calcio
  • También debe tener en cuenta que un trastorno denominado esclerosis peritoneal encapsulante (EPE) es una complicación conocida y rara de la terapia con diálisis peritoneal. Usted, probablemente de manera conjunta con su médico, deberá ser consciente de esta posible complicación. EPE provoca:
  • inflamación del abdomen (barriga)
  • crecimiento de las capas del tejido fibroso que cubre y une los órganos, lo que afectará a su movimiento normal. En raras ocasiones ha resultado fatal
  • su médico comprobará sus niveles de potasio de forma regular. Si se los niveles bajaran mucho puede que le administre cloruro potásico para compensar.
  • Su médico le informará de las precauciones específicas para usted. Su médico controlará los parámetros sanguíneos a intervalos regulares y se asegurará de que son los adecuados durante el tratamiento.
  • Usted, probablemente de manera conjunta con su médico, llevará un registro de su ingesta de proteínas en la dieta, su balance hídrico y de su peso corporal.

Uso de Nutrineal con otros medicamentos

  • Informe a su médico si está utilizando, ha utilizado o pudiera tener que utilizar cualquier otro medicamento. Si utiliza otros medicamentos, es posible que el médico necesite aumentar su dosis ya que el tratamiento de diálisis peritoneal aumenta la eliminación de determinados medicamentos.
  • Tenga cuidado si utiliza medicamentos para el corazón denominados glucósidos cardiacos (p. ej., digoxina). Sus medicamentos para el corazón pueden no ser tan eficaces o su toxicidad puede verse incrementada. Puede que:
  • necesite suplementos de potasio y de calcio
  • desarrolle alteraciones del ritmo cardiaco (arritmia)
  • Su médico le realizará un control exhaustivo durante el tratamiento, especialmente de sus niveles de potasio y de magnesio.

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 antes de utilizar este medicamento. No se recomienda el uso de Nutrineal durante el embarazo o la lactancia, a menos que su médico le indique lo contrario.

Conducción y uso de máquinas:

Este tratamiento puede causar debilidad, malestar general o disminución del volumen de fluido de su cuerpo (hipovolemia). No conduzca ni utilice máquinas si está afectado.

3. Cómo usar Nutrineal

Nutrineal debe administrarse en su cavidad peritoneal. Esta cavidad se encuentra en el abdomen (barriga) entre la piel y el peritoneo. El peritoneo es la membrana que rodea los órganos internos, como los intestinos o el hígado.

Nutrineal no es para uso intravenoso.

Siga exactamente las instrucciones de administración de este medicamento indicadas por su médico. En caso de duda, pregunte a su médico.Si la bolsa está dañada, debe desecharse.

Cantidad y frecuencia

Su médico le indicará el número adecuado de bolsas que debe utilizar. Normalmente, varía entre una bolsa de 2,0 litros y una bolsa de 2,5 litros al día.

Uso en niñosy adolescentes

Si tiene menos de 18 años, su médico evaluará cuidadosamente si se le debe administrar Nutrineal.

Su médico volverá a evaluar el tratamiento después de 3 meses si su estado nutricional no mejora.

Forma de administración

Antes del uso:

  • Caliente la bolsa a 37 °C. Utilice la placa de calentamiento especialmente diseñada para este fin. Nunca sumerja la bolsa en agua para calentarla. No utilice nunca un horno microondas para calentar la bolsa.
  • Retire la sobrebolsa y administre la solución inmediatamente.
  • Sólo utilice la solución si está transparente y el envase no está dañado.
  • Utilice cada bolsa una única vez. Deseche la solución restante que no utilice.

Debe utilizar una técnica aséptica durante toda la administración de la solución, tal y como le han enseñado.

Compatibilidad con otros medicamentos

Su médico puede recetarle otros medicamentos inyectables para añadirlos directamente a la bolsa de Nutrineal. En este caso, añada el medicamento a través del sitio de adición de medicamentos. Utilice el producto inmediatamente tras la adición del medicamento. Consulte con su médico si no está seguro.

Si usa más de una bolsa de Nutrinealen 24 horas

Si se le administra una dosis excesiva de Nutrineal podrá sufrir:

  • distensión abdominal
  • pesadez de estómago

Póngase inmediatamente en contacto con su médico. Le informará de lo que debe hacer.

Si interrumpe el tratamiento con Nutrineal

No interrumpa la diálisis peritoneal sin el consentimiento de su médico. La interrupción del tratamiento puede tener consecuencias amenazantes para su vida.

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

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.

Si experimenta efectos adversos, consulte a su médico, incluso si se trata de efectos adversos que no aparecen en este prospecto.

Si aprecia alguno de los siguientes efectos adversos, informe inmediatamente a su médico o a su unidad de diálisis peritoneal:

  • Dolor abdominal

Efectos adversos muy frecuentes (afectan a más de 1 de cada 10 pacientes tratados con Nutrineal):

  • Náuseas, vómitos
  • Anorexia (trastorno prolongado de la alimentación debido a la pérdida de apetito)
  • Gastritis (inflamación del estómago)
  • Sensación de debilidad Aumento del volumen del fluido corporal (hipervolemia)
  • Nivel alto de sustancias ácidas en el cuerpo (acidosis)

Efectos adversos frecuentes (afectan a más de 1 de cada 100 pacientes tratados con Nutrineal):

  • Anemia
  • Depresión
  • Dificultad para respirar
  • Dolor abdominal
  • Disminución del volumen del fluido corporal (hipovolemia)
  • Disminución de los niveles de sales de potasio en sangre (hipopotasemia)
  • Infección

Efectos adversos que se han notificado (afectan a un número desconocido de pacientes tratados con Nutrineal):

  • Peritonitis
  • Efluente peritoneal turbio
  • Malestar abdominal
  • Fiebre
  • Malestar general
  • Picor
  • Reacción de hipersensibilidad (una reacción alérgica)
  • Reacciones alérgicas graves que causan inflamación de la cara o de la garganta (angioedema)

Otros efectos adversos relacionados con el procedimiento de diálisis peritoneal:

  • Infección alrededor del lugar de salida de su catéter
  • Complicación relacionada con el catéter
  • Disminución de los niveles de sales de calcio (hipocalcemia) en sangre.

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 Español de Farmacovigilancia de Medicamentos de Uso Humano*. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Nutrineal

  • Mantener este medicamento fuera la vista y del alcance de los niños.
  • Conservar en el envase original.
  • Conservar por debajo de 30 ?C y protegerlo de la luz.
  • No utilice este medicamento después de la fecha de caducidad que aparece en el envase de cartón y en la bolsa después de CAD. La fecha de caducidad es el último día del mes que se indica.

Deseche Nutrineal según se le haya indicado.

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

El presente prospecto no contiene toda la información sobre este medicamento. Si tiene cualquier duda, pregunte a su médico.

Composición deNutrinealPD4 con 1,1% de aminoácidos

Los principios activos son:

Nutrineal PD4 con 1,1% de aminoácidos

Composición en mg/l

Mezcla de aminoácidos:

Alanina

951

Arginina

1071

Glicina

510

Histidina

714

Isoleucina

850

Leucina

1020

Lisina, HCl

955

Metionina

850

Fenilalanina

570

Prolina

595

Serina

510

Treonina

646

Triptófano

270

Tirosina

300

Valina

1393

Cloruro de sodio

5380

Cloruro de calcio dihidrato

184

Cloruro de magnesio hexahidrato

51

Lactato de sodio

4480

Composición en mmol/l

Aminoácidos

87,16

Sodio

132

Calcio

1,25

Magnesio

0,25

Lactato

40

Cloruro

105

Los demás componentes son:

  • Agua para preparaciones inyectables
  • Ácido clorhídrico concentrado.

Aspecto del producto y contenido del envase

  • Nutrineal está envasado en una bolsa de plástico de PVC con capacidad de 1,5; 2,0 ó 2,5 litros.
  • Cada bolsa está envuelta en una sobrebolsa y se suministra en cajas de cartón.

Volumen

Número de unidades por caja

Presentación del producto

1,5 l

6

Bolsa doble

2,0 l

5

Bolsa doble

2,0 l

6

Bolsa doble

2,0 l

8

Bolsa doble

2,5 l

4

Bolsa doble

Puede que solamente estén comercializados algunos tipos de bolsas.

Titular de la autorización de comercialización y responsable de la fabricación

Titular de la autorización de comercialización:

VANTIVE HEALTH S.L.

Calle Pouet de Camilo, 2 - Polígono Industrial Sector 14

46394 Ribarroja del Turia (Valencia) España

Responsable de la fabricación:

Vantive Manufacturing Limited

Moneen Road

Castlebar

County Mayo, Irlanda

Fecha de la última revisión de este prospecto: Mayo 2016.

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

Online doctors for NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis

Discuss questions about NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis, 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.

4.6 (73)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate

Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

0.0 (10)
Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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Frequently Asked Questions

Is a prescription required for NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis?

NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis 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 NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis?

The active ingredient in NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis is Hypertonic solutions. This information helps identify medicines with the same composition but different brand names.

Who manufactures NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis?

NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis is manufactured by Vantive Health S.L.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis 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 NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis 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 NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis 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 NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis 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 NUTRINEAL PD4 with 1.1% Amino Acids with Integrated Disconnect System, Solution for Peritoneal Dialysis?

Other medicines with the same active substance (Hypertonic solutions) include NUTRINEAL PD4 WITH 1.1% AMINO ACIDS, SOLUTION FOR PERITONEAL DIALYSIS, BICAVERA GLUCOSA 1.5%, Calcium 1.75 mmol/l SOLUTION FOR PERITONEAL DIALYSIS, BICAVERA GLUCOSA 2.3%, Calcium 1.75 mmol/l SOLUTION FOR PERITONEAL DIALYSIS. 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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