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ATERINA 15 mg SOFT GEL CAPSULES

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About the medicine

How to use ATERINA 15 mg SOFT GEL CAPSULES

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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 Patient

ATERINA 15 mg Soft Capsules

Sulodexide

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

  • Keep this package 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 symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What ATERINA capsules are and what they are used for
  2. What you need to know before you take ATERINA capsules
  3. How to take ATERINA capsules
  4. Possible side effects
  5. Storage of ATERINA capsules
  6. Package contents and further information

1. What ATERINA capsules are and what they are used for

ATERINA capsules contain sulodexide, which belongs to a group of medicines called antithrombotics, used to prevent and treat blood clots (thrombi) that can form in blood vessels. ATERINA capsules are indicated in adults for:

  • Treatment of chronic venous insufficiency (when veins become weak and blood pools, associated with swelling, heaviness, and pain in the legs).

Due to its antithrombotic effect, ATERINA capsules improve blood circulation and alleviate symptoms associated with chronic venous insufficiency.

  • Treatment of chronic venous ulcers
  • Symptomatic treatment of intermittent claudication in peripheral arterial occlusive disease (stage II).
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 ATERINA capsules

Do not take ATERINA capsules

  • if you are allergic to the active substance (sulodexide) or any of the other ingredients of this medicine (listed in section 6), to heparin or heparinoids (medicines that decrease blood coagulation),
  • if you have a risk of bleeding or suffer from bleeding disorders.

Warnings and precautions

Consult your doctor or pharmacist before taking ATERINA capsules.

Children and adolescents

The safety and efficacy of ATERINA in children and adolescents under 18 years of age have not been established. No data are available.

Taking ATERINA capsules with other medicines

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

ATERINA capsules may increase the anticoagulant effect of heparin-based medicines and other oral anticoagulants if taken simultaneously (see Warnings and Precautions section).

Taking ATERINA capsules with food and drinks

No information is available on interactions with food or drinks.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

As a precautionary measure, it is preferable to avoid the use of ATERINA capsules during pregnancy.

Breastfeeding

ATERINA capsules should not be taken during breastfeeding

Fertility

Studies in animals have not shown any direct or indirect harmful effects on the fertility of males and females.

Driving and using machines

This medicine has no or negligible influence on the ability to drive and use machines.

ATERINA capsules contain Yellow-Orange S (E 110), Cochineal Red A (E 124), Sodium Ethyl Para-Hydroxybenzoate (E 215), and Sodium Propyl Para-Hydroxybenzoate.

This medicine may cause allergic reactions because it contains Yellow-Orange S (E 110) and Cochineal Red A (E 124). They can cause asthma, especially in patients allergic to acetylsalicylic acid.

This medicine may cause allergic reactions (possibly delayed) because it contains Sodium Ethyl Para-Hydroxybenzoate (E 215) and Sodium Propyl Para-Hydroxybenzoate.

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

3. How to take ATERINA capsules

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

Treatment of chronic venous insufficiency:

The recommended dose is two 15 mg capsules twice a day (4 capsules per day in total) for 3 months.

Chronic venous ulcers:

Treatment is recommended to start with 60 mg per day by parenteral route (ampoules) for 15-20 days and continue with the oral formulation taking 2 capsules of 15 mg twice a day (4 capsules per day), which can be increased up to a maximum of 3 capsules of 15 mg twice a day (6 capsules per day). The recommended duration of treatment is 2-3 months.

Symptomatic treatment of intermittent claudication in peripheral arterial occlusive disease (stage II):

Treatment is recommended to start with 60 mg per day by parenteral route (ampoules) for 15-20 days and continue with the oral formulation taking 2 capsules of 15 mg twice a day (4 capsules per day), which can be increased up to a maximum of 3 capsules of 15 mg twice a day (6 capsules per day). The recommended duration of treatment is 6 months.

ATERINA capsules should be taken orally with liquid and separated from meals.

Use in children and adolescents

The safety and efficacy of ATERINA in children and adolescents have not been established due to the lack of data.

Patient with hepatic problems

The use of ATERINA capsules is not recommended in patients with hepatic disorders since there are no data on the safety and efficacy of the medicine in these patients.

If you take more ATERINA capsules than you should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately, or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medicine and the amount taken.

If you take more ATERINA capsules than recommended, you may increase the risk of bleeding. If bleeding occurs, go to the nearest emergency service.

If you forget to take ATERINA capsules

In case of forgetting a dose, take another as soon as possible, then follow the usual schedule. However, if it is close to the time for the next dose, do not take the missed dose and wait until the next one.

Do not take a double dose to make up for forgotten doses.

If you stop taking ATERINA capsules

If you have any further questions on the use of this medicine, 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, this medicine can cause side effects, although not everybody gets them.

ATERINA capsules are usually well tolerated. The following side effects have been observed:

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

  • dizziness (feeling of spinning),
  • diarrhea,
  • upper abdominal pain,
  • skin rash.

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

  • loss of consciousness,
  • headache,
  • stomach bleeding,
  • pruritic rash
  • itching, redness, and dryness of the skin,
  • swelling, especially of ankles and feet.

Side effects of unknown frequency(cannot be estimated from the available data):

  • anemia,
  • disorder of blood protein metabolism,
  • perception disorders,
  • seizures,
  • tremor,
  • visual impairment,
  • palpitations,
  • hot flushes,
  • nosebleeds,
  • hemoptysis (coughing up blood),
  • asthma,
  • black stools due to gastrointestinal bleeding,
  • vomiting,
  • gas,
  • indigestion,
  • nausea,
  • abdominal discomfort,
  • potentially life-threatening reaction with symptoms similar to flu and painful rash affecting the skin, mouth, eyes, and genitals (Stevens-Johnson syndrome),
  • rapid swelling under the skin,
  • redness of the skin,
  • purple spots with bruising (purpura),
  • blood extravasation under the skin (ecchymosis),
  • papule,
  • itching,
  • difficulty emptying the bladder,
  • pain while urinating,
  • loss of bladder control,
  • more frequent menstrual periods,
  • swelling of the genitals,
  • redness of the skin around the genitals,
  • chest pain,
  • pain,
  • fever.

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 package leaflet. You can also report side effects directly to the Spanish Medicines and Healthcare Products Agency (AEMPS) via their website: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of ATERINA capsules

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 packaging after EXP. The expiry date is the last day of the month shown.

Do not store above 30°C.

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. Package contents and further information

Composition of Angileptol mint flavor

Each tablet contains:

  • The active substances:

Chlorhexidine dihydrochloride, 5 mg

Benzocaine, 4 mg

Enoxolone, 3 mg

  • The other ingredients (excipients) are: sorbitol (E420), acesulfame potassium (E950), magnesium stearate, and mint flavor

Appearance of the product and package contents

Angileptol are sucking tablets, white, round, and with the Greek letter σ on one face.

They are available in packs of 15 and 30 sucking tablets.

Other presentations

Angileptol Mint-Eucalyptus flavor

Angileptol Honey-Lemon flavor

Marketing Authorization Holder

Alfasigma España S.L.

C/ Aribau 195, 4th floor

08021 Barcelona, Spain

Manufacturer

Pharmaloop, S.L.

Polígono Industrial Azque C/Bolivia, 15

28806 Alcalá de Henares (Madrid), Spain

or

Alfasigma, S.p.A.

Via Pontina, Km 30,400

00071 Pomezia (Rome), Italy

Date of the last revision of this package leaflet:September 2021

Other sources of information

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

Online doctors for ATERINA 15 mg SOFT GEL CAPSULES

Discuss questions about ATERINA 15 mg SOFT GEL CAPSULES, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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:

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  • 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.

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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.

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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.

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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:

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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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Frequently Asked Questions

Is a prescription required for ATERINA 15 mg SOFT GEL CAPSULES?
ATERINA 15 mg SOFT GEL CAPSULES 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 ATERINA 15 mg SOFT GEL CAPSULES?
The active ingredient in ATERINA 15 mg SOFT GEL CAPSULES is sulodexide. This information helps identify medicines with the same composition but different brand names.
How much does ATERINA 15 mg SOFT GEL CAPSULES cost in pharmacies?
The average pharmacy price for ATERINA 15 mg SOFT GEL CAPSULES is around 13.47 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures ATERINA 15 mg SOFT GEL CAPSULES?
ATERINA 15 mg SOFT GEL CAPSULES is manufactured by Alfasigma Espana S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ATERINA 15 mg SOFT GEL CAPSULES 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 ATERINA 15 mg SOFT GEL CAPSULES 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 ATERINA 15 mg SOFT GEL CAPSULES?
Other medicines with the same active substance (sulodexide) include ATERINA 25 mg SOFT GEL CAPSULES, ATERINA 60 mg/2 mL INJECTABLE SOLUTION, ATENATIV 1000 IU POWDER AND SOLVENT FOR SOLUTION FOR INFUSION. 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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