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CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS

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About the medicine

How to use CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Patient Information Leaflet

Claritromicina Sandoz 250 mg film-coated tablets EFG

Claritromicina Sandoz 500 mg film-coated tablets EFG

Read the entire leaflet carefully before starting to take the medicine, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the package leaflet

  1. What is Claritromicina Sandoz and what is it used for
  2. What you need to know before taking Claritromicina Sandoz
  3. How to take Claritromicina Sandoz
  4. Possible side effects

5 Storage of Claritromicina Sandoz

  1. Contents of the pack and further information

1. What is Claritromicina Sandoz and what is it used for

Claritromicina is a medicine that belongs to the group of macrolide antibiotics. Antibiotics stop the growth of certain bacteria.

Antibiotics are used to treat bacterial infections and are not effective against viral infections, such as the flu or the common cold.

It is essential to follow the instructions regarding dosage, administration interval, and treatment duration indicated by your doctor.

Do not store or reuse this medicine. If you have any antibiotic left over after completing the treatment, return it to the pharmacy for proper disposal. Do not throw medicines down the drain or in the trash.

Claritromicina is used to treat adults and adolescents (12 years of age and older) with infections caused by microorganisms sensitive to clarithromycin:

  • infections of the throatand sinusitis,
  • infections of the respiratory tract, such as bronchitis and pneumonia,
  • infections of the skinand soft tissues,
  • gastric ulcerscaused by the bacteria Helicobacter pylori.
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2. What you need to know before taking Claritromicina Sandoz

Do not take Claritromicina Sandoz

  • if you are allergicto clarithromycin, other macrolide antibiotics, or any of the other components of this medicine listed in section 6,
  • if you or a family member have a history of certain abnormal heart rhythms (ventricular arrhythmia, including torsades de pointes) or electrocardiogram (ECG) alterations, known as "long QT syndrome",
  • if you have severe liver failureand kidney problemsat the same time,
  • if you have abnormally low levels of potassium or magnesiumin your blood (hypokalemia or hypomagnesemia),
  • if you are taking:
  • ticagrelor, ivabradine, or ranolazine(for angina or to reduce the risk of heart attack or stroke),
  • ergotamine, dihydroergotamine(medicines for migraine treatment),
  • oral midazolam(for anxiety or to help you sleep),
  • cisapride and domperidone(gastric medicines),
  • pimozide(antipsychotic),
  • terfenadine, astemizole(hay fever, antihistamines),
  • lovastatin, simvastatin(cholesterol-lowering medicines),
  • a medicine containing lomitapide,
  • colchicine(for gout treatment),
  • other medicines known to cause serious heart rhythm disturbances.

Warnings and precautions

Consult your doctor or pharmacist before starting to take clarithromycin:

  • if you are pregnant, think you may be pregnant, or plan to become pregnant,
  • if you have reduced liver or kidney function,
  • if you have diabetes,
  • if you develop severe or prolonged diarrhea(pseudomembranous colitis) during or after taking clarithromycin, consult your doctor immediately. Inflammation of the colon (pseudomembranous colitis) has been reported with almost all antibacterial medicines, including clarithromycin,
  • if you have heart problems.

Other medicines and Claritromicina Sandoz

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

Do not take with ergot alkaloids, astemizole, terfenadine, cisapride, domperidone, pimozide, ticagrelor, ranolazine, colchicine, some cholesterol-lowering medicines, and medicines known to cause serious heart rhythm disturbances (see "Do not take Claritromicina Sandoz").

Some medicines may affect the efficacy of clarithromycin or vice versa. These medicines are:

Claritromicina may increase the effect of the following medicines:

  • ibrutinib (chronic lymphocytic leukemia),
  • alprazolam, triazolam, intravenous or oral midazolam (for anxiety or to help you sleep),
  • digoxin, quinidine, disopyramide, amlodipine, diltiazem (heart medicines),
  • theophylline (anti-asthmatic),
  • warfarin or other anticoagulants, e.g., dabigatran, rivaroxaban, apixaban, edoxaban (to thin the blood),
  • other statins (not contraindicated with lovastatin and simvastatin) such as atorvastatin, rosuvastatin (cholesterol-lowering medicines),
  • cyclosporin, sirolimus, tacrolimus (immunosuppressants),
  • carbamazepine, phenytoin, or valproate (epilepsy medicines),
  • cilostazol (used to improve leg circulation),
  • insulin and other diabetes medicines (such as nateglinide, pioglitazone, rosiglitazone, or repaglinide),
  • methylprednisolone (a corticosteroid for inflammation treatment),
  • omeprazole (gastric medicine),
  • sildenafil, tadalafil, vardenafil (medicines for erectile dysfunction treatment),
  • tolterodine (medicine for overactive bladder treatment),
  • vinblastine (cancer treatment medicine),
  • medicines with a risk of producing hearing problems, especially aminoglycosides, such as gentamicin or neomycin (a group of antibiotics),

The effect of clarithromycin and the effect of the following medicines may be increased when taken together:

  • atazanavir, saquinavir (HIV treatment medicines),
  • itraconazole (fungal infection treatment medicine).

If your doctor recommends taking any of the above-mentioned medicines at the same time as clarithromycin, your doctor should monitor you more closely.

The following medicines may have a weak effect on clarithromycin:

  • rifampicin, rifabutin, rifapentine (antibiotics),
  • efavirenz, etravirine, nevirapine (HIV treatment medicines),
  • phenytoin, carbamazepine, phenobarbitone (antiepileptic),
  • St. John's Wort (a herbal preparation for depression treatment).

This is also important if you take medicines called:

  • hydroxychloroquine or chloroquine(used to treat diseases such as rheumatoid arthritis or to treat or prevent malaria). Taking these medicines at the same time as clarithromycin may increase the risk of abnormal heart rhythms and other serious adverse reactions affecting the heart,
  • corticosteroids, administered orally, by injection, or inhaled (used to suppress the immune system; this is useful in the treatment of a wide range of diseases).

Note that:

  • ritonavir(antiviral) and fluconazole(fungal infection treatment medicine) may increase the effect of clarithromycin,
  • clarithromycin may have a weak effect on zidovudine(antiviral). To avoid this effect, you should leave a 4-hour interval between taking these medicines.
  • the use of clarithromycin with digoxin, quinidine, disopyramide, or verapamil(heart medicines) at the same time, or other macrolide antibioticsmay cause serious side effects,
  • the use of clarithromycin with disopyramidemay cause a decrease in blood sugar levels (hypoglycemia).

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Driving and using machines

Claritromicina does not generally affect the ability to drive and use machines, but it may cause side effects such as dizziness, confusion, and disorientation. If you feel affected, do not drive, operate machinery, or engage in activities where you may put yourself or others at risk. Visual disturbances and blurred vision may affect the patient's ability to drive or operate machinery.

Claritromicina Sandoz contains sodium

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

3. How to take Claritromicina Sandoz

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

Dose

Adults and adolescents (12 years of age and older)

The recommended dose is 1 tablet of clarithromycin 250 mg twice a day.

The dose may be increased to 2 tablets of clarithromycin 250 mg twice a day or 1 tablet of clarithromycin 500 mg twice a day.

Gastric ulcer caused by the bacteria Helicobacter pylori:

2 tablets of clarithromycin 250 mg twice a day or 1 tablet of clarithromycin 500 mg twice a day in combination with other suitable antibiotics and medicines used to treat excessive gastric acid production.

Children (under 12 years)

The use of this medicine is not recommended in children under 12 years of age.

For these patients, other pharmaceutical forms are available, e.g., suspension.

Renal insufficiency

Your doctor may need to reduce the dose.

How to take Claritromicina Sandoz

For oral use.

Take the medicine with a glass of water.

This medicine can be taken with or without food.

Treatment duration

  • The treatment duration is generally 6 to 14 days. The treatment should be continued for at least 2 days after the symptoms have disappeared.
  • In the case of streptococcal infections, the minimum treatment duration is 10 days.
  • Treatment of gastric ulcer caused by Helicobacter pylorishould continue for 7 days.

If you take more Claritromicina Sandoz than you should

If you have taken many tablets of clarithromycin at the same time, contact your doctor or go to the emergency department as soon as possible. The symptoms of overdose include gastrointestinal symptoms.

If you have taken more clarithromycin than you should, consult your doctor, pharmacist, or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount used.

If you forget to take Claritromicina Sandoz

If you forget to take clarithromycin, continue the treatment with the normal recommended dose indicated by your doctor. Do not take a double dose to make up for the forgotten doses.

If you stop taking Claritromicina Sandoz

It is essential to take your medicine according to your doctor's instructions. Do not stop taking clarithromycin suddenly without consulting your doctor first.

Otherwise, the symptoms may reappear.

If you have any other questions about 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.

Serious side effects:

If you experience any of the following symptoms of a severe allergic reaction, stop taking the medicine and contact your doctor immediately or go to the emergency departmentof your nearest hospital:

  • sudden difficulty breathing, speaking, or swallowing, swelling of the lips, face, and neck,
  • extreme dizziness or collapse,
  • severe skin rash or itching, especially if blisters appear and there is pain in the eyes, mouth, and genitals.
  • severe diarrheafor a prolonged period during or after treatment, or with blood, with stomach pain or fever. This can be a symptom of a severe intestinal inflammation. Your doctor should stop the treatment. Do not take medicines to reduce bowel movements,
  • liver problems with possible signs of:
  • loss of appetite,
  • yellowing of the skin or the whites of the eyes (jaundice),
  • unusually dark urine, pale stools,
  • itching of the skin,
  • abdominal pain.
  • rapid or irregular heartbeat,
  • inflammation of the pancreas, which causes severe abdominal and back pain,
  • red and scaly rash with blisters and bumps under the skin (pustular exanthematous eruption).

Other possible side effects:

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

  • insomnia,
  • headache,
  • changes in taste and smell (e.g., metallic or bitter taste),
  • abdominal pain, feeling sick or vomiting, diarrhea, indigestion,
  • abnormal liver function test results,
  • rash,
  • excessive sweating,
  • vasodilation.

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

  • fungal infections (candidiasis), for example, in the mouth,
  • vaginal infections,
  • low levels of white blood cells (leucopenia, neutropenia),
  • increased levels of some white blood cells (eosinophilia),
  • allergic reactions,
  • anorexia, loss of appetite,
  • anxiety, dizziness, somnolence, tremors,
  • vertigo sensation,
  • hearing disturbances, ringing in the ears (tinnitus),
  • changes in heart activity measured on the ECG, called "prolonged QT",
  • feeling the heartbeat,
  • stomach, mouth, and tongue inflammation,
  • gas, constipation, belching, bloating
  • dry mouth,
  • bile flow failure,
  • discomfort,
  • general feeling of discomfort,
  • weakness,
  • chest pain,
  • chills,
  • fatigue,
  • fainting,
  • bullous dermatitis (see "Serious side effects" above).

Frequency not known(cannot be estimated from the available data)

  • inflammation of the intestine, from mild to severe (see "Serious side effects" above),
  • certain skin and underlying tissue infections (erysipelas),
  • severe reduction of certain white blood cells (agranulocytosis),
  • reduced platelet count in the blood: the signs may be unusual bruising and bleeding

unusual,

  • severe allergic reaction (anaphylactic reaction, see "Serious side effects" above),
  • psychosis, a feeling of loss of identity,
  • feeling of not being yourself, confusion,
  • depression, abnormal sleep, disorientation, hallucinations, mania,
  • seizures,
  • changes in smell and taste, loss of smell and taste,
  • tingling or numbness,
  • deafness,
  • heart rhythm disorders, including fatal cases (ventricular arrhythmia, torsades de pointes, see "Serious side effects" above),
  • prolongation of blood coagulation time,
  • acute pancreatitis (see "Serious side effects" above),
  • discoloration of teeth and tongue,
  • severe liver failure, including fatal cases (see "Serious side effects" above),
  • yellowing of the skin or the whites of the eyes (jaundice),
  • severe skin diseases with discomfort, redness, peeling, and swelling (Stevens-Johnson syndrome, toxic epidermal necrolysis, DRESS, see "Serious side effects" above),
  • acne,
  • muscle pain or weakness,
  • kidney inflammation, kidney failure,
  • abnormal urine color,
  • vision problems (blurred vision),
  • vision disturbances.

Reporting of side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Claritromicina Sandoz

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 blister and carton, after CAD/EXP. The expiry date is the last day of the month indicated.

This medicine does not require any special storage temperature.

Store in the original packaging to protect from light.

Medicines should not be disposed of via wastewater or household waste. Dispose of the packaging and any unused medicine in the SIGRE collection point at your pharmacy. If you are unsure, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Claritromicina Sandoz

  • The active ingredient is clarithromycin.

Claritromicina Sandoz 250 mg film-coated tablets

Each tablet contains 250 mg of clarithromycin.

Claritromicina Sandoz 500 mg film-coated tablets

Each tablet contains 500 mg of clarithromycin.

  • The other ingredients are:

Core:sodium croscarmellose (E 468), microcrystalline cellulose (E 460), povidone, magnesium stearate (E 572), colloidal anhydrous silica (E 551), talc (E 553b).

Coating:hypromellose (E 464), propylene glycol (E 1520), titanium dioxide (E 171), hydroxypropylcellulose (E 463), sorbitan monoleate (E 494), quinoline yellow (E104), vanilla.

Appearance of the Product and Package Contents

Claritromicina Sandoz 250 mg film-coated tablets are film-coated tablets, dark yellow in color, capsule-shaped (15.6 x 7.9 mm).

Claritromicina Sandoz 500 mg film-coated tablets are film-coated tablets, light yellow in color, oval-shaped (18.8 x 8.8 mm).

They are presented in PVC/PVDC/Aluminum blisters.

Package sizes:

Claritromicina Sandoz 250 mg film-coated tablets:

7, 10, 12, 14, or 21 film-coated tablets.

Claritromicina Sandoz 500 mg film-coated tablets:

7, 10, 14, or 21 film-coated tablets.

Only some package sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Sandoz Farmacéutica, S.A.

Centro Empresarial Parque Norte

Edificio Roble

C/ Serrano Galvache, 56

28033 Madrid

Spain

Manufacturer

Lek Pharmaceuticals d.d.

Verovskova ulica 57

1526 Ljubljana

Slovenia

or

Lek Pharmaceuticals d.d.

Trimlini 2D, 9220

Lendava,

Slovenia

or

Lek S.A.

Ul. Domaniewska 50 C

02-672 Warszawa

Poland

or

Salutas Pharma GmbH

Otto-von-Guericke-Allee 1

39179 Barleben

Germany

or

S.C. Sandoz, S.R.L.

Str. Livezeni nr. 7A

RO-540472 Targu-Mures

Romania

This medicine is authorized in the Member States of the European Economic Area under the following names

Netherlands

Claritromycine Sandoz 250 mg, film-coated tablets

Claritromycine Sandoz 500 mg, film-coated tablets

Belgium

Clarithromycine Sandoz 250 mg film-coated tablets

Clarithromycine Sandoz 500 mg film-coated tablets

Bulgaria

Lekoklar 250 mg film-coated tablets

Lekoklar 500 mg film-coated tablets

Poland

LEKOKLAR MITE, 250 MG, film-coated tablets

LEKOKLAR FORTE, 500 MG, film-coated tablets

Lithuania

Lekoklar 500 mg film-coated tablets

Romania

Lekoklar 250 mg film-coated tablets

Lekoklar 500 mg film-coated tablets

Slovakia

LEKOKLAR 250 mg film-coated tablets

LEKOKLAR 500 mg film-coated tablets

Date of the last revision of this leaflet:May 2024

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

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Lina Travkina

Family medicine 13 years exp.

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

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Alina Tsurkan

Family medicine 13 years exp.

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

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Frequently Asked Questions

Is a prescription required for CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS?
CLARITHROMYCIN SANDOZ 500 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 CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS?
The active ingredient in CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS is clarithromycin. This information helps identify medicines with the same composition but different brand names.
How much does CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS cost in pharmacies?
The average pharmacy price for CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS is around 12.24 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS?
CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS is manufactured by Sandoz Farmaceutica S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CLARITHROMYCIN SANDOZ 500 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 CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to CLARITHROMYCIN SANDOZ 500 mg FILM-COATED TABLETS?
Other medicines with the same active substance (clarithromycin) include CLARITHROMYCIN ACCORD 500 mg FILM-COATED TABLETS, CLARITHROMYCIN ALMUS 500 mg FILM-COATED TABLETS, CLARITHROMYCIN ALTAN 500 mg LYOPHILIZED POWDER 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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