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ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS

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 ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS

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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 User

ICOMAS 0.3%/ 0.3%/ 0.3% Compressed Medical Gas

Carbon monoxide (CO), methane (CH4), and acetylene (C2H2).

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

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, ask your doctor or nurse.
  • If you experience side effects, ask your doctor or nurse, even if they are not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What ICOMAS is and what it is used for
  2. What you need to know before starting to use ICOMAS
  3. How to use ICOMAS
  4. Possible side effects
  5. Storage of ICOMAS
  6. Package Contents and Additional Information

1. What ICOMAS is and what it is used for

This medicinal product is for diagnostic use only in pulmonary function tests. ICOMAS should only be used in patients who are able to perform the test, regardless of age.

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 starting to use ICOMAS

Children and Adolescents

This product should be used with caution in children. Ask your doctor or nurse before taking this medicine.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, ask your doctor or nurse before taking this medicine.

ICOMAS should only be used during pregnancy when absolutely necessary.

ICOMAS can be used during breastfeeding.

3. How to use ICOMAS

ICOMAS should only be used for diagnostic tests of pulmonary function. You should follow the instructions given by your doctor or the nurse attending you exactly. If in doubt, ask your doctor or nurse again.

If you take more ICOMAS than you should

If you have taken too much of the product, you may experience symptoms of low oxygen levels in the blood, such as altered consciousness, headache, dizziness, nausea, vomiting, and blurred vision; chest pain, difficulty breathing, weakness, or other vague symptoms.

If you experience any of these symptoms, inform your healthcare professional immediately and stop inhaling ICOMAS.

Safety Information

  • ICOMAS is for medicinal use only.
  • Smoking or igniting flames is not allowed in the room where this product is being used.

If you have any other questions about the use of this medicine, ask your doctor or nurse.

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 everyone gets them.

No known side effects have been associated with the use of ICOMAS.

Reporting Side Effects

If you experience any side effects, ask your doctor or nurse, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: http://www.aemps.gob.es/ or the European Medicines Agency website: http://www.ema.europa.eu/.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of ICOMAS

Keep this medicine out of the sight and reach of children.

Store the cylinders in areas with restricted access, reserved for medical gases. Do not expose to high temperatures.

In case of fire, if possible, move the cylinders to a safe place. Handle with care. Return used cylinders to the supplier with a minimum residual pressure (5 bar overpressure).

Store and transport the cylinders with the valve closed and the protective cap in place.

Do not use ICOMAS after the expiration date stated on the cylinder label.

6. Package Contents and Additional Information

What ICOMAS contains

The active substances are carbon monoxide (CO), acetylene (C2H2), and methane (CH4).

The other components are nitrogen (N2) and oxygen (O2).

Appearance and Package Contents

ICOMAS is a colorless, odorless, and tasteless gas.

Pharmaceutical form: compressed medical gas.

The top (nose) of the cylinders has light green marks (inert gas). The body of the gas cylinder is white (medical gas).

Packages (including materials) and valves:

10-liter aluminum cylinder with a closing valve.

20-liter aluminum cylinder with a closing valve.

40-liter aluminum cylinder with a closing valve.

50-liter aluminum cylinder with a closing valve.

Marketing Authorization Holder and Manufacturer

Linde Sverige AB

Rättarvägen 3

169 68 Solna

Sweden.

Manufacturer

Linde Gas AB

Baltzar von Platens gata 4-6

749 47 Enköping

Sweden

.

Linde GmbH

Seitnerstr. 70,

82049 Pullach

Germany

With a manufacturing plant in:

Linde GmbH, Betriebsstaette Leuna

Spergauer Straße 1a

06237 Leuna

Germany

Linde Gas Therapeutics Benelux B.VDe Keten 7, 5651 JG te EindhovenNetherlands

This medicine is authorized in the Member States of the European Union under the following names:

Austria

Belgium

iCOmas

Carbon monoxide 0.3%, Acetylene 0.3%, Methane 0.3% Linde

Denmark

Icomas

Finland

Icomas

Germany

iCOmas

Iceland

Luxembourg

Icomas

ICOMAS

Netherlands

ICOMAS

Norway

Icomas

Spain

Portugal

Sweden

ICOMAS

Icomas

Icomas

Date of the Last Revision of this Package Leaflet:December 2024

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

The following information is intended exclusively for healthcare professionals:

Safety Instructions

  • Connect only to medical connections.
  • Keep the cylinder clean, dry, and free from grease and oil.
  • Turn off/disconnect the equipment when not in use.
  • In case of fire, turn off/disconnect the equipment.
  • The pressure regulator should be opened slowly and with care.
  • ICOMAS should only be used in well-ventilated areas.
  • When the cylinder is in use, it should be properly secured.
  • This product should not be used with a pressure lower than 5 bar. This residual pressure protects the cylinder from possible contamination.

After use, the cylinder valve should be closed using normal manual pressure. Depressurize the regulator or connector.

Online doctors for ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS

Discuss questions about ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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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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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Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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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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Taisiia Proida

Family medicine 7 years exp.

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

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Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€55
5.0 (5)
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
  • 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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€80

Get ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS?

ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS 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 ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS?

The active ingredient in ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS is Other diagnostic agents. This information helps identify medicines with the same composition but different brand names.

Who manufactures ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS?

ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS is manufactured by Linde Sverige Ab. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS 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 ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS 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 ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS 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 ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS 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 ICOMAS 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS?

Other medicines with the same active substance (Other diagnostic agents) include APULCO ACOMETH 0.3%/0.3%/0.3% MEDICINAL COMPRESSED GAS, APULCO COHE 0.28%/9.5% MEDICINAL COMPRESSED GAS, APULCO COHEMAX 0.28%/14% MEDICINAL COMPRESSED GAS. 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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