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Opfolda 65 mg cápsulas duras

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Doctor
5.0(6)

Jorge Correa Bellido

General medicine7 years of experience
Licence no. 464626297

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.

Book a video appointment
€86
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 OPFOLDA 65 mg HARD CAPSULES

Contents of the leaflet

  1. Introduction
  2. What is Opfolda and what is it used for
  3. What you need to know before you take Opfolda
  4. How to take Opfolda
  5. Possible side effects
  6. Storage of Opfolda
  7. Contents of the pack and other information

Introduction

Package Leaflet: Information for the Patient

Opfolda 65 mg Hard Capsules

miglustat

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Opfolda and what is it used for
  2. What you need to know before you take Opfolda
  3. How to take Opfolda
  4. Possible side effects
  5. Storage of Opfolda
  6. Contents of the pack and other information

1. What is Opfolda and what is it used for

What is Opfolda

Opfolda is a medicine used for the treatment of late-onset Pompe disease in adults. This medicine contains the active substance “miglustat”.

What Opfolda is used for

Opfolda is always used with another medicine called “cipaglucosidase alfa”, a type of enzyme replacement therapy (ERT). Therefore, it is very important that you also read the package leaflet of cipaglucosidase alfa.

If you have any questions about these medicines, ask your doctor or pharmacist.

How Opfolda works

People with Pompe disease have low levels of an enzyme called acid alpha-glucosidase (GAA). This enzyme helps regulate the levels of glycogen (a type of carbohydrate) in the body.

In Pompe disease, large amounts of glycogen accumulate in the muscles throughout the body. This prevents the muscles from working properly, for example, the muscles that help you walk, those that facilitate breathing in the lungs, and the heart muscle.

Opfolda binds to cipaglucosidase alfa during treatment. This makes the form of cipaglucosidase alfa more stable, so it can be more easily absorbed by the muscle cells affected by Pompe disease. Once inside the cells, cipaglucosidase alfa acts like GAA, promoting the breakdown of glycogen and regulating its levels.

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 Opfolda

Do not take Opfolda

  • If you are allergic to miglustat or any of the other ingredients of this medicine (listed in section 6).
  • If you are allergic to alpha cypaglucosidase.

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before you start taking Opfolda.

Pay attention to serious side effects

Opfolda is used together with cipaglucosidase alfa, a type of enzyme replacement therapy (ERT), so you should also read the package leaflet of cipaglucosidase alfa. These medicines can cause side effects that you should report to your doctor immediately, such as allergic reactions. The signs of an allergic reaction are listed in section 4 “Allergic reactions”.

These reactions can be serious and occur during or after administration of the medicine.

Tell your doctor or nurse immediately if you experience or think you may be experiencing a perfusion-associated reaction or an allergic reaction. Before taking Opfolda, tell your doctor or nurse if you have ever had a reaction of this type with another ERT.

Children and adolescents

This medicine must not be given to patients under 18 years of age, as the effects of Opfolda with cipaglucosidase alfa in this age group are unknown.

Other medicines and Opfolda

Tell your doctor or nurse if you are taking, have recently taken, or might take any other medicines, including those obtained without a prescription and herbal medicines.

Pregnancy and breastfeeding

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

There are no data on the use of Opfolda in combination with cipaglucosidase alfa during pregnancy. Your doctor will explain the risks and benefits of taking these medicines.

  • Do not take Opfolda or receive cipaglucosidase alfa if you are pregnant. Tell your doctor immediately if you become pregnant, think you may be pregnant, or plan to become pregnant. There may be risks for the unborn baby.
  • Opfolda in combination with cipaglucosidase alfa must not be used in women who are breastfeeding. A decision must be made whether to discontinue breastfeeding or discontinue the treatment.

Contraception and fertility

Women of childbearing potential must use effective contraceptive methods during treatment and for 4 weeks after stopping administration of both medicines.

Driving and using machines

Opfolda has no or negligible influence on the ability to drive and use machines. You should also read the package leaflet of cipaglucosidase alfa, as the medicine may affect the ability to drive and use machines.

3. How to take Opfolda

Follow exactly the instructions for administration of this medicine given by your doctor. If you are unsure, ask your doctor or pharmacist again.

How much Opfolda to take

  • Opfolda capsules (miglustat) must be used with cipaglucosidase alfa. Also, read the package leaflet of cipaglucosidase alfa.
  • If you weigh 50 kg or more, the recommended dose is 4 capsules, each containing 65 mg of miglustat.
  • If you weigh between 40 kg and 50 kg, the recommended dose is 3 capsules.

How often to take Opfolda

  • You will receive Opfolda and cipaglucosidase alfa every 2 weeks. Both are administered on the same day.
  • Follow exactly the instructions for administration of both medicines given by your doctor, see Figure 1. This way, the treatment can work as well as possible.

Taking Opfolda with food

You must take Opfolda orally on an empty stomach.

  • You will have to fast for 2 hours before and 2 hours after taking this medicine.
  • During this 4-hour fasting period, you can drink water, skimmed cow's milk, and tea or coffee. Do not drink cream, whole or semi-skimmed cow's milk, plant-based milks, sugar, or sweeteners. You can drink skimmed cow's milk with tea or coffee.
  • 2 hours after taking Opfolda, you can eat and drink normally again.

Figure 1. Chronological development of doses

Timeline showing 4-hour infusion duration with start and end of fasting indicated and pill with clock

  • Miglustat 65 mg hard capsule should be taken approximately 1 hour and no more than 3 hours before the start of cipaglucosidase alfa infusion.

Switching from another enzyme replacement therapy (ERT)

If you are currently receiving another ERT:

  • Your doctor will tell you when to stop the other ERT before starting Opfolda.
  • Tell your doctor when you received the last dose.

If you take more Opfolda than you should

Tell your doctor or go to the hospital immediately if you accidentally take more capsules than prescribed. You may be at a higher risk of side effects with this medicine (see section 4). Your doctor will provide the necessary symptomatic treatment.

If you forget to take Opfolda

If you forget to take a dose of Opfolda, talk to your doctor or nurse. Contact your doctor or nurse immediately to reschedule the administration of miglustat in combination with cipaglucosidase alfa as soon as possible.

If you stop taking Opfolda

Talk to your doctor if you want to stop taking Opfolda. Your symptoms may worsen if you stop treatment.

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.

Opfolda is used together with cipaglucosidase alfa, and either of these medicines can cause side effects.

The following side effects may occur:

Allergic reactions

Allergic reactions can cause symptoms such as rash on any part of the body, swelling of the eyes, prolonged difficulty breathing, cough, swelling of the lips, tongue, or throat, itching of the skin, and hives.

Tell your doctor or nurse immediately if you experience or think you may be experiencing an allergic reaction. Tell your doctor or nurse if you have ever had a reaction of this type.

Very common(may affect more than 1 in 10 people)

  • Headache

Common(may affect up to 1 in 10 people)

  • Difficulty breathing (dyspnea)
  • Sudden redness of the face, neck, or upper chest
  • Increased blood pressure
  • Stomach pain
  • Abdominal swelling
  • Flatulence or gas
  • Diarrhea, loose stools
  • Constipation
  • Vomiting
  • Fatigue
  • Nausea
  • Fever
  • Itchy hives (urticaria)
  • Itchy rash, itching (pruritus)
  • Chills
  • Muscle cramps, pain, or weakness
  • Tremors in one or more parts of the body
  • Increased sweating
  • Pain
  • Altered sense of taste

Uncommon(may affect up to 1 in 100 people)

  • Asthma
  • Allergic reaction
  • Upset stomach
  • Indigestion
  • Pain or irritation of the throat
  • Painful or abnormal contractions of the throat
  • Malaise, general feeling of lethargy
  • Nervousness
  • Swelling of the hands, feet, ankles, legs
  • Feeling of constant tiredness
  • Unusual paleness of the skin
  • Low blood pressure
  • Decrease in platelets or a type of white blood cell (detected in blood tests)
  • Joint pain
  • Pain in the area between the hip and the ribs
  • Muscle fatigue
  • Increased muscle stiffness
  • Somnolence
  • Pain in one or both sides of the head, stabbing pain, aura, pain in the eyes, sensitivity to light (migraine)
  • Spots on the skin
  • Balance disorder

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Opfolda

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 carton and blister after “EXP”. The expiry date refers to the last day of the month shown.

No special storage conditions are required.

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. Contents of the pack and other information

What Opfolda contains

  • The active substance is miglustat. Each hard capsule contains 65 mg of miglustat.
  • The other ingredients are:

Contents of the capsules

Pregelatinized starch (maize)

Magnesium stearate (E470b)

Microcrystalline cellulose (E460i)

Sucralose (E955)

Colloidal silicon dioxide

Capsule shell

Gelatin

Titanium dioxide (E171)

Black iron oxide (E172)

Printing ink

Black iron oxide (E172)

Potassium hydroxide (E525)

Propylene glycol (E1520)

Strong ammonia solution (E527)

Lacquer (E904)

Appearance and packaging

Bottles of 4 and 24 capsules.

Not all pack sizes may be marketed.

Hard capsule, size 2, with grey opaque cap and white opaque body with "AT2221" printed in black on the body, containing white to off-white powder.

Marketing authorisation holder

Amicus Therapeutics Europe Limited

Block 1, Blanchardstown Corporate Park

Ballycoolin Road

Blanchardstown, Dublin

D15 AKK1

Ireland

Tel: +353 (0) 1 588 0836

Fax: +353 (0) 1 588 6851

Email: [email protected]

Manufacturer

Manufacturing Packaging Farmaca (MPF) B.V.

Neptunus 12, Heerenveen, 8448CN, Netherlands

You can request more information about this medicine from the local representative of the marketing authorisation holder:

België/Belgique/Belgien

Amicus Therapeutics Europe Limited

Tél/Tel: (+32) 0800 89172

e-mail: [email protected]

Lietuva

Amicus Therapeutics Europe Limited

Tel: (+370) 8800 33167

El. paštas: [email protected]

Amicus Therapeutics Europe Limited

Τηλ: (+359) 00800 111 3214

: [email protected]

Luxembourg/Luxemburg

Amicus Therapeutics Europe Limited

Tél/Tel: (+352) 800 27003

e-mail: [email protected]

Ceská republika

Amicus Therapeutics Europe Limited

Tel.: (+420) 800 142 207

e-mail: [email protected]

Magyarország

Amicus Therapeutics Europe Limited

Tel.: (+36) 06 800 21202

e-mail: [email protected]

Danmark

Amicus Therapeutics Europe Limited

Tlf.: (+45) 80 253 262

e-mail: [email protected]

Malta

Amicus Therapeutics Europe Limited

Tel: (+356) 800 62674

e-mail: [email protected]

Deutschland

Amicus Therapeutics GmbH

Tel: (+49) 0800 000 2038

e-mail: [email protected]

Nederland

Amicus Therapeutics BV

Tel: (+31) 0800 022 8399

e-mail: [email protected]

Eesti

Amicus Therapeutics Europe Limited

Tel: (+372) 800 0111 911

e-post: [email protected]

Norge

Amicus Therapeutics Europe Limited

Tlf: (+47) 800 13837

e-post: [email protected]

Ελλάδα

Amicus Therapeutics Europe Limited

Τηλ: (+30) 00800 126 169

e-mail: [email protected]

Österreich

Amicus Therapeutics Europe Limited

Tel: (+43) 0800 909 639

e-mail: [email protected]

España

Amicus Therapeutics S.L.U.

Tel: (+34) 900 941 616

e-mail: [email protected]

Polska

Amicus Therapeutics Europe Limited

Tel.: (+48) 0080 012 15475

e-mail: [email protected]

France

Amicus Therapeutics SAS

Tél: (+33) 0 800 906 788

e-mail: [email protected]

Portugal

Amicus Therapeutics Europe Limited

Tel: (+351) 800 812 531

e-mail: [email protected]

Hrvatska

Amicus Therapeutics Europe Limited

Tel: (+358) 0800 222 452

e-pošta: [email protected]

Ireland

Amicus Therapeutics Europe Limited

Tel: (+353) 1800 936 230

e-mail: [email protected]

România

Amicus Therapeutics Europe Limited

Tel.: (+40) 0808 034 288

e-mail: [email protected]

Slovenija

Amicus Therapeutics Europe Limited

Tel.: (+386) 0800 81794

e-pošta: [email protected]

Ísland

Amicus Therapeutics Europe Limited

Sími: (+354) 800 7634

Netfang: [email protected]

Slovenská republika

Amicus Therapeutics Europe Limited

Tel: (+421) 0800 002 437

e-mail: [email protected]

Italia

Amicus Therapeutics S.r.l.

Tel: (+39) 800 795 572

e-mail: [email protected]

Suomi/Finland

Amicus Therapeutics Europe Limited

Puh/Tel: (+358) 0800 917 780

sähköposti/e-mail: [email protected]

Κύπρος

Amicus Therapeutics Europe Limited

Τηλ: (+357) 800 97595

e-mail: [email protected]

Sverige

Amicus Therapeutics Europe Limited

Tfn: (+46) 020 795 493

e-post: [email protected]

Latvija

Amicus Therapeutics Europe Limited

Tel: (+371) 800 05391

e-pasts: [email protected]

United Kingdom (Northern Ireland)

Amicus Therapeutics, UK Limited

Tel: (+44) 08 0823 46864

e-mail: [email protected]

Date of last revision of this leaflet:

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu. There are also links to other websites on rare diseases and orphan medicines.

Online doctors for OPFOLDA 65 mg HARD CAPSULES

Discuss questions about OPFOLDA 65 mg HARD CAPSULES, including use, safety considerations and whether a prescription is appropriate, subject to medical assessment and local regulations.

Doctor
5.0(6)

Jorge Correa Bellido

General medicine7 years of experience
Licence no. 464626297

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.

Book a video appointment
€86
Doctor

Chikeluo Okeke

General medicine4 years of experience

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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€66
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

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.

Book a video appointment
€70
Doctor

Hocine Lokchiri

General medicine21 years of experience

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.
Book a video appointment
€64
Doctor
4.7(11)

Anastasiia Shalko

General medicine13 years of experience
Licence no. 52891

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.

Book a video appointment
€56
Doctor
5.0(8)

Lizaveta Trafimchuk Takhvaniuk

DermatologyGeneral medicine10 years of experience
Licence no. 58788

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.

Book a video appointment
€72

Frequently Asked Questions

OPFOLDA 65 mg HARD CAPSULES requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in OPFOLDA 65 mg HARD CAPSULES is miglustat. This information helps identify medicines with the same composition but different brand names.

OPFOLDA 65 mg HARD CAPSULES is manufactured by Amicus Therapeutics Europe Limited. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Endocrinologists, Gastroenterologists, Oncologists, Sports medicine specialists, General medicine doctors, Lactation medicine doctors, Intensive care physicians may assess whether OPFOLDA 65 mg HARD CAPSULES is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, OPFOLDA 65 mg HARD CAPSULES is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request an assessment, you can use Oladoctor:

Other medicines with the same active substance (miglustat) include MIGLUSTAT ACCORD 100 mg HARD CAPSULES, MIGLUSTAT DIPHARMA 100 mg HARD CAPSULES, MIGLUSTAT GEN.ORPH 100 mg HARD CAPSULES. 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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