Bg pattern

SURMENALIT 200 mg FILM-COATED TABLETS

Prescription review online

Prescription review online

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

Talk to a doctor about this medicine

Talk to a doctor about this medicine

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

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 SURMENALIT 200 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.

Show original

Introduction

Leaflet: information for the user

Surmenalit 200 mg coated tablets

sulbutiamine

Read this leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only and should not be given 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 theleaflet

  1. What Surmenalit 200 mg coated tablets are and what they are used for
  2. What you need to know before taking Surmenalit 200 mg coated tablets
  3. How to take Surmenalit 200 mg coated tablets
  4. Possible side effects
  5. Storage of Surmenalit 200 mg coated tablets
  6. Package contents and additional information

1. What Surmenalit 200 mg tablets are and what they are used for

Surmenalit is a derivative of vitamin B1 (also known as thiamine).

It is indicated in states of thiamine deficiency (vitamin B1) in adults with apathy and reduced activity.

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 taking Surmenalit 200 mg tablets

Do not take Surmenalit

  • If you are allergic (hypersensitive) to the active ingredient or any of the other components of this medication (listed in section 6).
  • If you are allergic to milk proteins since it contains casein.
  • If you are allergic to vitamin B1 or any of its derivatives.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Surmenalit 200 mg tablets

  • If you are over 65 years old. In this case, the dose should be reduced.
  • If you notice mild agitation or symptoms of allergy to the medication, discontinue treatment and consult your doctor.

Interference with analytical tests: If you are going to undergo any diagnostic tests (such as blood tests, urine tests, etc.), inform your doctor that you are using this medication, as it may alter the results, for example, in tests for determining uric acid, urobilinogen, and theophylline.

Children and adolescents

This medication should not be administered to children and adolescents under 18 years of age, as there are no specific studies on the administration of Surmenalit in this population.

Other medications and Surmenalit

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medication, including those purchased without a prescription.

Surmenalit may interact with the following medications:

  • Diuretics (treatment of high blood pressure): may increase the excretion of thiamine in urine.
  • Neuromuscular blockers (muscle relaxants): concomitant use of sulbutiamine with these drugs may increase the effects of neuromuscular blockers.

Taking Surmenalit with food and drinks

Surmenalit can be taken with all types of food and non-alcoholic beverages.

Pregnancy and breastfeeding

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

Pregnancy

Due to the lack of data on the use of sulbutiamine in pregnant women, its use is not recommended during pregnancy.

In case of becoming pregnant during treatment with sulbutiamine, consult your doctor to evaluate the benefit of treatment versus the risk to the fetus.

Breastfeeding

It is unknown whether sulbutiamine is excreted in breast milk.

Due to the lack of data on the potential risks of sulbutiamine in newborns, its use is not recommended during breastfeeding, unless your doctor indicates otherwise.

Driving and using machines

No studies have been conducted on the effects of Surmenalit on the ability to drive and use machines.

Surmenalit 200 mg tablets contain orange yellow S (E-110) dye and milk proteins

This medication may cause allergic reactions because it contains orange yellow S (E-110) dye. It can cause asthma, especially in patients allergic to acetylsalicylic acid.

This medication may cause allergic reactions in patients with milk protein allergy.

3. How to take Surmenalit 200 mg tablets

Follow the administration instructions of this medication exactly as indicated by your doctor or pharmacist. Do not take more medication or more frequently than indicated. If you do, you may increase the possibility of an overdose.

In case of doubt, consult your doctor or pharmacist again.

The recommended dose is:

Adults

The recommended dose ranges from 400 mg to 600 mg per day, administered in 2 or 3 doses (1 coated tablet 2-3 times a day).

Treatment should not exceed one month continuously. The maximum dose of 600 mg/day should not be exceeded.

Elderly

The recommended dose is 200 mg (1 coated tablet) per day.

Patients with hepatic or renal insufficiency

There is not enough information on the use of sulbutiamine in patients with hepatic and/or renal insufficiency.

Tablets should be taken with a glass of water.

If taking 2 tablets, divide the doses between breakfast and lunch, as taking them after noon may interfere with sleep.

If you think the effect of Surmenalit is too strong or too weak, please inform your doctor or pharmacist.

If you take more Surmenalit than you should

In case of overdose, agitation, euphoria, and tremors of the limbs may appear. These symptoms are usually transient, and treatment will be symptomatic.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or contact the emergency service of the nearest hospital and bring the medication with you. You can also call the Toxicology Information Service at 91.562.04.20, indicating the medication and the amount ingested.

If you forget to take Surmenalit

Do not take a double dose to make up for forgotten doses. If you forget to take a dose of Surmenalit, take the next dose at the usual time.

If you interrupt treatment with Surmenalit

Do not interrupt treatment unless your doctor indicates it.

If you have any other questions about the use of this medication, 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 medications, this medication can cause side effects, although not everyone experiences them. The side effects of Surmenalit are rare if the doses are adjusted as recommended, except in special situations.

The effects that may appear are:

Effects on the nervous system

Rare(affect 1 to 10 in 10,000 patients): tremors, headache.

Psychiatric effects

Rare(affect 1 to 10 in 10,000 patients): mild agitation, excitement, sleep disturbances

Effects on the stomach and intestines

Uncommon(affect 1 to 10 in 1,000 patients): abdominal pain, nausea, vomiting.

Frequency not known(cannot be estimated from available data): diarrhea

Effects on the skin

Rare(affect 1 to 10 in 10,000 patients): skin rash

General effects and alterations at the administration site

Rare(affect 1 to 10 in 10,000 patients): discomfort

*This medication contains orange yellow S (E-110) dye and may cause allergic reactions; it can cause asthma, especially in patients allergic to acetylsalicylic acid.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Surmenalit 200 mg tablets

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

No special storage conditions are required.

Do not use this medication after the expiration date shown on the packaging after CAD. The expiration date is the last day of the month indicated.

Medications should not be thrown down the drain or into the trash. Deposit the packaging and unused medications at the SIGRE point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Surmenalit 200 mg tablets

  • The active ingredient is sulbutiamine. Each coated tablet contains 200 mg of sulbutiamine.
  • The other components (excipients) are: microcrystalline cellulose, casein formalin, magnesium stearate (E-572), titanium dioxide (E-171), methacrylic acid copolymer, ethyl phthalate, and orange yellow S (E-110) dye.

Appearance of the product and package contents

Each package contains 30 orange-colored coated tablets.

Marketing authorization holder

Faes Farma, S.A.

Autonomia Etorbidea, 10

48940 Leioa (Bizkaia)

Spain

Manufacturer

Faes Farma, S.A.

Maximo Agirre Kalea, 14

48940 Leioa (Bizkaia)

Spain

Date of the last revision of this leaflet: September 2021

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

Online doctors for SURMENALIT 200 mg FILM-COATED TABLETS

Discuss questions about SURMENALIT 200 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

0.0 (0)
Doctor

Chikeluo Okeke

General medicine 4 years exp.

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.

Camera Book a video appointment
€60
0.0 (0)
Doctor

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.
Camera Book a video appointment
€58
0.0 (6)
Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

Camera Book a video appointment
€55
5.0 (32)
Doctor

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.

Camera Book a video appointment
€60
5.0 (144)
Doctor

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.

Camera Book a video appointment
€50

Frequently Asked Questions

Is a prescription required for SURMENALIT 200 mg FILM-COATED TABLETS?
SURMENALIT 200 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 SURMENALIT 200 mg FILM-COATED TABLETS?
The active ingredient in SURMENALIT 200 mg FILM-COATED TABLETS is sulbutiamine. This information helps identify medicines with the same composition but different brand names.
Who manufactures SURMENALIT 200 mg FILM-COATED TABLETS?
SURMENALIT 200 mg FILM-COATED TABLETS is manufactured by Faes Farma S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of SURMENALIT 200 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 SURMENALIT 200 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 SURMENALIT 200 mg FILM-COATED TABLETS?
Other medicines with the same active substance (sulbutiamine) include BENERVA 100 mg/ml INJECTABLE SOLUTION, BENERVA 300 mg FILM-COATED TABLETS, MELGAMA 300 MG FILM-COATED TABLETS. 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.
bg-pattern-dark

Stay informed about Oladoctor

News about new services, product updates and useful information for patients.

Follow us on social media