VARILIV TROXERUTINE 1 g ORAL SOLUTION GRANULES

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.

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

• Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
• Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
• Mental health concerns such as stress, sleep issues, anxiety, and burnout
• Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
• Work-related health questions, sick leave documentation, and medical guidance for returning to work

Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

• Preventive and family medicine
• Women’s health, including gynaecology and obstetrics
• Chronic disease management: hypertension, diabetes, and more
• Mental health support, anxiety, and counselling
• Postoperative care and lab test interpretation

She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.

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.

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.

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

• Chest pain, shortness of breath, heart palpitations, high blood pressure
• Hypertension control and cardiovascular disease prevention
• Interpretation of ECG, blood tests, and Holter monitor results
• Management of heart failure and coronary artery disease
• General medical issues: infections, fever, fatigue, gastrointestinal symptoms
• Guidance on diagnostics, treatment plans, and medication adjustments

Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

• Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
• Evaluation of symptoms and guidance on further diagnostic testing
• Preventive check-ups and regular health monitoring
• Medical support during travel or after relocation
• Treatment adjustments and lifestyle recommendations based on your personal history

Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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.

Dr. Nataliia Lifantieva is a cardiologist and cardiac electrophysiologist with extensive experience in the diagnosis and treatment of arrhythmias. She offers online consultations for patients with chronic cardiovascular conditions, including medication management and post-operative follow-up.

Main areas of expertise:

• Diagnosis and treatment of arrhythmias: extrasystole, atrial fibrillation and flutter, supraventricular and ventricular tachycardia
• Conduction disorders: AV blocks, sinoatrial block, bradyarrhythmias
• ECG and Holter monitor interpretation, including data from smartwatches
• Evaluation for interventional treatment: stenting, bypass surgery, valve replacement
• Anticoagulant management (e.g., warfarin, DOACs) based on kidney function and clinical context
• Perioperative advice on anticoagulant/antiplatelet therapy before dental procedures

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.