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VENOSMIL 20 mg/g GEL

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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 VENOSMIL 20 mg/g GEL

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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

VENOSMIL 20 mg/g gel

Hydrosmine

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

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.
  • You should consult a doctor if your condition worsens or does not improve after 5 or 6 days.

Contents of the Package Leaflet:

  1. What is Venosmil gel and what is it used for
  2. What you need to know before using Venosmil gel
  3. How to use Venosmil gel
  4. Possible side effects
  5. Storage of Venosmil gel
  1. Package contents and additional information

1. What is Venosmil gel and what is it used for

Venosmil is a venotonic medication: it increases the tone of the veins and the resistance of the capillaries (small blood vessels).

Venosmil is indicated in adults for the relief of symptoms related to mild venous insufficiency of the lower limbs, such as pain, feeling of heaviness, tightness, tingling, and itching in legs with varices or swollen legs.

You should consult a doctor if your condition worsens or does not improve after 5 or 6 days.

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 using Venosmil gel

Do not use Venosmil gel

  • if you are allergic to hydrosmine or any of the other components of this medication (listed in section 6).
  • in skin conditions, such as dermatitis, eczema, or urticaria.
  • on mucous membranes, or on irritated or wounded skin areas.

Warnings and precautions

Consult your doctor or pharmacist before starting to use Venosmil gel.

  • use only on intact skin.
  • avoid contact with eyes and mucous membranes, ears, and mouth.
  • do not apply simultaneously to the same area as other topical medications.
  • do not use for a prolonged period without medical supervision.

Children and adolescents

  • it should not be used in children and adolescents unless indicated by a doctor.

Using Venosmil gel with other medications

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

No interactions with food or other medications are known; in any case, never use another medication on your own initiative without your doctor's recommendation.

Do not apply simultaneously to the same area as other topical medications.

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.

No clinical data are available on the use of Venosmil in pregnant women. As a precautionary measure, the use of Venosmil is not recommended during pregnancy, unless your doctor considers that the potential benefits outweigh the possible risks.

No clinical data are available on the use of hydrosmine in breastfeeding women. It is not known whether hydrosmine is excreted in breast milk; therefore, its use is not recommended during breastfeeding.

Driving and using machines

Venosmil has no or negligible influence on the ability to drive and use machines.

Venosmil gel contains methyl parahydroxybenzoate (E-218) and propyl parahydroxybenzoate (E-216).

This medication may cause allergic reactions (possibly delayed) because it contains methyl parahydroxybenzoate (E-218) and propyl parahydroxybenzoate (E-216) (see section 4, "Possible side effects").

3. How to use Venosmil gel

Follow the administration instructions for this medication contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist.

If the symptoms do not improve within 5-6 days, you should discontinue treatment and consult a doctor.

Adults

The recommended dose is: 3-4 centimeters of gel, 2 or 3 times a day, if necessary.

Instructions for the correct administration of the preparation

Exclusive cutaneous use on intact skin

  1. Remove the cap from the tube and, with the back of the cap, sufficiently pierce the metal mouth.
  1. Apply to the affected area, approximately 3-4 cm of gel, as needed, 2 or 3 times a day, performing a small massage to favor the absorption of the product.

Wash your hands after each application to avoid unintentional contact with eyes and mucous membranes.

If your condition worsens, does not improve, or irritation occurs in the treated area, you should consult a doctor.

Children and adolescents

It should not be used in children and adolescents unless indicated by a doctor.

If you use more Venosmil gel than you should:

No intoxications with this medication have been reported, even in cases of accidental overdose.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately, or go to a medical center, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.

If you forget to use Venosmil gel

Do not apply a double dose to make up for forgotten doses. Apply it as soon as you remember and continue with the usual schedule.

If you have any other doubts 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.

During the use of Venosmil gel, some side effects have occurred, whose frequency could not be determined exactly:

  • Allergic reactions (hypersensitivity) to hydrosmine or any of the excipients (see section 2, "What you need to know before using Venosmil gel").
  • Rash and itching on the skin in the application area.

These reactions disappear when treatment is discontinued.

Reporting side effects:

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

5. Storage of Venosmil gel

Keep out of sight and reach of children.

Store below 30°C.

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 disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE collection point in your 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 Venosmil gel

  • The active ingredient is hydrosmine. Each gram of gel contains 20 mg of hydrosmine.
  • The other components (excipients) are carbomer, triethanolamine, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216), and distilled water.

Appearance of the product and package contents

Venosmil gel is presented in a 60g aluminum tube containing a transparent, yellowish gel.

Marketing authorization holder

Faes Farma, S.A.

Autonomia Etorbidea, 10

48940 Leioa (Bizkaia)

Spain

Manufacturer and batch release responsible

Faes Farma Portugal, S.A.

Rua Elias Garcia, 28

2700-327 Amadora, Lisbon

Portugal

Date of the last revision of this package leaflet:July 2016

Detailed and updated information on 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 VENOSMIL 20 mg/g GEL

Discuss questions about VENOSMIL 20 mg/g GEL, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Tarek Agami

General medicine 11 years exp.

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.

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Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

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
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  • 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.

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Anastasiia Shalko

Family medicine 13 years exp.

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
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  • 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.

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€50
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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
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  • recurrent infections in children
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  • 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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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:

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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.
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€55

Frequently Asked Questions

Is a prescription required for VENOSMIL 20 mg/g GEL?
VENOSMIL 20 mg/g GEL does not require 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 VENOSMIL 20 mg/g GEL?
The active ingredient in VENOSMIL 20 mg/g GEL is hidrosmin. This information helps identify medicines with the same composition but different brand names.
Who manufactures VENOSMIL 20 mg/g GEL?
VENOSMIL 20 mg/g GEL is manufactured by Faes Farma S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of VENOSMIL 20 mg/g GEL 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 VENOSMIL 20 mg/g GEL 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 VENOSMIL 20 mg/g GEL?
Other medicines with the same active substance (hidrosmin) include VENOLEP 200 mg HARD CAPSULES, VENOSMIL 200 mg CAPSULES, DAFLON 500 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.
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