HEPA MERZ 300mg|5ml Syrup 120ml works by facilitating the process of detoxification and regeneration of liver cells affected by liver diseases caused due to various factors.
Side effects
Major & minor side effects for HEPA MERZ 300mg|5ml Syrup 120ml

Nausea and Vomiting

Diarrhea

Flatulence

Stomach pain

Pain in the limbs

Allergic skin reaction

Uses of HEPA MERZ 300mg|5ml Syrup 120ml
What is it prescribed for?

Liver disease
This medicine is used to treat increased level of ammonia (hyperammonemia) and neurological disturbances (hepatic encephalopathy) associated with liver diseases like Cirrhosis, Hepatitis, fatty liver, etc.

Concerns

Frequently asked questions

Onset of action
The amount of time required for this medicine to show its action is not clinically established.

Duration of Effect
The amount of time for which this medicine remains active in the body is not clinically established.

Safe with Alchohol?
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Is it habit forming?
No habit-forming tendencies were reported.

Usage in pregnancy?
This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before receiving/taking this medicine.

Usage while breast-feeding?
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before receiving/taking this medicine.

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to HEPA MERZ 300mg|5ml Syrup 120ml? or any other inactive ingredients present along with it.

Severe kidney impairment
This medicine is not recommended for use in patients with severe kidney diseases due to the increased risk of worsening of the patient?s condition.

Warnings

Warnings for special population

Pregnancy
This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before receiving/taking this medicine.

Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before receiving/taking this medicine.

General Warnings

Clinical monitoring
Regular monitoring of serum and urinary levels of urea is necessary while receiving the parenteral (injection/infusion) form of this medicine. Your dose may be adjusted by your physician based on these parameters to avoid undesired side effects.

Dental caries
Prolonged use of this medicine may cause harmful effects on the teeth such as caries. Report any unusual symptoms to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Allergic to excipients
The oral forms of this medicine are normally formulated with Fructose as an excipient. Hence, patients with diabetes mellitus and fructose intolerance should not consume the oral forms of this medicine.

Use in children
This medicine is not recommended for use in children since the safety and efficacy of use are not clinically established.

Dosage

Missed Dose
Infusion/Injection: Since this medicine is usually administered by a qualified healthcare professional in the clinical/hospital setting, the likelihood of a missed dose is very low. Oral form: Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose
Infusion/Injection: Since this medicine is administered in the hospital or clinical setting by a qualified healthcare professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected. Oral form: Seek emergency medical treatment or contact the doctor in case of an overdose.

General Instructions

Infusion/Injection: This medicine is usually administered in the clinical/hospital setting under the supervision of a qualified healthcare professional. Follow all the instructions given by your doctor. Inform the doctor if you have a known allergy to this medicine. Report all your current medicines as well as your medical conditions to the doctor before receiving this medicine. Oral form: Take this medicine with or without food. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesired side effects. Ensure that the course of treatment is completed. Do not stop the use of this medicine without consulting your doctor.

Other details

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

Does not cause sleepiness

References

practo.com –
L-Ornithine L-Aspartate [Internet].
Available from: https://www.practo.com/medicine-info/l-ornithine-l-aspartate-1686-api
[cited 24 september 2019].
14 Dec 2018

pubchem.ncbi.nlm.nih.gov –
L-Ornithine-L-aspartate [Internet].
Available from: https://pubchem.ncbi.nlm.nih.gov/compound/L-Ornithine_L-aspartate_salt#section=Top
[cited 24 september 2019].
2019-09-21