oshudhkosh

Hepamilk140mg

OTC
Dosage form:
Capsule
Pack size:
Box (20 Capsule)

৳ 9/unit

Pack: ৳ 180

At a glance

Silymarin [Milk thistle] — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Silymarin [Milk thistle] is a flavonoid derived from Silybum marianum, a plant commonly known as milk thistle. Silymarin [Milk thistle] exhibits hepatoprotective and regenerative properties and is one of the most widely used natural compounds for the treatment of hepatic diseases worldwide, due to its antioxidant, anti-inflammatory, and antifibrotic activities. Silymarin [Milk thistle] also increases hepatic levels of glutathione by raising cysteine availability, while inhibiting its catabolism to taurine that may enhance the antioxidant defense in liver. Silymarin [Milk thistle] was found to oppose oxidative stress, and to slow the progression of hepatic fibrosis in alcohol-fed baboons. Different mechanisms of action of Silymarin [Milk thistle] are as follow: Increasing the regenerative ability of the liver cells by enhancing the synthesis of DNA and RNA, as Silymarin [Milk thistle] has a steroid structure; Altering the structure of the hepatocyte external membrane, that prevents entrance of the xenobiotics into the cell (poisoning with Amanita mushroom is a noteworthy example of such mechanism); Scavenging free radicals and increasing the cellular content of glutathione that leads to the inhibition of lipid peroxidation; Another mechanism of action of Silymarin [Milk thistle] is modifying the transporters and receptors of cell membranes such as ABC transporters (P-gp), organic anion uptake transporter peptides (OATP), bile salt export pump, and TNF-α-dependent transporters.

Indications

Silymarin [Milk thistle] is used for the treatment of Jaundice,chronic inflammatory liver conditions, hepatic cirrhosis ,alcoholic liver damage.

Mechanism of action

Different mechanisms of action of silymarin are as follow: Increasing the regenerative ability of the liver cells by enhancing the synthesis of DNA and RNA, as silymarin has a steroid structure; Altering the structure of the hepatocyte external membrane, that prevents entrance of the xenobiotics into the cell (poisoning with Amanita mushroom is a noteworthy example of such mechanism); Scavenging free radicals and increasing the cellular content of glutathione that leads to the inhibition of lipid peroxidation; Another mechanism of action of silymarin is modifying the transporters and receptors of cell membranes such as ABC transporters (P-gp), organic anion uptake transporter peptides (OATP), bile salt export pump, and TNF-α-dependent transporters.

Dosage

Adult Dose: 1 to 3 capsule(s) should be taken into 2 to 3 times daily or medication should be continued until the relief of symptoms according to the advice of physician. Child Dose: It should not be given to children without advice of physician. Uses for below 12 years recommended after discussion with registered physician. Renal Dose: It should be used with caution in patients with kidney disease. Dose adjustment of Silymarin [Milk thistle] may be needed. Please consult your doctor.

Administration

Take Silymarin [Milk thistle] in the dose and duration as advised by your doctor. Take Silymarin [Milk thistle] orally with plenty of water. Do not chew, crush or break it.

Missed dose

If you forget to take yourSilymarin [Milk thistle] , take them as soon as you remember. If it is almost time for your next dose, skip the missed dose and take it at the usual time. Avoid taking two doses at the same time.

Side effects

Sometimes it cause: • Mild digestive upset • Allergic reactions

Precautions & warnings

[SAFE IF PRESCRIBED] Limited research on the effects of Silymarin [Milk thistle] on driving ability.

Contraindications

Contraindicated in patient with a known hypersensitivity to silymarin.

Drug interactions

Concomitant use of silymarin and butyrophenones or phenothiazines has resulted in the reduction of lipid peroxidation.

Food interactions

[UNSAFE] It is unsafe to consume alcohol with Silymarin [Milk thistle].

Use in pregnancy

[CONSULT YOUR DOCTOR] Silymarin [Milk thistle] is not recommended for use during pregnancy. Controlled, long-term safety studies are lacking. Please consult your doctor.

Use in lactation

[CONSULT YOUR DOCTOR] No experience is available about the use of Silymarin [Milk thistle] .Long-term safety studies are lacking. Please consult your doctor.

Renal / hepatic impairment

[CAUTION] It should be used with caution in patients with kidney disease. Dose adjustment of Silymarin [Milk thistle] may be needed. Please consult your doctor. [CAUTION] It should be used with caution in patients with liver disease. Dose adjustment of Silymarin [Milk thistle] may be needed. Please consult your doctor.

Storage conditions

Store in a cool & dry place, away from light & moisture. Keep out of reach of children.

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.