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    What is Hepa MErz?

    Hepa MErz Syrup is used for Jaundice, Hepatitis, Hepatic impairment, Liver failure, Liver cirrhosis, High cholesterol and other conditions. Hepa MErz Syrup may also be used for purposes not listed in this medication guide.
    Hepa MErz Syrup contains Clavulanic Acid, L-Ornithine L-Aspartate, Nicotinamide, Phosphate and Riboflavin as active ingredients.
    Hepa MErz Syrup works by helping tissue in respiration and metabolism of fats, protein thus lowers blood cholesterol by inhibiting the synthesis of LDL; reducing prostaglandin thus helping blood thinning and prevents clotting; inhibiting the growth of bacteria; treating low phosphate as well as high calcium levels; stimulating the pituitary release of growth hormone;
    Win-Medicare manufactures Hepa MErz Syrup.
    Detailed information related to Hepa MErz Syrup's uses, composition, dosage, side effects and reviews is listed below.

    Hepa MErz Syrup Uses

    Hepa MErz Syrup is used for the treatment, control, prevention, & improvement of the following diseases, conditions and symptoms:
    References: 1, 2, 3, 4, 5, 6
    Learn more: Uses

    Hepa MErz Syrup Working, Mechanism of Action and Pharmacology

    Hepa MErz Syrup improves the patient's condition by performing the following functions:
    References: 3, 4, 5, 7, 8

    Hepa MErz Syrup - Composition and Active Ingredients

    Hepa MErz Syrup is composed of the following active ingredients (salts)
    Please note that this medicine may be available in various strengths for each active ingredient listed above.

    Hepa MErz Syrup - Side-effects

    The following is a list of possible side-effects that may occur from all constituting ingredients of Hepa MErz Syrup. This is not a comprehensive list. These side-effects are possible, but do not always occur. Some of the side-effects may be rare but serious. Consult your doctor if you observe any of the following side-effects, especially if they do not go away.
    If you notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority.
    References: 3, 4, 5, 9, 10
    Learn more: Side-effects

    Hepa MErz Syrup - Precautions & How to Use

    Before using Hepa MErz Syrup, inform your doctor about your current list of medications, over the counter products (e.g. vitamins, herbal supplements, etc.), allergies, pre-existing diseases, and current health conditions (e.g. pregnancy, upcoming surgery, etc.). Some health conditions may make you more susceptible to the side-effects of the drug. Take as directed by your doctor or follow the direction printed on the product insert. Dosage is based on your condition. Tell your doctor if your condition persists or worsens. Important counseling points are listed below.
    • Allergic reactions
    • Clostridium difficile associated diarrhea
    • Diarrhea is a common problem
    • Do not consume if allergic to any ingredient in the medicine
    • Do not consume if pregnant or breastfeeding
    • Do not use the medicine if suffering from renal or hepatic impairment
    References: 3, 3, 4, 4, 5, 5

    Hepa MErz Syrup - Drug Interactions

    If you use other drugs or over the counter products at the same time, the effects of Hepa MErz Syrup may change. This may increase your risk for side-effects or cause your drug not to work properly. Tell your doctor about all the drugs, vitamins, and herbal supplements you are using, so that you doctor can help you prevent or manage drug interactions. Hepa MErz Syrup may interact with the following drugs and products:
    • Alendronate
    • Allopurinol
    • Atropine
    • Carbamazepine
    • Chloramphenicol
    • Chlorpromazine
    References: 3, 4, 5
    Learn more: Interactions

    Hepa MErz Syrup - Contraindications

    Hypersensitivity to Hepa MErz Syrup is a contraindication. In addition, Hepa MErz Syrup should not be used if you have the following conditions:
    • Active peptic ulcer
    • Acute myocardial infarction
    • Cardiac arrhythmias
    • Diabetes mellitus
    • History of cholestatic jaundice or hepatic dysfunction associated with Amoxicillin and Clavulanate
    • Hypersensitivity
    References: 3, 4, 5
    Learn more: Contraindications

    Where to Buy Hepa MErz Syrup

    Click here to find nearby pharmacies/medical stores where you can buy Hepa MErz Syrup.

    Hepa MErz Syrup - Frequently asked Questions

    • Is Hepa MErz Syrup safe to consume or apply when pregnant?
      • Nicotinamide: Please consult with your doctor for case-specific recommendations.
      • Riboflavin: Please consult with your doctor for case-specific recommendations.
      • Clavulanic Acid: Please consult with your doctor for case-specific recommendations.
      • Phosphate: Please consult with your doctor for case-specific recommendations.
      • L-Ornithine L-Aspartate: Please consult with your doctor for case-specific recommendations.
      References: 3 4 5
    • Is Hepa MErz Syrup safe while breastfeeding?
      • Nicotinamide: Please discuss the risks and benefits with your doctor.
      • Riboflavin: Please discuss the risks and benefits with your doctor.
      • Clavulanic Acid: Please discuss the risks and benefits with your doctor.
      • Phosphate: Please discuss the risks and benefits with your doctor.
      • L-Ornithine L-Aspartate: Please discuss the risks and benefits with your doctor.
      References: 3 4 5
    • Can Hepa MErz Syrup be used for jaundice and hepatitis?
      Yes, jaundice and hepatitis are among the most common reported uses for Hepa MErz Syrup. Please do not use Hepa MErz Syrup for jaundice and hepatitis without consulting first with your doctor. Click here and view survey results to find out what other patients report as common uses for Hepa MErz Syrup.
    • How long do I need to use Hepa MErz Syrup before I see improvement of my conditions? website users have reported same day and 1 week as the most common time it takes before they saw improvements in their conditions. These times may not be reflective of what you may experience or how you should use this medicine. Please consult with your doctor to check how long do you need to use Hepa MErz Syrup. Click here and view survey results to find out what other patients report as time for effectiveness for Hepa MErz Syrup.
    • At what frequency do I need to use Hepa MErz Syrup? website users have reported twice a day and once a day as the most common frequency of using Hepa MErz Syrup. Please follow your doctor's advice on how often you need to Hepa MErz Syrup. Click here and view survey results to find out what other patients report as frequency of using Hepa MErz Syrup.
    • Should I consume Hepa MErz Syrup empty stomach, before food or after food? website users have most commonly reported consuming Hepa MErz Syrup after food. However, this may not be reflective of how you should consume this medicine. Please follow your doctor's advice on how you should use this medicine. Click here and view survey results to find out what other patients report as timing of using Hepa MErz Syrup.
    • Is it safe to drive or operate heavy machinery when consuming?
      If you experience drowsiness, dizziness, hypotension or a headache as side-effects when using Hepa MErz Syrup medicine then it may not be safe to drive a vehicle or operate heavy machinery. One should not drive a vehicle if using the medicine makes you drowsy, dizzy or lowers your blood-pressure extensively. Pharmacists also advise patients not to drink alcohol with medicines as alcohol intensifies drowsiness side-effects. Please check for these effects on your body when using Hepa MErz Syrup. Always consult with your doctor for recommendations specific to your body and health conditions.
    • Is this medicine or product addictive or habit forming?
      Most medicines don't come with a potential for addiction or abuse. Usually, government's categorizes medicines that can be addictive as controlled substances. Examples include schedule H or X in India and schedule II-V in the US. Please consult the product package to make sure that the medicine does not belong to such special categorizations of medicines. Lastly, do not self-medicate and increase your body's dependence to medicines without the advice of a doctor.
    • Can it be stopped immediately or do I have to slowly ween off consumption?
      Some medicines need to be tapered or cannot be stopped immediately because of rebound effects. Please consult with your doctor for recommendations specific to your body, health and other medications that you may be using.

    Other important Information on Hepa MErz Syrup

    Missing a dose

    In case you miss a dose, use it as soon as you notice. If it is close to the time of your next dose, skip the missed dose and resume your dosing schedule. Do not use extra dose to make up for a missed dose. If you are regularly missing doses, consider setting an alarm or asking a family member to remind you. Please consult your doctor to discuss changes in your dosing schedule or a new schedule to make up for missed doses, if you have missed too many doses recently.
    References: 11, 12, 13, 14

    Overdosage of Hepa MErz Syrup

    • Do not use more than prescribed dose. Taking more medication will not improve your symptoms; rather they may cause poisoning or serious side-effects. If you suspect that you or anyone else who may have overdosed of Hepa MErz Syrup, please go to the emergency department of the closest hospital or nursing home. Bring a medicine box, container, or label with you to help doctors with necessary information.
    • Do not give your medicines to other people even if you know that they have the same condition or it seems that they may have similar conditions. This may lead to overdosage.
    • Please consult your physician or pharmacist or product package for more information.
    References: 15, 16, 17

    Storage of Hepa MErz Syrup

    • Store medicines at room temperature, away from heat and direct light. Do not freeze medicines unless required by package insert. Keep medicines away from children and pets.
    • Do not flush medications down the toilet or pour them into drainage unless instructed to do so. Medication discarded in this manner may contaminate the environment. Please consult your pharmacist or doctor for more details on how to safely discard Hepa MErz Syrup.
    References: 18, 19, 20, 21

    Expired Hepa MErz Syrup

    • Taking a single dose of expired Hepa MErz Syrup is unlikely to produce an adverse event. However, please discuss with your primary health provider or pharmacist for proper advice or if you feel unwell or sick. Expired drug may become ineffective in treating your prescribed conditions. To be on the safe side, it is important not to use expired drug. If you have a chronic illness that requires taking medicine constantly such as heart condition, seizures, and life-threatening allergies, you are much safer keeping in touch with your primary health care provider so that you can have a fresh supply of unexpired medications.
    References: 22, 23

    Dosage Information

    Please consult your physician or pharmacist or refer to product package.

    Questions - Hepa MErz Syrup

    News and Updates

    Latest news and updates related to Hepa MErz Syrup. Subscribe to get latest posts via email or subscribe to a RSS feed.
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    Hepa MErz Syrup - Packages and Strengths

    Hepa MErz Syrup is available in the following packages and strengths
    Hepa MErz Syrup - Packages: 60 ml, 100ML Syrup
    Hepa MErz Syrup - Strengths: 60ML

    Hepa MErz Syrup - Manufacturers

    The medicine is manufactured by the following companies

    Hepa MErz Syrup - Demographic Information


    1. McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, MD. 2007., p. 3622 Source: HSDB Record Name: NICOTINAMIDE - Accessed: October 12, 2016.
    2. Source: MeSH Record Name: Niacinamide - Accessed: October 12, 2016.
    3. Sandor PS, Afra J, Ambrosini A, Schoenen J (Jan 2000). "Prophylactic treatment of migraine with beta-blockers and riboflavin: differential effects on the intensity dependence of auditory evoked cortical potentials". Headache. 40 (1): 30_5. doi:10.1046/j.1526-4610.2000.00005.x. - Accessed: October 12, 2016.
    4. Hardwick CC, Herivel TR, Hernandez SC, Ruane PH, Goodrich RP (2004). "Separation, identification and quantification of riboflavin and its photoproducts in blood products using high-performance liquid chromatography with fluorescence detection: a method to support pathogen reduction technology". Photochemistry and Photobiology. 80 (3): 609_615. doi:10.1562/0031-8655(2004)080<0609:TNSIAQ>2.0.CO;2. PMID 15382964. - Accessed: October 12, 2016. (Accessed on 2/11/17)
    5. Accessed on 11/06/2016. DailyMed LABEL: AMOXICILLIN AND CLAVULANATE POTASSIUM- amoxicillin and clavulanate potassium powder, for suspension - Accessed: October 12, 2016.
    6. Oral L-ornithine-L-aspartate therapy of chronic hepatic encephalopathy: results of a placebo-controlled double-blind study. - Accessed: October 12, 2016.
    7. Young, L.Y., M.A. Koda-Kimble (eds.). Applied Therapeutics. The Clinical Use of Drugs. 6th ed. Vancouver, WA., Applied Therapeutics, Inc. 1995., p. 48-7 from HSDB Record Name: NICOTINAMIDE - Accessed: October 12, 2016.
    8. Metab Brain Dis. 1998 Jun;13(2):147-57. L-ornithine-L-aspartate in experimental portal-systemic encephalopathy: therapeutic efficacy and mechanism of action. - Accessed: October 12, 2016.
    9. Cosmetic Ingredient Review (CIR) Expert Panel; Final Report of the Safety Assessment of Niacinamide and Niacin; Intl J of Toxicology 24 (Suppl 5): 1-31 (2005) p.6 Source: HSDB Record Name: NICOTINAMIDE - Accessed: October 12, 2016.
    10. A critical analysis of studies assessing L-ornithine-L-aspartate (LOLA) in hepatic encephalopathy treatment - Accessed: October 12, 2016.
    11. - Accessed: July 14, 2016.
    12. - Accessed: July 3, 2016.
    13. Cancer.Net (2014). - Accessed: July 3, 2016.
    14. Schachter, S.C., Shafer, P. O. &; Sirven, J.I. (2013). - Accessed: May 28, 2016.
    15. National Institute of Drug Abuse (2010). - Accessed: July 21, 2016.
    16. eMedicinehealth (2016). - Accessed: July 21, 2016.
    17. Centers for Disease Control and Prevention (2010). - Accessed: July 21, 2016.
    18. Centers for Disease Control and Prevention. December 12, 2011. - Accessed: June 10, 2016.
    19. The Center for Improving Medication Management and the National Council on Patient Information and Education. - Accessed: June 10, 2016.
    20. U.S. Food and Drug Administration. December 24, 2013. - Accessed: June 10, 2016.
    21. World Health Organization: - Accessed: July 1, 2016.
    22. Lyon, R. C., Taylor, J. S., Porter, D. A., et al. (2006) Stability profiles of drug products extended beyond labeled expiration dates. Journal of Pharmaceutical Sciences; 95:1549-60 - Accessed: July 3, 2016.
    23. Harvard Medical School (2016). - Accessed: May 1, 2016.

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    • Hepa MErz Syrup - Uses, Side-effects, Reviews, and Precautions - Win-Medicare - - India. (n.d.). Retrieved March 13, 2018, from

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    Last updated date

    This page was last updated on 3/13/2018.
    This page provides information for Hepa MErz Syrup in English.
    Read Reviews » Hepa MErz Syrup

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