Choliv Syrup 200 ml belongs to a group of combination medicines called 'appetite enhancers' used to stimulate the appetite and treat alimentary tract and metabolism problems. Choliv Syrup 200 ml helps treat lack of appetite, weight loss, and anorexia nervosa (an eating disorder with low body weight). Lack of appetite results in missing meals. This, in turn, may cause a lack of some essential and nonessential nutrients. Taking Choliv Syrup 200 ml enhances food consumption and hence helps in fulfilling nutritional needs.

Choliv Syrup 200 ml combines three medicines: cyproheptadine, sorbitol, and tricholine. Cyproheptadine is an appetite enhancer. It works by decreasing the effect of a chemical messenger (serotonin) in the hypothalamus, a portion of the brain which controls appetite. Sorbitol behaves as a syrup base and an osmotic laxative to reduce constipation. On the other hand, Tricholine is a bile acid-binding agent that eliminates bile acids from the body. The liver then generates more bile acids using cholesterol, due to which cholesterol level is reduced.

Take Choliv Syrup 200 ml as prescribed by your doctor. Depending on your medical conditions, you are advised to take Choliv Syrup 200 ml for as long as your doctor has prescribed it for you. You may experience dryness in the mouth, constipation, sleepiness, drowsiness, and blurred vision. Most of these side effects of Choliv Syrup 200 ml do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Inform your doctor before taking Choliv Syrup 200 ml if you have asthma, hyperthyroidism, high blood pressure, intraocular (eye) pressure, or heart problems. Consult your doctor before taking Choliv Syrup 200 ml if you are pregnant. It is not recommended to take Choliv Syrup 200 ml if you are breastfeeding. Choliv Syrup 200 ml may cause drowsiness, so drive with caution. Avoid consumption of alcohol while taking Choliv Syrup 200 ml as it may cause increased drowsiness. Keep your doctor informed about all the medicines and your health condition to rule out any side effects.

Choliv Syrup 200 ml belongs to a group of medicines called Appetite enhancers used to stimulate the appetite and increase body metabolism. Choliv Syrup 200 ml is indicated for loss of appetite, weight loss, and anorexia nervosa (an eating disorder with low body weight). Choliv Syrup 200 ml is also prescribed for underweight children with inadequate dietary intake, loss of appetite, anaemia, liver, or digestive disorder. Additionally, Choliv Syrup 200 ml is used as an adjunct to anti-tubercular (anti-TB) and antiretroviral treatment (anti-HIV) for weight gain. Choliv Syrup 200 ml helps stimulate appetite, ensures weight gain, provides effective hepatoprotective action, and enhances protein synthesis. It is also indicated in hepatobiliary disorder (liver disease) associated with anorexia (lack/loss of appetite).

• Vomiting
• Nausea
• Weakness
• Dryness in mouth
• Constipation
• Black or Tarry stools
• Sleepiness
• Drowsiness
• Blurred vision

Do not take Choliv Syrup 200 ml if you are allergic to any of its contents; you have nausea, vomiting, stomach pain, glaucoma, peptic ulcers, prostatic hypertrophy, bladder neck obstruction, or pyloroduodenal obstruction. Inform your doctor before taking Choliv Syrup 200 ml if you have asthma, hyperthyroidism, high blood pressure, intraocular (eye) pressure or heart problems. Choliv Syrup 200 ml may show additive effects if taken along with alcohol, CNS depressants, and anti-anxiety drugs. Consult your doctor before taking Choliv Syrup 200 ml if you are pregnant. It is not recommended to take Choliv Syrup 200 ml if you are breastfeeding. Choliv Syrup 200 ml may cause drowsiness, so drive with caution. Avoid consumption of alcohol while taking Choliv Syrup 200 ml as it may cause increased drowsiness.

Drug-Drug Interactions: Choliv Syrup 200 ml may have interaction with an antihistamine (diphenhydramine, cetirizine), an antidepressant (duloxetine, fluoxetine, sertraline), anti-convulsant (pregabalin, topiramate), and anti-psychotic (quetiapine), medicine for hepatitis B infection (lamivudine).

Food-Drug Interactions: No interactions found/established.

Drug-Disease Interactions: Choliv Syrup 200 ml may have interactions with asthma, intestine problems, diabetes, heart, kidney, and liver problems.

• DIPHENHYDRAMINE
• CETIRIZINE
• DULOXETINE
• FLUOXETINE
• SERTRALINE
• PREGABALIN
• TOPIRAMATE
• QUETIAPINE
• LAMIVUDINE

• Exercise regularly as it helps increase your energy expenditure, thereby helping in increasing hunger.
• You may eat more if you are having a good time during your meal. So, try to make mealtimes enjoyable by eating with friends and family or watching a favourite show.
• Change your menu and eat food that you enjoy.
• Try not to skip meals. Make time for eating. 
• If you feel eating three times as overwhelming, eat six smaller meals.
• Include calorie-containing beverages in your diet, such as protein shakes, fruit juices, milk, etc.
• Proper management of basic hygiene and bowel regularity can positively affect appetite in adults.
• Setting the alarm for mealtime or posting a meal schedule on the wall could help adults remind them to eat.
• Limit excessive snacking in between mealtimes.
• If you have trouble obtaining or preparing food or having difficulty with limited food choices, try delivery services that deliver fully equipped healthy meals.

• Tricholine present in Choliv Syrup 200 ml is a Pregnancy category risk D medicine, so its use in pregnant women is not recommended. 
• Cyproheptadine present in Choliv Syrup 200 ml may cause dizziness and blur your vision, so do not drive a vehicle, operate heavy machinery, or perform hazardous tasks.

Appetite loss: Appetite loss is a condition in which an individual has no desire to eat food. Lack of appetite causes missing meals or less urge of hungriness, resulting in a deficiency of essential and non-essential nutrients required for the proper metabolism and growth of our body. The most common reasons for the decrease in appetite include psychological conditions like stress, anxiety, depression, gastrointestinal disorders (such as acidity, peptic ulcers, and ulcerative colitis), slow metabolism, age, lowered activity levels, other disease conditions (like AIDS, HIV, cancer) and some medication side effects. Some drugs, like digoxin, fluoxetine, quinidine, and hydralazine, can cause loss of appetite (anorexia).