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Written By Divya L , PharmaD
Reviewed By Santoshini Reddy G , M Pharmacy
Non returnable*
COD available

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Manufacturer/Marketer :

Clariant Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Hepa-R Syrup

Hepa-R Syrup belongs to a group of medicines called 'appetite enhancers' used to stimulate the appetite and treat problems related to the alimentary tract and metabolism. Hepa-R Syrup is used in the treatment of anorexia nervosa (an eating disorder with loss of appetite and low body weight). Besides this, it is also prescribed for underweight children who have an inadequate dietary intake, loss of appetite, anaemia, liver/digestive disorder and as an adjunct to anti-tubercular (anti-TB drugs) and antiretroviral (anti-HIV drugs) treatment for weight gain.

Hepa-R Syrup is a combination of three drugs, namely: Cyproheptadine hydrochloride, Tricholine citrate, and Sorbitol. Cyproheptadine hydrochloride works by reducing the effect of a chemical messenger in the hypothalamus called serotonin, thereby helping stimulate the appetite. Tricholine citrate is a bile acid-binding agent that works by removing excess bile acid, which causes the liver to produce more bile acid utilizing cholesterol; this, in turn, lowers the fat content in the body. Sorbitol is a laxative with a diuretic (urine-producing) and cathartic (that stimulates defecation) properties.

Hepa-R Syrup should be taken in the doses as prescribed. You are advised to take Hepa-R Syrup for as long as your doctor has prescribed it for you. This medicine has some common side effects like dry mouth, drowsiness, confusion, and ataxia (impaired balance or coordination). Most of these side effects do not require medical attention and subside over time. However, if any of these side effects persist, please consult your doctor.
 
Inform your doctor if you have asthma, hyperthyroidism, high blood pressure, intraocular (eye) pressure or heart problems before taking Hepa-R Syrup . Consult your doctor before taking Hepa-R Syrup if you are pregnant or breastfeeding. Hepa-R Syrup may cause drowsiness, so caution should be taken while you are driving vehicles or operating machines. Avoid consumption of alcohol while taking Hepa-R Syrup as it may cause increased drowsiness. Keep your doctor informed about all the medicines and your health condition to rule out any side effects.

Uses of Hepa-R Syrup

Loss of appetite (anorexia).

Directions for Use

Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe provided by the pack.

Medicinal Benefits

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

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Do not take Hepa-R Syrup if you are allergic to any of its contents; if you have glaucoma, peptic ulcers, prostate gland enlargement, bladder neck obstruction, or pyloroduodenal obstruction. Inform your doctor if you have asthma, hyperthyroidism, high blood pressure, intraocular (eye) pressure or heart problems. Hepa-R Syrup may show additive effects if taken along with alcohol and CNS depressants, and anti-anxiety drugs; therefore inform your doctor if you are taking any other medicines. Consult your doctor before taking Hepa-R Syrup if you are pregnant or breastfeeding. Hepa-R Syrup may cause drowsiness, so drive with caution. Avoid consumption of alcohol while taking Hepa-R Syrup as it may cause increased drowsiness. 

Drug-Drug Interactions

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CyproheptadinePotassium citrate
Critical

Drug-Drug Interactions

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CyproheptadinePotassium citrate
Critical
How does the drug interact with Hepa-R Syrup 200 ml:
Taking Hepa-R Syrup 200 ml and Potassium citrate (in tablet or capsule form) together can increase the risk of stomach ulcers.

How to manage the interaction:
Taking Hepa-R Syrup 200 ml with Potassium citrate is not recommended, as it may lead to an interaction but can be taken if prescribed by the doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Hepa-R Syrup 200 ml:
Using procarbazine together with Hepa-R Syrup 200 ml may increase side effects.

How to manage the interaction:
Taking Hepa-R Syrup 200 ml with Procarbazine is not recommended, please consult your doctor before taking it. Call a doctor if you experience dizziness, drowsiness, blurred vision, dry mouth, constipation, heat intolerance, flushing, decreased sweating, difficulty urinating, palpitation, rapid heartbeat, confusion, disorientation, and memory problems.
How does the drug interact with Hepa-R Syrup 200 ml:
Using linezolid together with Hepa-R Syrup 200 ml may increase side effects of Hepa-R Syrup 200 ml.

How to manage the interaction:
Taking Hepa-R Syrup 200 ml with Linezolid is not recommended, consult a doctor before taking it. Contact a doctor if you experience dizziness, drowsiness, blurred vision, dry mouth, constipation, heat intolerance, flushing, decreased sweating, difficulty urinating, palpitation, rapid heartbeat, confusion, disorientation, and memory problems. Do not stop using any medications without talking to a doctor.
How does the drug interact with Hepa-R Syrup 200 ml:
Taking Hepa-R Syrup 200 ml with Potassium chloride can increase the risk of stomach ulcers.

How to manage the interaction:
Taking Hepa-R Syrup 200 ml with Potassium chloride is not recommended, as it can lead to an interaction, can be taken if your doctor has prescribed it. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, dark, tarry stools, consult the doctor immediately. Do not stop any medication without talking to a doctor.
How does the drug interact with Hepa-R Syrup 200 ml:
Using ketamine together with Hepa-R Syrup 200 ml may increase side effects.

How to manage the interaction:
Although taking Ketamine and Hepa-R Syrup 200 ml together can evidently cause an interaction, it can be taken if your doctor has suggested it. If you feel dizzy, sleepy, confused, have trouble focusing, lazy, or have trouble breathing, make sure to contact your doctor right away. Do not stop using any medications without a doctor's advice.
CyproheptadineEsketamine
Severe
How does the drug interact with Hepa-R Syrup 200 ml:
Combining Hepa-R Syrup 200 ml with Esketamine can increase the side effects.

How to manage the interaction:
Although there is a possible interaction between Hepa-R Syrup 200 ml and Esketamine, you can take these medicines together if prescribed by your doctor. If you're having trouble with feeling tired, confused or finding it hard to focus, consult a doctor. Do not stop using any medications without talking to a doctor.
CyproheptadineSodium oxybate
Severe
How does the drug interact with Hepa-R Syrup 200 ml:
Taking Hepa-R Syrup 200 ml with sodium oxybate can enhance the risk of negative effects.

How to manage the interaction:
Although there is a possible interaction between Hepa-R Syrup 200 ml and Sodium oxybate, you can take these medicines together if prescribed by your doctor. If you notice any symptoms like feeling tired, dizzy, confused or having low blood pressure or difficulty breathing, make sure to contact your doctor right away. Do not discontinue any medications without first consulting your doctor.
How does the drug interact with Hepa-R Syrup 200 ml:
Coadministration of Hepa-R Syrup 200 ml with Zonisamide can lead to increased body temperature and decreased sweating especially in warm weather.

How to manage the interaction:
Taking Hepa-R Syrup 200 ml with Zonisamide together is not recommended as it can result in an interaction, it can be taken if a doctor has advised it. However, if you experience changes in blood pressure, increased heart rate, fever, or excessive sweating, contact a doctor immediately. Make sure to hydrate yourself during warm weather or after exercise. Do not discontinue any medications without consulting a doctor.
SorbitolLamivudine
Severe
How does the drug interact with Hepa-R Syrup 200 ml:
Lamivudine can cause higher levels of Hepa-R Syrup 200 ml in the blood by reducing its excretion rate.

How to manage the interaction:
Taking Hepa-R Syrup 200 ml with Lamivudine together can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not stop using any medications without talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Exercise regularly as it helps in increasing 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, family or watching a favourite show.
  • Change your menu and eat food that you enjoy.
  • Try not to skip meals. Make time for eating. 
  • 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 be helpful for adults to remind them to eat.
  • Limit excessive snacking in between meal times.

Habit Forming

No

Therapeutic Class

APPETITE STIMULANT

Hepa-R Syrup Substitute

Substitutes safety advice
  • Hunger Aid+ Syrup 200 ml

    by Others

    0.61per tablet

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Hepa-R Syrup helps in the stimulation of appetite, ensures weight gain, provides effective hepatoprotective action, and enhances protein synthesis.

Dry mouth could be a side-effect of Hepa-R Syrup . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might help in stimulating saliva and thereby preventing dryness of the mouth.

Hepa-R Syrup may cause weight gain by stimulating the appetite. Hepa-R Syrup helps in weight gain and growth.

Diarrhoea might be a side-effect of Hepa-R Syrup . Drink enough fluids and eat non-spicy food if you experience diarrhoea. Consult your doctor if you experience excessive diarrhoea or if you find blood in your stools.

Antidepressants, along with Hepa-R Syrup , especially monoamine oxidase inhibitors (MAOI’s) may prolong and increase the effects of Hepa-R Syrup . Consult your doctor before taking Hepa-R Syrup with other medicines to avoid unpleasant side effects.

Drug-Drug Interactions Checker List

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

Disease/Condition Glossary

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

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