Hepamerz OA Syrup 60 ml is a combination medicine used to treat liver diseases such as acute and chronic hepatitis, chronic alcoholic liver damage, fatty liver, jaundice, liver cirrhosis, and non-alcoholic steatohepatitis (non-alcoholic fatty liver disease). Liver diseases lead to disturbance of vital liver functions. Hepamerz OA Syrup 60 ml effectively prevents multiple liver disease mechanisms and ensures protection, regeneration, and rejuvenation of the liver. 

Hepamerz OA Syrup 60 ml contains L-ornithine-L-aspartate as its active ingredient.  L-ornithine-L-aspartate rejuvenates the liver by increasing the rate of energy production in liver cells. It decreases ammonia levels in the blood by increasing ammonia detoxification.  Hepamerz OA Syrup 60 ml helps in treating liver disease.

You are advised to take Hepamerz OA Syrup 60 ml for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as headache, fatigue, diarrhoea, abdominal pain, and nausea. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

Let your doctor know if you are allergic to any of the contents in Hepamerz OA Syrup 60 ml. Consult your doctor before taking Hepamerz OA Syrup 60 ml if you are pregnant or breastfeeding. Be cautious while driving and operating machinery as it is unknown if Hepamerz OA Syrup 60 ml interferes with your ability to drive. Avoid consuming alcohol along with Hepamerz OA Syrup 60 ml as it could lead to further liver damage. Hepamerz OA Syrup 60 ml should not be given to children unless prescribed by the doctor. 

Hepamerz OA Syrup 60 ml contains two nonessential amino acids such as ornithine and aspartic acid. This medication has the benefit of lowering ammonia present in blood and is thus used in the treatment of hepatic encephalopathy. Hepamerz OA Syrup 60 ml helps to increase the number of amino acids, arginine in the body. Ammonia is a nitrogenous waste of the body that is excreted from the body in the urine. Ammonia may be poisonous for blood cells, by reducing the levels of ammonia in the body, Hepamerz OA Syrup 60 ml avoids the risk associated with elevated ammonia levels in the whole body.  Hepamerz OA Syrup 60 ml has liver-protecting properties if given to patients with fatty liver. 

• Headache
• Fatigue
• Nausea
• Diarrhoea
• Abdominal pain

Do not take Hepamerz OA Syrup 60 ml if you are allergic to any of its contents. Consult your doctor before taking Hepamerz OA Syrup 60 ml if you are pregnant or breastfeeding. Be cautious while driving and operating machinery as it is unknown if Hepamerz OA Syrup 60 ml interferes with your ability to drive. Avoid consuming alcohol along with Hepamerz OA Syrup 60 ml as it could lead to further liver damage. Hepamerz OA Syrup 60 ml should not be given to children unless prescribed by the doctor. Inform your doctor regarding your health condition and the medicines you are taking to rule out any side-effects/interactions.  

Drug-Drug Interactions: Hepamerz OA Syrup 60 ml may have interaction with an anti-Parkinson agent (levodopa).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: No interactions found/established.

• LEVODOPA

• Avoid alcohol consumption and quit smoking. 
• Maintain a healthy weight by exercising regularly.
• Adopt a liver-friendly diet such as fibre-rich food.
• Cut down on fats, sugar, and salt.
• Avoid stress by practising yoga or meditation. 
• Exercise regularly as it helps in reducing the accumulation of fat.

During the treatment with Hepamerz OA Syrup 60 ml, try to have a monthly liver function test (LFT). 

Liver disease: The liver is an important organ responsible for carrying-out many vital functions such as metabolism, detoxification of waste, and energy storage. Liver diseases occur due to disturbance of liver functions. Liver diseases include acute and chronic hepatitis, chronic alcoholic liver damage, fatty liver, jaundice, liver cirrhosis, and non-alcoholic steatohepatitis (non-alcoholic fatty liver disease). Hepatitis occurs due to viral infection leading to liver damage and inflammation, making it difficult for the liver to function properly. The fatty liver could occur due to excess alcohol consumption (alcoholic fatty liver) or other factors (non-alcoholic fatty liver). Liver cirrhosis is damage to the liver, which causes scarring and liver failure. Jaundice occurs due to the build-up of bilirubin in the blood, which causes the yellowing of skin and eyes. Symptoms include dark urine, yellowing of skin and eyes, loss of appetite, fatigue, bloody or dark stools, nausea, and vomiting.