Heptral for cats instructions for use. "Heptral" for cats: instructions for use

Liver disease in cats is not so common, but can lead to a number of severe complications. With such problems, the drug Heptral comes to the rescue, which is intended for humans, but has recently been actively used to treat pets. Before proceeding with therapy, it is important to read the instructions, having carefully studied the contraindications.

Characteristics of the drug Heptral

Heptral belongs to the group of hepatoprotectors, that is, drugs designed to restore liver function. The drug also has an antidepressant effect. The drug promotes the excretion of bile, preventing congestion. Eliminates the harmful effects of toxins by neutralizing them. The drug is able to regenerate damaged liver cells, due to which its structure is restored. In addition, the body has an antioxidant effect, which improves the condition of the pet and makes it more active.

Heptral restores the functional activity of liver cells

The drug prevents the processes of fibrosis in the liver tissues, and also prevents damage to neurons. Due to the complex effect, the pet's body quickly recovers from various diseases of the biliary system. In addition, the condition of the coat and skin improves.

The drug is effective even with serious disorders in the liver in pets. It relieves pain and improves digestion.

Composition and form of release

The drug is available in the form of tablets and lyophilisate. The active ingredient for both varieties is ademetionine 1,4-butane disulfonate. Additionally, the composition of the tablets includes:

• silicon dioxide colloidal;
• cellulose microcrystalline;
• sodium carboxymethyl starch (type A);
• magnesium stearate.

The lyophilisate also contains:

• L-lysine;
• sodium hydroxide;
• water d / i.

Heptral is also available in the form of a lyophilisate

The active component is excreted through the kidneys along with urine, which should be considered before starting treatment if the pet suffers from severe lesions of the urinary system.

When is the drug given to cats?

The drug is prescribed to pets most often for inflammatory diseases of the liver and gallbladder, such as hepatitis and cholecystitis. This tool prevents the formation of stones. The medicine is also effective for congestion in the gallbladder, which can be triggered by improper feeding or congenital anomalies in the development of organs. The drug is used for malignant tumors and fatty degeneration of the liver. This tool can be used for a number of viral diseases.

Heptral helps cats recover faster from a number of liver diseases

The drug improves the condition of the liver in case of severe violations of its functions, restoring the integrity of damaged cells.

Required dosage and drug interaction

The dosage of tablets and solution depends on the weight of the animal. However, the exact amount of the drug should be discussed with the doctor. If the cat has a body weight of up to 2 kg, then the daily dosage should be about two tablets, which should be given in 2 doses. The amount of solution in this case is 0.3 - 0.5 ml.

If the pet weighs from 2 to 3 kg, then the dosage should be 3 tablets per day. The amount of solution for such animals varies from 0.5 to 0.7 ml. For a large cat (from 5 kg and more), 4 tablets per day are provided. The solution should be used at a dose of 0.9 ml. The course of treatment varies from several weeks to 1 month.

Tablets can be mixed with food or given to the cat by force after crushing and dissolving with a small amount of water. This can be done either with a miniature syringe without a needle, or using a teaspoon. The main thing is how to hold the pet so that it does not break out and the medicine does not accidentally spill.

It is most convenient to use insulin syringes without a needle in order to give your pet a pill.

In the lyophilisate, you must first pour the ampoule with the solvent. Then shake up and apply intramuscularly. In this case, it is most convenient to make an injection in the thigh area. To do this, you must first feel for the muscle, it must roll under the finger. Then insert the needle 1 cm at a right angle and very slowly press on the syringe plunger. It is not necessary to disinfect the injection site.

An injection in the thigh of a cat is the easiest to do

When treating with Heptral, it is advisable not to give the pet any more medications, unless the doctor has recommended otherwise. The drug does not combine well with plant extracts and hormonal agents, including glucocorticosteroids.

Attention! It is not recommended to choose the form of the drug on your own. What to use in a particular case: lyophilizate or tablets, only the doctor decides.

How to give an injection to a cat and avoid mistakes - video

Warnings and adverse reactions

The drug has practically no contraindications, however, if the pet has genetic diseases, then it should be used for treatment with caution. Do not give tablets, as well as inject the lyophilisate to the animal in the presence of intolerance to the active ingredient. The medicine is contraindicated for pregnant and lactating females. Therapy of kittens can be carried out only with the permission of a doctor. The medication can provoke the appearance of such undesirable reactions from the cat's body, such as:

• nausea and vomiting;
• stomach ache;
• diarrhea;
• digestive disorders;
• dry mouth;
• increased gas formation;
• hepatic colic;
• bleeding from the gastrointestinal tract;
• convulsive conditions;
• pain in the joints;
• loss of sensation in the limbs;
• sleep disorders;
• difficult urination;
• skin rashes and itching.

Sometimes, during treatment with Heptral, there is a lack of activity in the pet

In rare cases, during the treatment with tablets and lyophilisate, serious allergic reactions occur, provoking the occurrence of laryngeal edema.

An inflammatory focus may form at the injection site, in some cases tissue necrosis develops. Occasionally, the drug causes pets to lose strength and increase body temperature. In this case, the animal loses its appetite and the condition becomes unsatisfactory. In this case, you should immediately inform your veterinarian about such adverse reactions.

A friend has a cat that is overweight. After another study, deviations in the functioning of the liver were revealed, which is due to the presence of extra pounds. The veterinarian recommended a set of medications, including a hepatoprotector. It was very inconvenient to give the tablets, as the cat recognized them in the food and refused to eat. A friend crushed the drug and mixed it with water, then pouring it in with a syringe. Somehow managed to survive the course of treatment. The condition of the liver returned to normal, and the cat became more active.

Precautionary measures

Things to consider when treating a cat with lyophilisate and tablets:

1. In no case do not exceed the dosage of the drug. In addition, it should be remembered that only the doctor determines the amount of the drug, depending on the pathology of the liver and biliary tract. The indicated dosages are approximate.
2. Do not inject quickly, otherwise there will be intense pain in the muscle. It is also not recommended to inject with a long needle, which can injure the nerve endings.
3. Do not use the same syringe for injections and always wear gloves before starting the procedure.
4. Always secure your pet properly. The best way to do this is with the help of another person. This is especially important when administering an injection, because if the cat resists, the needle may enter a vessel or nerve ending.
5. If seizures occur in a pet, treatment should be stopped immediately.
6. So that a hematoma does not form at the injection site and an inflammatory infiltrate does not occur, it is necessary to inject into each limb in turn.
7. Without preliminary diagnosis and finding out the cause of the disease, it is forbidden to give Heptral to animals.
8. During treatment, cats may lose coordination, so it is important to keep your pet calm and look after him.
9. During drug therapy, it is important to provide the animal with access to boiled water.
10. If the condition of the cat worsens during treatment, then it is necessary to cancel the course and consult a veterinarian.

For injections at home, it is best to give preference to short needles.

Heptral should be used with caution in the treatment of elderly and debilitated animals, as the risk of negative reactions increases.

What can replace Heptral - table

Preparations of similar action - photo gallery

Hepasafe also has an antioxidant effect. Hepatitis improves liver function in cats Hepatolux contains milk thistle extract

Where can you buy medicine

Heptral can be bought at any pharmacy. The drug is sold by prescription from a doctor, so you need to visit a veterinarian in advance. The cost varies depending on the form of release. Tablets can be purchased starting from 2000 rubles. per package, and the price of the lyophilisate is approximately 1700 rubles.

Storage conditions

Keep the drug should be at room temperature, which should not exceed 25 degrees. Lyophilizate and tablets can be used for treatment within 3 years from the date of issue. It is important to ensure that the sun's rays do not fall on the medication. If the packaging is torn, then the use of the medicine is not recommended.

Heptral helps the pet recover from a number of liver diseases. Due to the complex effect on the body, the animal quickly recovers, becomes more active and cheerful. Despite a number of positive points, the fact that the medication can provoke adverse reactions cannot be ruled out, so you should consult your doctor before starting therapy.

"Geptral" for cats is generally not intended, as it is a human medicine. At the same time, in veterinary practice, this drug is actively used, saving cats from diseases that affect the liver. This remedy is considered very effective, able to cure an animal, even one in serious condition. The only disadvantage of this unique drug, which has no analogues in terms of effectiveness, is its non-budgetary cost. Below we will find out in which cases the purchase of this remedy is justified, when it is prescribed to cats, in what dosage and according to what scheme.

"Heptral" for cats: instructions for use

Geprtal is a remedy that treats a variety of diseases that affect the liver. A medicine is also prescribed at the initial stages of ailments, in order to significantly reduce the time of therapy, and in advanced cases. Veterinarians even say that if Heptral does not help the animal, then nothing will help.

"Heptral" is prescribed by veterinarians in cases where a cat is diagnosed with cirrhosis, cholecystitis, hepatitis, cholestasis. If at the same time such blood indicators as bilirubin, urea, AST or ALT are exceeded, then other medications are added to Heptral.

The main active component of Heptral is ademetionine

As we found out, "Geptral" is a medicine from the group of hepaprotectors, which has the following properties:

1. Cholestic (regeneration of the bile ducts).
2. Cholekinetic (increasing the activity of bile secretion).
3. Antioxidant (removes toxins and other harmful substances from the liver and the whole body).
4. Regenerating, restoring body cells.
5. Detoxification.
6. Increases metabolic processes.
7. It plays an important role in many biochemical type reactions, improving them and making them more productive.
8. Stimulates the production of L-methionine and S-adenosyl.

However, it is impossible to prescribe this strong medicine to a cat on its own under any circumstances. If an animal suffers from liver diseases, it needs competent and qualified help from a veterinarian, who will determine the dosage of Heptral, if necessary for treatment.

Only a zoodoctor can prescribe "Heptral" to a mustachioed patient

Veterinarians prefer to treat ailments that affect the liver of cats, namely "Heptral", calling it universal. Its main advantage is that it is effective both at the initial stage of the disease and in advanced cases (it brings even hopeless animals back to life).

"Heptral" in tablets or injections: which is better?

"Heptral" is available in two classic form factors: tablet and liquid form. For cats, an injection solution is almost always used, which is injected intramuscularly (possibly at home) or intravenously (through a catheter, only in the clinic).

Despite the fact that it is easier to give a tablet to an animal, injections act more quickly and effectively, do not put a strain on other organs, since they do not enter the cat's digestive tract. Treatment with the drug in tablet form is prescribed only when the owner does not have the opportunity to give the animal injections on its own or take it to the veterinary clinic.

Dosage of "Heptral" for cats

Since Heptral is not designed for cats, the instructions for use contain data only on dosage for humans. That is why a veterinarian should prescribe the drug to animals, starting from the diagnosis of the cat, its weight, age and the general clinical picture of the disease.

For large cats or animals in a neglected state, the dosage of Heptral will be higher than for whiskered patients with low body weight or at the initial stage of the disease. It is important to remember: you can’t prescribe Heptral to a cat on your own, since an excess dose will not only not cure a self-diagnosed ailment, but will also put a heavy burden on the body.

Table. Approximate dosages of Heptral for cats

Important point! The data given in the table is statistical information on dozens of animals that were treated with Heptral. In each individual case, the dosage can be changed up or down.

Usually, the course of Heptral therapy ranges from a week to ten days, after which the animal needs to be tested again, to conduct liver tests. Based on the results, the veterinarian can extend the treatment up to a month.

"Geptral": side effects, contraindications

When using Heptral, cats rarely experience negative body reactions, but the owner must be prepared for the fact that both tablets and injections can provoke allergies in the pet (itching, swelling, skin reactions), restless behavior, indigestion, vomiting. Do not allow the drug to be taken by animals in which a biochemical blood test showed a deficiency of vitamin B12, and they also do not prescribe "Heptral" to pregnant cats.

As for the interaction of Heptral with other drugs, there are no special contraindications. With caution, you need to combine a hepatoprotector with herbs and medicines that contain tryptophan. Therefore, it is necessary to discuss with the veterinarian not only the current prescriptions, but also the advisability of taking other drugs, if they were previously prescribed to the animal.

"Geptral": storage, special information

"Heptral" in tablets, and in "blanks" of the solution for injection, can be stored for two years, provided the packaging is intact. A tablet opened from foil, which for some reason was not needed, cannot be stored. The solution for injection, already prepared, must be stored strictly in the refrigerator and no more than two days. If the solution changes color to dark, then it has deteriorated.

Video - Preparation of the Heptral solution

Analogues, the cost of the drug

"Heptral" is the safest and most effective medicine that can help an animal at any stage of liver disease and in almost any form of illness. The advantage of Heptral is that it does not have serious side effects, and there are negligible cases of overdose. Therefore, it is believed that for cats there are no analogues of this drug. But it is possible to replace "Heptral" with the drug "Heptor", which is similar to it in composition. In this case, you need to be more careful, since this domestic medicine is contraindicated if the animal has tumors or problems with the gallbladder. If finances allow, it is better to purchase Heptral (its cost is about 1800 rubles for a pack of five ampoules or twenty tablets).

"Heptor" - a partial analogue of "Heptral"

Summarizing

If you listen to the reviews of veterinarians and cat owners, you can come to the conclusion: Heptral is an extremely effective drug. People who treated their pets with this remedy note that already on the second day of therapy, cats feel better, and the overall percentage of complete cure exceeds 95%.

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The drug Heptral was developed for the treatment of humans. But clinical studies have shown the possibility of using the drug in animals, in particular dogs. The use of heptral as a prophylactic agent allows you to successfully cope with liver infection with toxic substances. The drug is used in the main treatment of the disease

General description of the tool

Heptral release form - porous whitish powder (lyophilisate)
This is the basis for the manufacture of solutions and tablets. Solutions are used for the preparation of injections, and tablets are taken orally. The tablets have a special shell that dissolves easily in the intestines. The concentration of useful substances is 5% of the total mass. For this reason, dogs are predominantly treated with injection therapy.

A high-quality porous composition is packaged in vials. The color of the mass is white or light yellow. Any inclusions and foreign impurities are unacceptable. Included with the bottle are ampoules with purified water, sodium chloride and L-lysine. Mixing before use.

Properties and characteristics

The main drug in the composition of heptral is ademetionine. It belongs to the group of hepatoprotectors and has a high antidepressant activity. The area of ​​influence is wide, from choleretic to cholekinetic. It has the following properties:

• detoxification;
• regenerating;
• antioxidant;
• antifibrosing;
• neuroprotective.

Regular (as prescribed by a doctor) use allows you to cope with the most complex liver diseases, reducing pain and leading to partial regeneration of cartilage formations.

To maintain effectiveness, the medicine must be stored properly. The optimum temperature is + 15 + 25 degrees.
If a change in the color of the lyophilisate is noticed, the use of the drug should be discarded.

Operating principle

The drug contains the active ingredient ademetionine. Regular (on the recommendation of a veterinarian) application allows you to achieve the following results:

• removal of toxins and heavy metals from the liver;
• improvement, activation of the process of tissue regeneration;
• normalization, stimulation of metabolic processes;
• improving the efficiency of the liver;
• increased production of bile.

The principle of direct impact on the dog's body:

After entering the body, heptral stimulates the activation of metabolic processes. At the same time, substances are produced with the help of which new liver cells are formed. Accelerated synthesis makes it possible to compensate for the deficiency of cells affected by toxic components.

Ademetionine also affects many metabolic processes in the animal's body, improves the composition of blood and urine.

Reducing toxicity in cells due to the synthesis of new cells, improving bile production and its entry into the gastrointestinal tract is the main advantage of the drug.

Treatment of dogs with heptral allows for effective treatment of the following diseases:

• cirrhosis of the liver;
• hepatitis and various forms of its manifestation;
• hepatic encephalopathy;
• fatty liver.

The effectiveness of the drug in the fight against stagnation of bile (cholestasis) has been proven. The tool is equally effective in the treatment of acute disease or the course of the disease in a chronic form.

How to use the medicine correctly

First, the veterinarian prescribes the drug.

Before this, a study is carried out, a blood test, urine test, ultrasound of the liver. The doctor also sets the duration and dosage.

The general rule is no more than 10 mg of the drug per 10 kg of animal weight. If the disease is of increased complexity, the doctor may increase the dosage. You cannot make such decisions on your own!

An injection is the best way to carry out therapy, but tablets can only be used as a supportive course of treatment and prevention. The reason is the low concentration of the main substance. If treatment with tablets is prescribed, they must be sent entirely to the pet's stomach, without crushing into powder.

Injections are performed in the following sequence:

1. open the ampoule;
2. draw liquid into a syringe;
3. inject the solvent inside into the vial with lyophilisate;
4. shake;
5. fill the syringe and inject.

Are there any contraindications

Veterinarians are convinced that heptral is a completely safe drug. It is forbidden to take it only in case of individual intolerance. Also not recommended during pregnancy. In other cases, no restrictions are set.

Animals may react differently to the drug.

The main symptoms of intolerance:

• allergies, itching, redness on the surface of the skin;
• malfunctions of the digestive system;
• deterioration in the quality of sleep;
• muscle spasms, etc.

Pros and cons of the drug

Heptral has a lot of advantages. The main one is the ability to completely restore damaged liver cells and tissues, effectively affect the functioning of the organ, and also improve the functions of the gallbladder. The medicine is safe, under one condition - to take it, and also to determine the dosage only taking into account the recommendations of the veterinarian.

There are no shortcomings in the tool. You can buy medicine at any pharmacy, the price is quite high (and this is the only conditional minus)

Are there effective analogues

Expensive heptral can be replaced with more affordable drugs:

• Heptor;
• Phosphogliv;
• Essentiale;
• Resolution PRO;
• Maksar and others.

Conclusion

Your pet's health needs to be taken care of all the time. Use heptral if necessary for liver treatment. The drug has proven its effectiveness. Recommendations of a veterinarian before course treatment or maintenance therapy are required!

Heptral is a drug used for dogs with intoxication and liver diseases. The medicine was created for humans, but has also been successfully used to treat animals. A safe drug is highly effective. Can be used as monotherapy (treatment with one drug) or combined with other drugs.

Heptral is produced in the form of a lyophilizate (porous powder), which is used to prepare an injection solution, and tablets. Small oval tablets are enteric coated. Externally, the tablets are white, sometimes there is a yellowish tint. Bioavailability or, in other words, the absorption of active ingredients in tablets is only 5%, so they are rarely used for animals. Sometimes they are used as maintenance therapy for chronic pathologies.

Lyophilized porous mass of white or yellow-white color is packaged in glass bottles. The lyophilisate must be free of inclusions or foreign impurities. The concentration of the active substance in one vial is 400 mg. The lyophilisate is sold complete with a solvent, packed in glass ampoules. Each ampoule contains 5 ml of liquid, which consists of purified water, sodium chloride and L-lysine. The solvent with a porous mass should be mixed before injection.

Note! All dosage forms of the hepatoprotector should be stored at a temperature of 15 to 25 degrees Celsius. If the lyophilizate has changed its color, the use of the drug should be discarded.

Operating principle

The active ingredient in Heptral is a substance called adeomethionine. Thanks to him, the drug has such an effect on the body:

• helps to get rid of toxins and heavy metals;
• improves tissue regeneration;
• stimulates metabolism;
• restores the efficiency of the liver;
• enhances the production of bile.

The main feature of the drug is its hepatoprotective property. When ingested, ademetionine promotes the production of a substance necessary for the formation of liver cells. Since the body receives enough "raw materials", the liver damaged by pathologies or toxic substances is restored faster, since the synthesis of new cells is accelerated.

The action of the drug is based on a complex chemical process. As a result of this process, substances are formed that serve as the basis for the formation of proteins, hormones, and cell membranes. Due to this, the regenerative property of the drug is manifested. Ademetionine is also involved in various biological processes. As a result of its use, blood and urine parameters improve. The peculiarities of Heptral include its ability to positively influence the redox mechanism of cleansing the body of toxins, poisons, salts of heavy metals. Due to this, the recovery of the animal after poisoning with the use of a hepatoprotector is several times accelerated. Toxicity in the liver cells is reduced by increasing the synthesis of bile and its intensive flow into the gastrointestinal tract.

The half-life of the active substance from the body is 2-3 days, but the hepatoprotective effect of the drug persists for another 3 months after stopping the course of treatment.

When to apply

For dogs, Heptral is prescribed for liver diseases of various origins:

• with cirrhosis;
• with hepatitis;
• with hepatic encephalopathy;
• with fatty liver.

Also, the drug is successfully used to treat cholestasis - stagnation of bile. The drug can be used for pathologies that occur in acute or chronic form. In diseases that occur in a protracted chronic form, the hepatoprotector can be used during periods of exacerbation to stabilize the liver.

The tool can be used during the rehabilitation period after chemotherapy, intensive therapy with strong drugs, as well as in case of poisoning, including chemicals. Often the drug is used for piroplasmosis and other viral diseases. Its use allows you to prevent serious complications or restore the liver when it is damaged.

How to apply

The instructions for use of Heptral for dogs indicate that the dosage of the drug is on average 10 mg per 1 kg of weight, but can be adjusted upwards by the doctor depending on the characteristics of the pathology and symptoms. Injections are usually used for several reasons. The bioavailability of active ingredients is many times higher, which means that the application gives a greater effect. In addition, when using a solution, you can more accurately calculate the dose. Although even when the dose is exceeded, complications and side effects do not occur.

Tablets are used only as maintenance therapy. It is important not to break the tablet, but to give it whole. To do this, the tablet must be forcibly placed on the root of the tongue, you can use a special device - a tablet dispenser. If the tablet is broken, there will be no effectiveness from its use. The fact is that the enteric coating is a kind of protection, thanks to which the active substance is absorbed in the intestines, and is not destroyed by gastric juice.

Heptral injections

The hepatoprotector can be administered intramuscularly or intravenously. In the second option, drip administration is used. Intramuscular injections are painful. It is recommended to administer the drug not quickly. It is impossible to drive the medicine subcutaneously.

To prepare the solution, you need to perform simple steps:

1. Open the solvent ampoule.
2. Draw liquid into a sterile syringe.
3. Puncture the rubber stopper of the vial with the lyophilisate with a needle and inject the solvent inside.
4. Shake well to dissolve the porous mass.
5. Draw the required amount of the prepared solution into the syringe.

You need to do injections once a day. The dog should be pricked in the first half of the day, as the drug can cause increased activity (one of the side effects).

Note! The prepared solution cannot be stored. The rest of the medicine must be disposed of. For the next injection, you need to prepare a fresh solution.

Contraindications and side effects

Heptral for dogs is considered a safe drug. It can not be used in case of intolerance to the components. It is advisable to refrain from drug treatment during pregnancy and lactation.

The instructions list an impressive list of side effects of Heptral, but dogs are usually well tolerated by the drug. With intolerance, the following symptoms may occur:

• allergic skin reactions (rash, itching, redness);
• violations of the food system (diarrhea, vomiting);
• sleep disturbance;
• anxiety;
• fever;
• muscle spasms, etc.

Price

A package of 20 Heptral tablets costs 1600-2000 rubles. A package with 5 bottles of lyophilisate and 5 ampoules of solvent will cost 1700-1900 rubles. In some pharmacies, they are sold by the piece. One set (lyophilisate + solvent) costs about 350 rubles. You can buy medicine at any pharmacy.

People diagnosed with hepatitis C take medications with one goal - to protect their liver from the negative effects of the virus. For this, it is important to choose a medicine that will go well with the prescribed therapy without side effects, which are already enough.

The drug Heptral is an ideal choice that will help achieve restoration of liver function. It is included in the group of hepatoprotectors, therefore it helps in the regeneration of liver cells, removes toxins, cleanses the bile ducts. In parallel with this, the components of the drug relieve the manifestations of depression. Patients suffering from hepatitis C note a positive effect of such therapy without side effects and contraindications, but you should not self-medicate, and, if possible, it is better to consult a doctor.

Composition and mechanism of action

The drug was created on the basis of the active substance - ademetionine, which works at the cell level to restore the ability to remove bile stasis and cleanse the ducts. In addition, Heptral in hepatitis C is indispensable, because it contributes to the production of biologically active substances that are aimed at protecting the liver from the negative effects of toxins, free radicals. They also protect hepatocytes from destruction, preventing replacement by connective tissue cells. Heptral well suppresses the development of cirrhosis of the liver.

The mechanism of action is aimed at improving metabolic processes in hepatocytes, the manifestation of antitoxic and antioxidant effects. It also protects cells from bile acids and free radicals. Another positive point is the neuroprotective effect, which improves brain function and quick recovery in stressful situations.

Another important biochemical process that is carried out with the help of Heptral is the formation of substances with a detoxifying effect of taurine and glutathione. With hepatitis, the amount of glutathione drops significantly, which makes the liver cells completely unprotected against toxic substances. Taurine, on the other hand, is aimed at normalizing the toxic effects of bile juice on liver cells.

The medicine is taken throughout antiviral therapy, which helps to support the liver and increase the patient's stress resistance. It works slowly, steadily improving all of the above indicators.

When are they assigned?

Heptral will become an indispensable assistant in the treatment of the following diseases and abnormalities:

• in the presence of inflammatory processes of a chronic nature in the gallbladder, only in the absence of stones;
• with inflammation of the bile ducts of a chronic nature;
• with stagnation of bile in the liver;
• with the development of cirrhosis of the liver, provoked by alcohol dependence and other origins;
• with liver damage as a result of taking aggressive drugs with hepatotoxic effects;
• with viral hepatitis A;
• with chronic hepatitis B and C;
• in depressive states.

If the patient belongs to at least one of the listed items, then the appointment of Heptral in this case is fully justified.

Course of treatment: how to take?

The drug is available in the form of tablets and capsules for injection. Tablets are taken without chewing one hour before meals or a couple of hours after meals. Since the drug leads to excitation of the central nervous system, it is advisable to take it before lunch.

The drug for injection is presented in dry form. It is diluted just before use, with the solution that is included in the box. The medicine must not be mixed with alkaline solutions and liquids containing calcium. Residues of unused substance must be disposed of.

With the introduction of Heptral intravenously, the process is carried out very slowly. To maintain the liver, 400-800 mg / day is used for two weeks. With a depressive state, one capsule (400 mg) is sufficient for 20 days.

If it is necessary to support the liver during further antiviral treatment, you can continue taking Heptral tablets. The dose and time of admission is prescribed directly by the attending physician. The daily dose can be from 800 to 1600 mg.

Reviews: does heptral help with hepatitis C?

How the drug Heptral helps and its effectiveness is indicated by the numerous positive reviews presented below.

Alexey, 33 years old.

“I took this hepatoprotector for quite a long time and I can say that the tablets do not work as effectively as the injection drug. No special differences were noted when administered intramuscularly or intravenously. The only negative, for me personally, is a very high pricing policy, which is not always suitable for long-term use. Interestingly, in Europe, adomethionine is not even considered a drug, but is qualified as a dietary supplement. With severe liver pathologies, the effectiveness of Heptral treatment will not be high.

Katerina, 41 years old.

“Having worked in medicine for more than a dozen years, I always use hepatoprotectors in the process of treating hepatitis. To date, Heptral is one of the most effective drugs of this series. He did not fail in the treatment of hepatitis of any etiology and even cirrhosis at the initial stage of its development. An important disadvantage is inactivation in the light, which is the reason for the low effectiveness of tablets compared to injections.

Victor, 58 years old.

“I have been suffering from a chronic form of hepatitis for a long time, so I often have to take various medications in courses. Of the drugs for maintaining liver function, Heptral turned out to be the most effective for me. He also helped relieve depression, which for me was an additional plus. It was not always possible to complete the full course of treatment due to the high cost, and to be honest, for me the drug is very, so the weakened body did not always tolerate the treatment well. In general, I can only praise the remedy, its effect is undeniable. I recommend it to those people who can afford to spend a large amount of money on treatment.”

Julia, 28 years old.

“After taking antibiotics, she acquired toxic hepatitis. The Alt and Ast indicators before taking Heptral were at the level of 320 and 150. After having taken a course of injections for 10 days at a dosage of 800 mg per day, the indicators decreased by half. The first days of treatment she noted bouts of flatulence, but over time the problem went away, she noticed an improvement in sleep. In general, the sensations after the treatment are only positive.”

The effectiveness of the drug has been proven not only with the help of clinical studies, but also by the reviews of a large number of practicing physicians and their patients. Heptral is a completely safe drug that does not cause overdose and severe adverse reactions.

This hepatoprotector goes well with any HTP, but despite this, it is sold in pharmacies strictly by prescription. This approach is due to the fact that the effectiveness of taking such an expensive drug directly depends on the correct prescription. Do not self-medicate and be healthy!

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Tablet form:

• Chicory (dry extract);
• caper bark;
• Nightshade;
• Terminalia arjuna;
• Cassia western;
• Tamarix Gallic;
• Yarrow seed;
• iron oxide.

Liquid:

• Chicory seed extract;
• caper bark;
• Nightshade;
• Terminalia arjuna;
• Cassia western;
• Tamarix Gallic;
• Yarrow seed.

What helps Liv-52? As a hepatoprotector, the drug protects hepatocytes from damage and promotes their active regeneration. In addition, Liv-52 increases the activity of the biosynthetic function of liver cells, inhibits the oxidation of lipid components, protecting cell membranes from the negative effects of oxidation products on them. The action of the drug is also aimed at binding toxins and other harmful substances that have entered the body and adversely affect the function of hepatocytes. The drug Liv-52 successfully fights congestion in the biliary tract, eliminating the effects of dyskinesia and normalizing the digestive process, increasing the patient's appetite. To the above properties of the drug, you can also add a choleretic, antioxidant and mild diuretic effect.

The main indications for the use of Liv-52:

• Diffuse liver damage (prevention and treatment);
• Toxic lesions of hepatocytes;
• Fatty degeneration of the liver;
• Hepatitis of various origins;
• Prevention of liver damage for the period of taking chemically aggressive drugs, for example, antitumor, antibiotics, etc.;
• Prevention of liver damage during radiological treatment (irradiation);
• Dyskinesia of bile ducts;
• Cholecystitis, cholecystocholangitis;
• Paraproteinemia (presence of functionally defective proteins in the blood);
• Anorexia, weight loss in children.

Contraindications to taking the drug

A contraindication to treatment with Liv-52 is hypersensitivity to any ingredient of the drug, pregnancy and breastfeeding. The drug is not recommended for children under five years of age.

If during treatment with Liv-52 any allergic manifestations are noted - rashes, itching, skin hyperemia or diarrhea occurs, then you should immediately stop using the drug and consult a doctor about the possibility of further continuation of the course.

How to take Liv-52 correctly

Tablets: Adult patients are recommended to take two to three tablets 3-4 times a day. For children from six years old, the dosage is one to two tablets, also 3-4 times a day. Like all homeopathic remedies, Liv-52 is taken either half an hour before meals or an hour after it. For the purpose of prevention, it is enough to take the drug twice a day, two tablets.

Liquid: for adults, take 80 to 160 drops of the drug (1-2 teaspoons) twice a day. Prophylactic dose - 80 drops per day at a time. Children from six years old - 10-20 drops twice a day.

Interaction with other medicines

Before starting treatment with Liv-52, you must carefully read the instructions for its use in order to prevent adverse events in the form of adverse reactions of the body to this drug. You should pay attention to the following factors:

• The combination of Liv-52 with ibuprofen reduces the therapeutic effect of the latter;
• The use of the drug together with antibiotics of the tetracycline group reduces their effectiveness;
• During the course of treatment is not recommended to drink alcohol.

Cost and analogues

The price of Liv-52 fluctuates between 280-350 rubles. You can get exact information about how much the drug costs just before buying it at the pharmacy network in your locality.

In any case, due to various factors, the patient has the opportunity to choose for himself a suitable analogue of Liv-52:

• Hepatophyte;
• Gepabene;
• Karsil;
• Essentiale;
• Rezalut pro;
• Antral;
• Enerliv;
• Heptral and others.

Expert reviews

It should be noted that reviews of Liv-52 are quite contradictory. A number of specialists highly appreciate the therapeutic properties of this drug, while other hepatologists are skeptical about it. In the medical literature, there is information that the properties of Liv-52 declared by the manufacturer do not correspond to reality. If clinical trials of the drug for the treatment of viral hepatitis demonstrated a decrease in bilirubin levels and a slight loss of body weight in patients, then during the treatment of alcoholic hepatitis, the effect of using Liv-52 was almost equal to placebo. In addition, the intoxication indicator of the drug was also not noted.

Experts also refer to some cases of using Liv-52 in acute pathological conditions of the liver, when a significant deterioration in the patient's condition occurred. The use of the drug in liver failure did not affect the mortality rate of patients, and in some cases even worsened it.

Taking into account all of the above, it is advisable to consult with your doctor before using Liv-52 and strictly follow his recommendations.

How to treat ascites in cirrhosis of the liver?

Ascites develops as a complication of liver cirrhosis in 40-60% of cases and is characterized by the accumulation of fluid in the abdominal cavity. In medical language, the disease is called hydroperitoneum. Visually, ascites increases the volume of the abdomen, there is a feeling of heaviness, swelling. At the advanced stage, it becomes difficult for the patient to perform the usual physical functions: bending, running, walking. Treatment of ascites in liver cirrhosis is aimed at improving and stabilizing the patient's condition, as well as identifying the cause of fluid accumulation.

Types of treatment

There are the following ways to solve the problem of ascites:

1. drug therapy involving the use of drugs;
2. conservative method based on diet therapy and physical activity;
3. surgical intervention.

Ascites can be successfully treated with timely access to a medical institution, following the doctor's recommendations and constant close monitoring.

In most patients, combination therapy is used to achieve maximum effect.

Medical treatment

Initially, the patient is assigned to the hospital, where he observes bed rest. Within a week, he receives a salt-free diet in order to reduce weight by at least 2 kg. Subject to the loss of this mass, the patient is shown to continue monitoring nutrition and compliance with the physical activity regimen.

However, in practice, only 10-15% of patients can achieve a positive result. Therefore, most of them are prescribed drug therapy. Most often used:

• diuretics;
• metabolites that improve immunobiochemical processes in the body;
• drugs aimed at combating the excretion of albumin.

Diuretics are drugs that increase the volume of urine and reduce fluid in body cavities and tissues. They are basic and mandatory in the treatment of ascites. The dose of diuretics is increased gradually to avoid too rapid loss of potassium, magnesium and other metabolites.

Spironolactone, a potassium- and magnesium-sparing diuretic, is often used. It increases the excretion of water, Cl-, Na+ and reduces the excretion of K+.

As an option, another, similar in action, diuretic, Aldactone, is prescribed. It is characterized by antagonistic activity in relation to aldosterone - the hormone of the adrenal cortex. As a rule, when a certain stable effect is achieved, Aldactone is indicated for further maintenance for several years. Patients with recurrent episodes of ascites are shown taking Aldactone and Furosemide with a gradual increase in dose. When the effect is achieved, the dose is reduced up to cancellation.

Due to the frequent development of side effects due to the use of diuretics, hepatoprotectors are prescribed: Heptral, Essentiale, Karsil, etc. All drugs are similar in action and have a protective function against pathogenic toxic substances of liver cells, contribute to their recovery, and normalize liver function.

Albumins, or plasma-substituting solutions, are administered to prevent circulatory disorders during paracentesis.

Before prescribing diuretic therapy, it is important to know if the patient is taking any other treatment. When using other drugs that retain fluid and affect kidney function (for example, non-steroidal anti-inflammatory drugs or aminoglycosides), you should get full advice from your doctor.

Diet therapy and physical activity

Proper nutrition can prevent the progression of the disease. Such recommendations should be followed.

1. Daily calories should not exceed 2500 calories. At the same time, the total weight of the consumed protein food is 80–100 g. With an increase in the protein content in food, the processes of decay in the intestine begin, resulting in an increase in the pathogenic effect of toxins on the liver. Fasting protein-free days will be useful.
2. The amount of salt consumed is reduced up to a salt-free diet. Mineral waters rich in sodium are excluded.
3. Pickles, preserves, smoked herring, oysters, mussels, sausages, cheeses, canned food, mayonnaise, cakes, pastries, pastries, ice cream are prohibited. Poultry meat, veal, rabbit meat, lean fish, vegetables, fruits are allowed. To improve the taste, you can use various spices: cardamom, cloves, mustard, pepper, parsley, marjoram, cumin, etc.

The best assistant in the fight against the disease is the observance of sleep and wakefulness.

The chair should be regular, light, with a frequency of 1-2 times a day. If there are problems, it is recommended to use special medicines of plant and / or synthetic origin, for example, Lactulose. It has a laxative effect and helps restore normal intestinal microflora.

Surgical intervention

When severe ascites appears, paracentesis tactics are used, which are more effective than previous methods. It reduces the time of hospitalization of the patient and reduces the likelihood of complications.

The puncture is carried out in the umbilical region in order to remove excess fluid. However, the method fights only with temporary symptomatic phenomena, since after a while the fluid is collected again.

As a result of paracentesis, complications associated with a decrease in blood volume may develop, and the mechanisms for maintaining homeostasis in the bloodstream may be disrupted. In turn, this can lead to:

• hepatorenal syndrome and / or fluid retention - observed in approximately 20% of patients;
• increased pressure in the portal vein of the liver;
• decrease in patient survival due to the development of circulatory dysfunctions.

To prevent such disorders, plasma-containing drugs or Albumin are administered. If the loss is up to 5 liters of fluid, then they are limited to the introduction of such plasma-substituting solutions as Dextran, Polyglusol, Polyglucin, Polyoxidin. If the loss exceeds 5 liters, then preference is given to the drug Albumin. It is administered intravenously immediately after the procedure at the rate of 8 g per 1 liter of removed fluid.

After the paracentesis procedure, the use of diuretics and saluretics is continued due to the fact that the removal of ascitic fluid does not affect the causes leading to water and sodium retention.

An important condition for the puncture is the observance of complete sterility. Surgical operation is not performed in the presence of encysted ascites.

Separate treatment is carried out with refractory ascites. Such a disease is not amenable to conservative treatment, while drug therapy after removal of the fluid does not give the desired results. For the diagnosis of refractory ascites, the following criteria are distinguished:

• weight loss less than 0.8 kg in 4 days with intensive diuretic therapy for a week;
• return of complex degrees of ascites within a month after puncture;
• the appearance of complications: renal failure, hepatic encephalopathy, hyponatremia, hypo- or hyperkalemia.

The prognosis of this type of ascites is unfavorable, therapeutic measures (see table) are not always effective, life expectancy is reduced to 6 months.

Treatment of refractory ascites:

Thus, it is necessary to treat ascites to preserve the patient's vital functions. Therapy is aimed at identifying and eliminating the causes of the disease that provoked it. The correct method of treatment or a combination of methods is chosen. In the future, the patient is observed and the results of therapy are evaluated:

• determine the weight of the patient and the circumference of the abdomen, analyze the ratio of the amount of drunk and excreted fluid;
• monitor creatinine, urea, electrolytes;
• carry out repeated examinations in order to identify and prevent complications.

Accordingly, with a combination of the above methods, adherence to diet therapy and the recommendations of a doctor of medicine, it is possible to improve the patient's quality of life.