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The active component of Hepa-Merz reduces pain, dyspeptic and asthenic syndromes, and also provides a decrease in increased body weight (with steatohepatitis and steatosis). L-ornithine-L-aspartate is involved in the ornithine Krebs urea cycle (helps to activate the cycle, increasing the activity of liver cell enzymes - carbamoyl phosphate synthetase and ornithine-carbamoyl transferase). In this case, the stomach is immediately washed, and activated charcoal and symptomatic therapy are prescribed.Hepa-Merz improves the production of growth hormone and insulin, normalizes protein metabolism in diseases that require parenteral nutrition. In addition, the use of the concentrate is indicated as part of complex therapy for severe hepatic encephalopathy in patients with precoma or coma, and as a corrective supplement to parenteral nutrition agents for protein deficiency.Hepa-Merz Granules are taken orally, after eating, dissolving in a liquid - 1 sachet per 200 ml, 2-3 times a day.Indications for use: Chronic and acute liver diseases accompanied by hyperammonemia; Latent or severe hepatic encephalopathy. The active substance is excreted in the urine during the implementation of the urea cycle.Hepa-Merz is characterized by a detoxifying effect, reducing the increased concentration of ammonia in the body.When taking Hepa-Merz in doses significantly higher than therapeutic, it is possible to increase the severity of side effects of the drug.L-ornithine-L-aspartate undergoes rapid dissociation into aspartate and ornithine. In particular, this condition occurs with liver diseases.Most commom side effects are: digestive system: in some cases - vomiting, nausea; Other: allergic reactions. Hepa-Merz is a hypoammonemic drug for the treatment of diseases of the liver and biliary tract. Hepa-Merz begins to act within 15-25 minutes after administration and has a short half-life. GA, Missouri, Phoenix, KY, AR, CA, Nebraska, Detroit, Virginia Beach, NE, WI, IL, Ohio, Kansas, NH, West Virginia, OK, Pennsylvania, WYOmaha, ND, DC, Oregon, North Carolina, Chicago, Michigan, Milwaukee, San Francisco, Maryland, Oklahoma City, Georgia, Illinois, Tucson, Virginia, OR, AL, NY, New Mexico, CT, Pennsylvania, Seattle, NM, Jacksonville, MD, Louisiana, Philadelphia, TX, New York, Atlanta, Indiana, PA, Connecticut, Columbus, Nevada, Colorado Springs. Arizona, Wyoming, South Carolina, New Orleans, IA, El Paso, Ohio, Massachusetts, Mississippi, Hempstead, Wisconsin, Oregon, Alabama, Tennessee, New Mexico, District of Columbia, Iowa, California, Utah, Las Vegas, Charlotte, Dallas, DE, Fresno, Sacramento, Wisconsin, Arkansas, Washington, Tennessee, San Antonio, Minnesota, NY, HI, NC, Long Beach, Rhode Island, KS, Mesa, New Hampshire, Washington, Delaware, Florida, Baltimore, Los Angeles, California, Minneapolis, Maryland, ID, Tulsa, SD, Nevada, Texas, Maine, Vermont, Florida, Miami, Hawaii, MO, San Diego, Michigan, MS, Colorado, North Dakota, MN, New Jersey, ME, TN, Kentucky, Kansas City, VA, MT, Oklahoma, Minnesota, CO, MI, Indiana, Washington, AK, VT, Virginia, Louisiana, Texas, SC, San Jose, Oakland, UT, Portland, Georgia, AZ, South Dakota, Hawaii, Oklahoma, Boston, Fort Worth, MA, Albuquerque, LA, Missouri, Cleveland, FL, Massachusetts, WV, Brookhaven, Honolulu, Memphis, Nebraska, Montana, Indianapolis, Denver, NV, North Carolina, Houston, New York, Nashville-Davidson, Alaska, OH, Colorado, NJ, District of Columbia, RI, Arizona, Illinois, Austin, Idaho, WA, IN,