
Betadine 10% Solution
Win-Medicare Pvt Ltd - Ointment - 20 G
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L-Ornithine L-Aspartate 150 mg
Delivered across India in about 3–5 days, Chennai next day. ₹49 delivery, free above ₹999.
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This medicine needs a prescription.
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Hepa-Merz Tablet is used for raised blood ammonia (hyperammonemia) associated with liver diseases such as cirrhosis and hepatic encephalopathy; supportive therapy in fatty liver/hepatitis as advised by doctor.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
2 brands registered in Bangladesh with the same salt, strength and form.
Brand names differ between countries. Ask a pharmacist or your doctor in Bangladesh before switching. We don't sell or ship these brands. Source: Directorate General of Drug Administration, Bangladesh.
Hepa-Merz Tablet contains L-Ornithine L-Aspartate 150 mg. It belongs to the Ammonia-lowering agent (L-ornithine L-aspartate) class of medicines.
Raised blood ammonia (hyperammonemia) associated with liver diseases such as cirrhosis and hepatic encephalopathy; supportive therapy in fatty liver/hepatitis as advised by doctor
L-ornithine L-aspartate provides substrates for the urea cycle and glutamine synthesis in the liver. It enhances conversion of toxic ammonia into urea and glutamine, thereby lowering blood ammonia and improving symptoms of hepatic encephalopathy.
Take as prescribed by the doctor. Swallow the tablet with water, preferably after food to reduce stomach upset. Do not crush or chew unless advised; maintain regular dosing and do not stop on your own.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine may cause loose motions and stomach upset. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Hepa-Merz are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Consult doctor |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | Avoid |
| Driving | Not expected to affect your ability to drive. |
| Kidney | Use with caution if you have kidney disease — your doctor may adjust the dose or monitor your kidney function. |
| Liver | Consult your doctor if you have liver disease. |
| Habit forming | No |
Use with caution in kidney disease; dose adjustment/monitoring may be needed. Seek medical help if confusion worsens, severe vomiting/diarrhea occurs, or signs of allergy appear. Not a substitute for definitive management of severe hepatic encephalopathy; follow dietary and medical advice. Use in children only if prescribed.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack.
No major clinically significant interactions commonly reported; inform doctor about all medicines. Use caution with other agents affecting kidney function or causing GI upset; monitor if used with lactulose/rifaximin as part of hepatic encephalopathy regimen.
Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep out of reach of children.
Avoid alcohol entirely, and avoid unnecessary medicines and unregulated herbal preparations. Weight loss and exercise are the proven treatment for fatty liver.

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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.