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【通用名】门冬氨酸鸟氨酸颗粒剂
【英文名】Hepa-Merz
【一级分类】肝胆用药
【其它名称】阿波莫斯，Hepa-Merz
【适应症】治疗因急、慢性肝病如肝硬化、脂肪肝、肝炎所致的高血氨症，特别适合治疗早期的意识失调或神经系统并发症。
【用法和用量】除非特别说明，每天1-3次，每次3g，将每包内容物溶于足够的溶液中（如水、茶和果汁），餐后服用。如果需要，可增加剂量也没有危险，或隔周与注射用门冬氨酸鸟氨酸交替使用。
【不良反应】本品口服无明显的不良反应。少数病患者可能出现恶心、呕吐或腹胀等，停药后自动消失。
【禁忌】对氨基酸类药物过敏者及严重的肾功能衰竭（血清肌酐＞3mg/100ml）患者禁用。严重肾功能衰竭者（血肌酐>3mg/dl），乳酸或甲醇中毒者，果糖-山梨醇不耐受和果糖-1-6-二磷酸缺乏患者。
【注意事项】大剂量使用时，应注意监测血及尿中的尿素含量。
【规 格】5克/小袋 30小袋/盒
【生产厂家】Merz（德国）
Hepa Merz granules
Active Ingredients:L-ornithine l-aspartate
Therapeutic actions:
Hepa-Merz is a hepatoprotective medications that lowers high ammonia levels in the organism. Hepa-Merz possesses the expressed therapeutic effect against toxic liver encephalopathy, contributes to production of insulin and somatotropic hormone STH, improves protein metabolism in diseases required parenteral nutrition.
Indications:
Hepa-Merz is indicated:
in acute and chronic liver diseases, manifested in hyperammoniemia
in liver encephalopathy
Contraindications and cautions:
You should not use Hepa-Merz in:
Known hypersensitivity or allergy to any of the medication active ingredients
Kidney diseases
Talk with your doctor before the treatment with Hepa-Merz if you are pregnant or breastfeeding.
Adverse effects:
There are possible side-effects associated with this medicine that can affect individuals in different ways. If a side effect is stated here, that does not necessarily mean the fact that all people using Hepa-Merz will experience it or any other.
The most common side effects include: nausea, vomiting, diarrhea, skin rash, itching
The side effects listed above may not include all of the side effects reported by the drug's manufacturer. For more information about any other possible risks associated Hepa-Merz, please read the information provided with Hepa-Merz or consult your doctor or pharmacist.
Interactions:
It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with Hepa-Merz. Similarly, check with your doctor or pharmacist before taking any new medication while taking this one, to ensure that the combination is safe.
The drug has beneficial effects on the function of the liver, liver encephalopathy phenomenon reduces inflammation in the liver (psychometric improves performance).
DOSAGE:
ADULTS:
1 sachet of Hepa-Merz Granules fully dissolved in half a glass of water or juice once or twice a day.
CHILDREN:
Not recommended below the age of 8 years. | 
