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Essentiale forte

Essentiale forte

Ask a doctor about a prescription for Essentiale forte

5.0(3)
Doctor

Anastasiia Hladkykh

Psychiatry14 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Essentiale forte

Package Leaflet: Information for the Patient

Essentiale Forte, 300 mg, Capsules

Phospholipidum essentiale

Read the Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

This medication should always be taken exactly as described in the patient leaflet or as advised by a doctor, pharmacist, or nurse.

  • This leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in this leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.
  • If there is no improvement after 7 days or if the patient feels worse, they should contact their doctor.

Table of Contents of the Leaflet

  • 1. What is Essentiale Forte and what is it used for
  • 2. Important information before taking Essentiale Forte
  • 3. How to take Essentiale Forte
  • 4. Possible side effects
  • 5. How to store Essentiale Forte
  • 6. Contents of the pack and other information

1. What is Essentiale Forte and what is it used for

Essentiale Forte is a plant-based medication used in liver diseases.
It contains essential phospholipids (Phospholipidum essentiale)that are glyceryl esters of choline phosphoric acid and unsaturated fatty acids: linoleic, linolenic, and oleic.
These phospholipids, due to their content of polyunsaturated fatty acids in the side chains, cannot be synthesized in the body.
The phospholipids contained in Essentiale Forte, after entering the liver, are incorporated into the membranes of liver cells. This leads to the replenishment of existing deficiencies resulting from the disease process and faster regeneration of damaged liver cells.
Phospholipids are essential in the process of differentiation and proliferation of liver cells.
They inhibit fibrosis processes in the liver by reducing collagen production and increasing the activity of the enzyme that breaks it down - collagenase.
The phospholipids incorporated into the membranes of liver cells reduce the sensitivity of these cells to factors of the immune system that may damage them.
Phospholipids are secreted into bile, where they reduce the cholesterol/phospholipid ratio and increase the solubility of cholesterol in it - thanks to the emulsifying properties of essential phospholipids, this has great importance in the prevention of gallstones.
Phospholipids, along with bile acids, play an important role in fat digestion and the absorption of fat-soluble vitamins.
Additionally, the polyunsaturated fatty acids that make up the phospholipids reduce cholesterol levels and normalize lipoprotein levels in serum - showing a beneficial anti-atherosclerotic effect. They also increase the transport of cholesterol from extrahepatic tissues to the liver and activate lipolytic enzymes. Polyunsaturated fatty acids improve blood flow in vessels by reducing platelet adhesion and increasing the elasticity of red blood cells.

Indications for Use

Reduces subjective patient complaints such as: loss of appetite, feeling of pressure in the right upper abdomen caused by liver damage due to an improper diet, the action of toxic substances, or in the course of hepatitis.

2. Important Information Before Taking Essentiale Forte

When Not to Take Essentiale Forte

  • if the patient is allergic to the active substance, soy, peanuts, or any of the other ingredients of this medication (listed in section 6).

Warnings and Precautions

Before starting to take Essentiale Forte, the patient should discuss it with their doctor or pharmacist.

  • Taking Essentiale Forte cannot replace the exclusion from the diet of harmful substances that cause liver damage (e.g., alcohol).
  • In chronic hepatitis, the use of supportive treatment with Essentiale Forte is justified only when the patient feels an improvement in their overall well-being during therapy.

If after 7 days there is no improvement, the patient feels worse, symptoms have worsened, or other non-specific symptoms have appeared, they should consult their doctor.

Children and Adolescents

There is insufficient data on the use of Essentiale Forte in children under 12 years of age. Therefore, Essentiale Forte should not be used in children under 12 years of age.

Essentiale Forte and Other Medications

The patient should tell their doctor or pharmacist about all medications they are currently taking or have recently taken, as well as any medications they plan to take.
Before taking Essentiale Forte with anticoagulant medications, the patient should consult their doctor.

Essentiale Forte with Food and Drink

Capsules should be taken during meals, without chewing (washing down, e.g., with a glass of water).

Pregnancy and Breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before taking this medication.
Soybeans are often a component of food, and so far, no harmful effect on the course of pregnancy has been observed during their use. However, sufficient studies have not been conducted. In connection with the above, the use of this medication during pregnancy and breastfeeding is not recommended.

Driving and Operating Machinery

Essentiale Forte does not affect the ability to drive or operate machinery.

Essentiale Forte Contains Soybean Oil, Ethanol, and Sodium

Due to the content of soybean oil, the medication may cause severe allergic reactions.
Do not use in case of known hypersensitivity to peanuts or soy.
This medication contains less than 1 mmol of sodium (23 mg) per dose, which means it is considered "sodium-free".
This medication contains 10 mg of alcohol (ethanol) in each capsule, which is equivalent to 20.49 mg/g (2.05% w/w).
The amount of ethanol in one capsule is equivalent to less than 1 ml of beer or 1 ml of wine.
The small amount of alcohol in this medication will not cause noticeable effects.

3. How to Take Essentiale Forte

This medication should always be taken exactly as described in the patient leaflet or as advised by a doctor, pharmacist, or nurse. In case of doubt, the patient should consult their doctor, pharmacist, or nurse.
Adults and children over 12 years: 2 capsules 3 times a day.
Capsules should be taken during meals, without chewing (washing down, e.g., with a glass of water).
Essentially, there are no time limits for the use of Essentiale Forte, but the recommended treatment duration should be at least 1-3 months.
The duration of treatment may also be determined individually by the doctor.

Use in Children and Adolescents

There is insufficient data on the use of Essentiale Forte in children under 12 years of age. Therefore, Essentiale Forte should not be used in children under 12 years of age.

Taking a Higher Dose of Essentiale Forte Than Recommended

There have been no reported cases of Essentiale Forte overdose.
In the event of taking a higher dose of Essentiale Forte than recommended, the below-described side effects may be intensified.

4. Possible Side Effects

Like all medications, Essentiale Forte can cause side effects, although not everybody gets them.
Frequency not known(frequency cannot be estimated from the available data):
an allergic reaction may occur, such as redness, rash, urticaria, itching, gastrointestinal disorders, e.g., nausea, vomiting, loose stools, diarrhea, discomfort in the abdominal cavity, increased blood pressure, palpitations, dizziness.

Reporting Side Effects

If any side effects occur, including any possible side effects not listed in this leaflet, the patient should inform their doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, more information can be collected on the safety of the medication.

5. How to Store Essentiale Forte

The medication should be stored out of sight and reach of children.
Store in a temperature below 25°C, protect from moisture.
Do not use this medication after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Medications should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medications that are no longer needed. This will help protect the environment.

6. Contents of the Pack and Other Information

What Essentiale Forte Contains

  • The active substance of the medication is: phospholipids from soybeans containing (3-sn-phosphatidyl)choline, 1 capsule contains 300 mg.
  • The excipients are: refined soybean oil, hydrogenated castor oil, hydrogenated plant-based glycerides (Witepsol W 35), triglycerides of higher fatty acids (Witepsol S 55), ethanol, ethyl vanillin, p-methoxyacetophenone, α-tocopherol.

Coating:gelatin, yellow iron oxide (E 172), black iron oxide (E 172), red iron oxide (E 172), titanium dioxide (E 171), sodium lauryl sulfate, purified water.

What Essentiale Forte Looks Like and Contents of the Pack

Yellow to brown paste of honey-like consistency in a green, opaque, elongated capsule.
The packaging contains 50, 90, 100, or 180 capsules.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder
Opella Healthcare Poland Sp. z o.o.
ul. Marcina Kasprzaka 6
01-211 Warsaw
{Sanofi logo}
Manufacturer
A.Nattermann & Cie. GmbH
Nattermannalee 1
D-50829 Cologne, Germany
Opella Healthcare Poland Sp. z o.o.
Branch in Rzeszów
ul. Lubelska 52
35-233 Rzeszów
To obtain more detailed information, please contact:
Opella Healthcare Poland Sp. z o.o.
ul. Marcina Kasprzaka 6
01-211 Warsaw
phone: +48 22 280 00 00
Date of last revision of the leaflet: June 2025

Alternatives to Essentiale forte in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Essentiale forte in Hiszpania

Dosage form: KAPSUŁKA, 300 mg
Prescription not required
Dosage form: KAPSUŁKA, 100 mg Suchy ekstrakt z ostropestu plamistego (odpowiednik 80 mg sylimaryny)
Active substance: silymarin
Prescription required
Dosage form: ROZTWÓR DO WSTRZYKIWAŃ DO INFUZJI, 350 mg sukcynianu sylimaryny sodowej
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Dosage form: KAPSUŁKA, 150 mg sylimaryny
Active substance: silymarin
Prescription required
Dosage form: TABLETKA, 4,6 mg suchego ekstraktu z karczocha (Cynara scolimus) (1:30-31); 1,2 mg suchego ekstraktu z mlecza zwyczajnego (Taraxacum officinalis) (1:17-18); 0,7 mg suchego ekstraktu z boldusa (Peumus boldus) (1:10-11); 3,2 mg suchego ekstraktu z ostropestu plamistego (Silibum marianum) (1:2-2.1)
Prescription not required
Dosage form: KAPSUŁKA, 390 mg
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Alternative to Essentiale forte in Ukraina

Dosage form: fruits, 50 g, or 100 g, or 200 g
Manufacturer: PRAT "FITOFARM
Prescription not required
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Prescription not required
Dosage form: lyophilizate, 1 vial (bottle) contains lecithin standard - 320 mg; anthral - 4.2 mg
Manufacturer: TOV "BIOLIK FARMA
Prescription required
Dosage form: capsules, 10 capsules in a blister
Prescription not required
Dosage form: solution, 50mg/ml in 5ml ampoule
Manufacturer: AT "Farmak
Prescription required
Dosage form: capsules, 10 capsules in a blister
Manufacturer: Nabros Farma Pvt. Ltd.
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Online doctors for Essentiale forte

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Essentiale forte – subject to medical assessment and local rules.

5.0(3)
Doctor

Anastasiia Hladkykh

Psychiatry14 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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Dr. Eremeishvili applies an integrated approach to each case. This includes thorough preoperative preparation, postoperative observation, and regular dynamic follow-up during the treatment process to achieve the best possible outcomes. All diagnostic and therapeutic recommendations are based on current evidence-based medicine and comply with the recommendations of the European Association of Urology, guaranteeing high-quality and effective care.

If you are seeking qualified assistance in diagnosing or treating urological conditions, book an online consultation with Dr. Giorgi Eremeishvili. Get expert support, accurate diagnosis, and a personalized treatment plan from the comfort of your home.

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With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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