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Hepa-mezh 3000

Hepa-mezh 3000

Ask a doctor about a prescription for Hepa-mezh 3000

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Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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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 Hepa-mezh 3000

Package Leaflet: Information for the Patient

Hepa-Merz 3000, 3 g/5 g, Granules for Oral Solution

(Ornithine Aspartate)

Read the Package 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 Package Leaflet or as Advised by the Doctor or Pharmacist.

  • Keep this Package Leaflet, You May Need to Read it Again.
  • If You Need Advice or Further Information, Consult a Pharmacist.
  • If You Experience any Side Effects, Including those not Listed in the Package Leaflet, Inform Your Doctor or Pharmacist. See Section 4.
  • If You do not Feel Better or if You Feel Worse, Consult a Doctor.

Table of Contents of the Package Leaflet:

  • 1. What is Hepa-Merz 3000 and What is it Used for
  • 2. Important Information Before Taking Hepa-Merz 3000
  • 3. How to Take Hepa-Merz 3000
  • 4. Possible Side Effects
  • 5. How to Store Hepa-Merz 3000
  • 6. Contents of the Package and Other Information

1. What is Hepa-Merz 3000 and What is it Used for

Hepa-Merz 3000 is Used to Treat Latent and Manifest Hepatic Encephalopathy in Patients with Chronic Liver Diseases, such as Chronic Hepatitis, Liver Cirrhosis.

2. Important Information Before Taking Hepa-Merz 3000

When Not to Take Hepa-Merz 3000

Do Not Take Hepa-Merz 3000 if You have the Following Conditions:

  • Hypersensitivity to L-Ornithine L-Aspartate, Orange Yellow S (E 110), or any Other Excipients of the Medication;
  • Severe Renal Insufficiency (Serum Creatinine Above 3 mg/100 ml);
  • Amino Acid Metabolism Disorders Participating in the Urea Cycle, e.g., Due to Enzyme Defects;
  • Fructose Intolerance.

Warnings and Precautions

Before Starting to Take Hepa-Merz 3000, Discuss it with Your Doctor or Pharmacist.
Hepa-Merz 3000 Contains a Dye - Orange Yellow S (E 110), which can Cause Allergic Reactions (Including Asthma Symptoms). This Type of Allergy is Especially Common in People Allergic to Acetylsalicylic Acid.
Hepa-Merz 3000 Contains Fructose (1.13 g in One Sachet, which Corresponds to 0.11 Bread Units).
This Should be Taken into Account in Patients with Diabetes.
Long-term Use of Hepa-Merz 3000 can Cause Tooth Decay.
The Medication Contains Less than 1 mmol (23 mg) of Sodium per Sachet, i.e., the Medication is Considered "Sodium-Free".
Children:
There are no Data on the Use of the Medication in Children.
Before Administering the Medication to Infants or Children, it is Necessary to Consult a Doctor, as there is a Possibility of Undiagnosed Fructose Intolerance in the Child.

Hepa-Merz 3000 and Other Medications

Tell Your Doctor About all Medications You are Currently Taking or Have Recently Taken, as well as Medications You Plan to Take.
No Interactions of Hepa-Merz 3000 with Other Medications are Known.

Pregnancy and Breastfeeding

If You are Pregnant or Breastfeeding, Think You May be Pregnant, or Plan to Have a Child, Consult a Doctor Before Taking this Medication.
Pregnancy:
There are no Sufficient Studies on the Safety of Hepa-Merz 3000 During Pregnancy, so the Medication Should be Avoided During Pregnancy. Hepa-Merz 3000 can be Taken by Pregnant Women only if Advised by a Doctor.
Breastfeeding:
It is not Known if L-Ornithine L-Aspartate (the Active Substance of Hepa-Merz 3000) Passes into Breast Milk. The Medication Should be Avoided During Breastfeeding. Hepa-Merz 3000 can be Taken by Breastfeeding Women only if Advised by a Doctor.

Driving and Operating Machines

The Ability to Drive and Operate Machines may be Impaired Due to the Disease Being Treated with Hepa-Merz 3000.

Hepa-Merz 3000 Contains Orange Yellow S (E 110) and Fructose.

See Section "Warnings and Precautions".

3. How to Take Hepa-Merz 3000

This Medication Should Always be Taken Exactly as Advised by the Doctor. In Case of Doubts, Consult a Doctor or Pharmacist.
Usually, the Recommended Dose is 1 or 2 Sachets 1 to 3 Times a Day.
The Contents of the Sachet Should be Dissolved in a Glass of Water. Take During or After Meals.
If You Feel that the Effect of the Medication is too Strong or too Weak, Consult a Doctor or Pharmacist.

Route of Administration

Oral Administration.

Overdose of Hepa-Merz 3000

So Far, no Symptoms of Overdose have been Observed with Hepa-Merz 3000.
In Case of Overdose, Symptomatic Treatment is Applied.

Missed Dose of Hepa-Merz 3000

Take the Next Dose at the Right Time, as Described in the Dosage Instructions.
Do not Take a Double Dose to Make up for the Missed Dose.
In Case of any Doubts Related to the Use of this Medication, Consult a Doctor or Pharmacist.

4. Possible Side Effects

Like all Medications, Hepa-Merz 3000 can Cause Side Effects, although not Everybody gets them.

Uncommon Side Effects (Less than 1 in 100 People):

Nausea; Vomiting; Stomach Pain; Bloating; Diarrhea.

Very Rare Side Effects (Less than 1 in 10,000 People):

Limb Pain.
The Mentioned Side Effects are Usually Transient and do not Require Discontinuation of the Medication.
The Excipient - Orange Yellow S (E 110) can Cause Allergic Reactions.

Reporting Side Effects

If You Experience any Side Effects, Including those not Listed in this Package Leaflet, Inform Your 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 181 C, 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.
Reporting Side Effects will Help to Gather more Information on the Safety of the Medication.

5. How to Store Hepa-Merz 3000

Store the Medication out of Sight and Reach of Children.
Do not Use this Medication After the Expiration Date Stated on the Carton.
The Expiration Date Refers to the Last Day of the Specified Month.
Do not Store Above 25°C.
Medications Should not be Disposed of via Wastewater or Household Waste. Ask a Pharmacist how to Dispose of Medications that are no Longer Needed. This will Help Protect the Environment.

6. Contents of the Package and Other Information

What Hepa-Merz 3000 Contains

The Active Substance of the Medication is L-Ornithine L-Aspartate.
1 Sachet (5 g of Granules) Contains 3 g of L-Ornithine L-Aspartate.
Other Ingredients (Excipients) are:
Anhydrous Citric Acid, Citrus Flavor, Orange Flavor, Sodium Saccharin, Sodium Cyclamate, Orange Yellow S (E 110), Povidone K25, Fructose.

What Hepa-Merz 3000 Looks Like and What the Package Contains

Hepa-Merz 3000 is an Orange Granule.
The Package Contains 10, 30, 50, or 100 Sachets.
Not all Pack Sizes may be Marketed.

Marketing Authorization Holder:

Merz Pharmaceuticals GmbH
Eckenheimer Landstrasse 100
60318 Frankfurt/Main
Germany
Phone: +49 69 1503 0
e-mail: [email protected]

Manufacturer:

Merz Pharma GmbH & Co.KGaA
Eckenheimer Landstrasse 100
60318 Frankfurt/Main
Germany

Date of the Last Revision of the Package Leaflet:

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Importer
    Merz Pharmaceuticals GmbH
  • Alternatives to Hepa-mezh 3000
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    Prescription required
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    Active substance: ornithine oxoglurate
    Prescription required
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    Active substance: ornithine oxoglurate
    Prescription not required

Alternatives to Hepa-mezh 3000 in other countries

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

Alternative to Hepa-mezh 3000 in Spain

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Prescription not required
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Active substance: silymarin
Prescription required
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Dosage form: CAPSULE, 390 mg
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Alternative to Hepa-mezh 3000 in Ukraine

Dosage form: fruits, 50 g, or 100 g, or 200 g
Manufacturer: PRAT "FITOFARM
Prescription not required
Dosage form: fruits, 50 g, 100 g or 200 g
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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.
Prescription not required

Online doctors for Hepa-mezh 3000

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Hepa-mezh 3000 – subject to medical assessment and local rules.

5.0(12)
Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

CameraBook a video appointment
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December 2009:00
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Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

CameraBook a video appointment
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Liudmyla Boichuk

Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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