This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use Silimax

PATIENT INFORMATION LEAFLET: PATIENT INFORMATION

SILIMAX,

70 mg, hard capsules

Silymarin

Read the contents of the leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the patient information leaflet or as directed by a doctor or pharmacist.

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 or pharmacist. See section 4.
If there is no improvement after 4 weeks or the patient feels worse, they should contact their doctor.

Table of contents of the leaflet

1. What is Silimax and what is it used for
2. Important information before taking Silimax
3. How to take Silimax
4. Possible side effects
5. How to store Silimax
6. Other information

1. What is Silimax and what is it used for

Silimax is a herbal medicinal product used traditionally. Its effectiveness, in the indications listed, is based solely on a long period of use and experience. The active substance of the medicine is silymarin - an extract from the fruit of the milk thistle, which contains flavonoid derivatives (silybin, silydianin, and silycristin).

Indications for use

Silimax is used:

traditionally in conditions after liver damage caused by toxic factors, such as alcohol, pesticides, after consuming hard-to-digest foods, as well as after damage caused by medications.
supportively in ailments occurring after acute and chronic liver diseases.

2. Important information before taking Silimax

When not to take Silimax

if the patient is allergic to any of the medicine's ingredients or to plants of the Asteraceae (= Compositae) family.
the medicine should not be used to treat acute poisonings.

Warnings and precautions
The medicine contains lactose. If the patient has previously been diagnosed with intolerance to certain sugars, they should consult their doctor before taking the medicine.
If symptoms of jaundice (yellowing of the skin, yellowing of the whites of the eyes) occur, medical advice should be sought.
During treatment, toxic substances for the liver, such as alcohol, should be avoided.
No studies have been conducted on the use of silymarin in children, so it is not recommended for use in children under 12 years of age.
Other medicines and Silimax
The doctor or pharmacist should be informed about all medicines currently being taken or recently taken, as well as any medicines the patient plans to take.
No interactions with other medicines have been found.

Pregnancy, breastfeeding, and fertility

Due to the lack of data confirming the safety of silymarin, the medicine is not intended for use during pregnancy and breastfeeding.

Driving and using machines

The medicine, when used as directed, does not affect the ability to drive vehicles, operate machinery, or mental and physical performance.

3. How to take Silimax

The medicine should be taken as directed by the doctor. In case of doubts, the doctor should be consulted again.
Usually, the medicine is taken as described below.

Adults and adolescents over 12 years:

Usually, 1 capsule is taken orally three times a day (210 mg of silymarin per day). In case of worsening symptoms, the dose can be increased to 2 capsules twice a day (280 mg of silymarin per day).
If the doctor does not recommend otherwise, the medicine should be taken after a meal, with water.
Silimax is effective when used systematically. The duration of treatment should be consulted with a doctor. The treatment should last 4 weeks, and in chronic conditions, up to 6 months.
If the patient feels that the effect of the Silimax medicine is too strong or too weak, they should consult their doctor or pharmacist.
Elderly patients
There is no need to change the method of administration or dosage of the medicine in elderly patients.
If the patient feels that the effect of the Silimax medicine is too strong or too weak, they should consult their doctor.

In case of taking a larger dose of Silimax than recommended

In case of taking a larger dose of the medicine than recommended, the doctor or pharmacist should be consulted immediately.
Symptoms of overdose: transient diarrhea after reducing the dose.
Treatment: symptomatic.

Missing a dose of Silimax

A double dose should not be taken to make up for a missed dose.

Stopping Silimax treatment

In case of any further doubts about the use of this medicine, the doctor or pharmacist should be consulted.

4. Possible side effects

Like all medicines, Silimax can cause side effects, although not everybody gets them.
When taking large doses of the medicine, a mild laxative effect may occur.
If any of the side effects worsen or any side effects not listed in the leaflet occur, the doctor or pharmacist should be informed.
In some people, other side effects may occur during the use of Silimax. If any side effects occur, including any possible side effects not listed in the leaflet, the doctor or pharmacist should be consulted.

Reporting side effects

If any side effects occur, including any possible side effects not listed in the leaflet, the doctor, pharmacist, or nurse should be informed. 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 gathered on the safety of the medicine.

5. How to store Silimax

The medicine should be stored in a place inaccessible and invisible to children.
The medicine should not be used after the expiry date stated on the packaging.
The expiry date means the last day of the given month.
Store in a temperature below 25°C.
Store in the original packaging to protect from moisture and light.
Medicines should not be disposed of via wastewater or household waste containers. A pharmacist should be asked what to do with unused medicines. This will help protect the environment.

6. Contents of the packaging and other information

What Silimax contains

The active substance of the medicine is silymarin.
1 capsule contains: 70 mg of silymarin.
Excipients: lactose, magnesium stearate, capsule shell
Capsule shell composition: Lower part of the capsule (body): hydrolyzed gelatin. Upper part of the capsule (cap): hydrolyzed gelatin.

What Silimax looks like and what the packaging contains

Silimax is a hard oral capsule, colorless, and transparent.
A cardboard box contains:
30 pieces - 3 blisters of 10 pieces each or
36 pieces - 2 blisters of 18 pieces each.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Farmaceutyczna Spółdzielnia Pracy FILOFARM
ul. Pułaskiego 39; 85-619 Bydgoszcz
To obtain more detailed information, the representative of the marketing authorization holder should be contacted:
Farmaceutyczna Spółdzielnia Pracy FILOFARM
ul. Pułaskiego 39; 85-619 Bydgoszcz
phone: 52 342 67 88

Date of the last update of the leaflet:

Country of registration
Poland
Active substance
silymarin
Prescription required
No
Manufacturer
Farmaceutyczna Spółdzielnia Pracy FILOFARM
Importer
Farmaceutyczna Spółdzielnia Pracy FILOFARM
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
Alternatives to Silimax
Lagosa
Dosage form: Tablets, 150 mg
Active substance: silymarin
Manufacturer: Dragenopharm Apotheker Pueschl GmbH
Prescription not required
Lagosa
Dosage form: Tablets, 150 mg
Active substance: silymarin
Prescription not required
Lagosa
Dosage form: Tablets, 150 mg
Active substance: silymarin
Prescription not required

Alternatives to Silimax in other countries

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

Alternative to Silimax in Ukraine

SILIBOR FORTE

Dosage form: capsules, 70 mg, 10 capsules in a blister

Active substance: silymarin

Manufacturer: Tovaristvo z obmezenou vidpovidal'nistu "Farmacevticna kompania "Zdorov'a" (vsi stadii virobnictva, kontrol' akosti, vipusk serii)

Prescription not required

SILIBOR MAKS

Dosage form: capsules, capsules 140mg

Active substance: silymarin

Manufacturer: Tovaristvo z obmezenou vidpovidal'nistu "Farmacevticna kompania "Zdorov'a

Prescription not required

SILIBOR 35

Dosage form: tablets, 35 mg

Active substance: silymarin

Manufacturer: Tovaristvo z obmezenou vidpovidal'nistu "Farmacevticna kompania "Zdorov'a" (vsi stadii virobnictva, kontrol' akosti, vipusk serii)

Prescription not required

LEGALON 140

Dosage form: capsules, 140 mg

Active substance: silymarin

Manufacturer: MADAUS GmbH

Prescription not required

DARSIL

Dosage form: tablets, 22.5 mg

Active substance: silymarin

Manufacturer: PrAT "Farmacevticna firma "Darnica

Prescription not required

KARSIL FORTE

Dosage form: capsules, 90 mg capsules in blister

Active substance: silymarin

Manufacturer: AT "Sofarma

Prescription not required

Alternative to Silimax in Spain

SILARINE 80 mg HARD CAPSULES

Dosage form: CAPSULE, 100 mg Dry extract of milk thistle (equivalent to 80 mg of silymarin)

Active substance: silymarin

Manufacturer: Industria Quimica Y Farmaceutica Vir S.A.

Prescription required

LEGALON 150 mg CAPSULES

Dosage form: CAPSULE, 150 mg silymarin

Active substance: silymarin

Manufacturer: Cooper Consumer Health B.V.

Prescription required

MILK THISTLE ARKOPHARMA HARD CAPSULES

Dosage form: CAPSULE, 300 mg

Manufacturer: Arkopharma Laboratorios S.A.U.

Prescription not required

SILIBININA VIATRIS 350 mg LYOPHILIZED POWDER FOR SOLUTION FOR INFUSION

Dosage form: INJECTABLE PERFUSION, 350 mg sodium silibinate

Manufacturer: Viatris Healthcare Limited

Prescription required

HEPAMED COMPRESSES

Dosage form: TABLET, 4.6 mg dry extract Cynara scolimus (1:30-31); 1.2 mg dry extract Taraxacum officinalis (1:17-18); 0.7 mg dry extract Peumus boldus (1:10-11); 3.2 mg dry extract Silibum marianum (1:2-2.1)

Manufacturer: Bioforce Espana A Vogel S.A.

Prescription not required

MILK THISTLE ARKOPHARMA HARD CAPSULES

Dosage form: CAPSULE, 390 mg

Manufacturer: Arkopharma Laboratorios S.A.U.

Prescription not required

Online doctors for Silimax

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

0.0(0)

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

Chest pain, shortness of breath, heart palpitations, high blood pressure
Hypertension control and cardiovascular disease prevention
Interpretation of ECG, blood tests, and Holter monitor results
Management of heart failure and coronary artery disease
General medical issues: infections, fever, fatigue, gastrointestinal symptoms
Guidance on diagnostics, treatment plans, and medication adjustments

Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.

Book a video appointment

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
Family medicine: hypertension, diabetes, cholesterol, chronic disease management
Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
Weight management and wellness: personalised weight loss programmes, lifestyle guidance
Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
Pain management: acute and chronic pain, post-surgical care
Public health: prevention, health screenings, long-term monitoring
Sick leave (Baixa médica) connected to Segurança Social in Portugal
IMT medical certificates for driving licence exchange

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
Mental health concerns such as stress, sleep issues, anxiety, and burnout
Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
Work-related health questions, sick leave documentation, and medical guidance for returning to work

Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

Book a video appointment

Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

Preventive and family medicine
Women’s health, including gynaecology and obstetrics
Chronic disease management: hypertension, diabetes, and more
Mental health support, anxiety, and counselling
Postoperative care and lab test interpretation

She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.

Book a video appointment

Sergio Correa

General medicine7 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
Trichology: hair loss, scalp conditions, treatment strategies for men and women
Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

Book a video appointment

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.

Book a video appointment

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
Chronic diseases: hypertension, elevated cholesterol, weight management.
Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

IMT medical certificates for driving licence exchange in Portugal.
Personalised preventive care and wellness consultations.
Interpretation of test results and medical reports.
Follow-up care and medication review.
Support in managing multiple coexisting conditions.
Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

Book a video appointment

Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
Supportive care for oncology patients – pain control, symptom relief, and side effect management.
Preventive medicine and health screenings.
Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

Book a video appointment

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.

Book a video appointment

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.

Book a video appointment