Medicines for liver prevention are inexpensive and effective drugs. The best drugs for the liver: hepatoprotectors with proven effectiveness The best way to support the liver

• Diseases associated with the liver
• Maintaining Liver Functions
• Foods good for the liver

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How to support the liver? This question is of interest to many. Often, various diseases can affect the functioning of the liver, as well as a person’s lifestyle, alcohol, overeating, smoking, addiction to harmful foods, negatively affect this organ. The liver is a kind of filter of nutrients that enter the body. If harmful substances enter it, it converts them and removes them from the body.

The value of the liver for the body is enormous, so a person should protect this organ from the effects of negative factors. But it turns out the opposite: people litter it with an excess of sweet, fried, fatty, spicy dishes. And one day the liver fails. The man grabs his head and looks for ways to help her. Therefore, it is worth taking care of the normal functioning of the whole organism in advance. But if this has already happened and a failure has occurred, it is worth starting to act, especially since the liver is such an organ that has the ability to recover.

Diseases associated with the liver

There are many diseases associated with the liver. Cancer is the worst. The disease is considered incurable. Cancer is a malignant tumor in the region of the liver that appears due to the growth of cancer cells. Of course, cancer cannot appear without a cause. This state is preceded by a long process. Cancer can occur after diseases such as cirrhosis, hepatitis, viral infections, cysts. Often the development of oncology contributes to prolonged contact with carcinogens.

Currently, there are varieties of hepatitis, which significantly undermine human health. The disease is characterized by pain in the right hypochondrium, often (but not always) a yellowish skin tone appears.

Hepatitis is an inflammatory disease of the liver. With viral hepatitis, the same symptoms occur as with influenza, so these diseases are often confused: body temperature rises, fever, muscle pain, and weakness are observed.

There are other diseases of the liver, for example, after the removal of the gallbladder, its work may be disrupted. But the above diseases are the main ones.

The main disadvantage of the liver is that it does not have pain receptors and you can only learn about the disease by feeling a feeling of heaviness in this area. Often, some kind of illness can last for years without making itself felt. Therefore, if you notice even minor signs of the disease in yourself: pain in the left hypochondrium, a feeling of heaviness after eating, fatigue or weakness - go for a consultation with a doctor.

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Maintaining Liver Functions

In order not to provoke the appearance of liver diseases, you need to constantly engage in their prevention. The liver is badly affected by an excess of sweet, fatty, spicy and fried, as well as alcohol in large quantities. Remember that you can help yourself, but do not self-medicate, consult a doctor.

Timely treatment will prevent many negative consequences.

But in life there are circumstances when a person is forced to harm this organ, for example, with prolonged use of antibiotics or other drugs, with constant contact with toxins (when a person works at chemical facilities). In this case, the liver can be supported by folk methods:

1. Take a pumpkin, scroll it through a meat grinder and mix with honey in a ratio of 1:1. Infuse the mixture for 4 days at room temperature, then move it to the refrigerator. It should be taken three times a day for 2 tbsp. spoons. Last time before bed.
2. Pumpkin porridge cleanses the liver well. Boil pumpkin until soft. After that, cook porridge in milk from any cereal. Mix boiled pumpkin and porridge, you can add berries or sugar. The medicine is ready.
3. Lingonberries and currants have a positive effect on the liver, in the season you must definitely eat these berries, you can cook jam or juice for the winter.
4. You should drink 200 grams of cabbage juice every day 30 minutes before meals.
5. Rosehip infusions or extracts should be taken. The infusion is prepared at night, so that it can brew, it should be taken in the morning.

Medicines for the liver are hepatoprotectors that are prescribed by a doctor for various disorders of the liver, hepatitis (viral, toxic,), with liver damage when taking drugs that have a negative effect on its cells (antitumor, painkillers, anti-tuberculosis drugs, broad-spectrum antibiotics , and etc).

What medicine for the liver is considered the best, good, effective and not expensive? What drug restores the liver, is used for prevention, to maintain the liver? To date, the pharmaceutical industry offers a lot of pills, ostensibly to restore the liver:

• amino acid derivatives
• phospholipids
• bile acids
• herbal remedies
• preparations of animal origin
• homeopathic preparations

but the ideal medicine for the treatment of the liver, which quickly and effectively restores its tissues, has not yet been created. According to the doctor's prescription, hepatoprotectors are taken during the entire adverse effect of provoking factors, as well as after the end of their influence. It should be noted that a one-time medication for the liver after alcohol, a heavy meal, overeating, taking toxic drugs does not give any effect.

When are hepatoprotectors needed?

In Russia, a huge selection of hepatoprotectors is presented, and these drugs are used very often. Moreover, the cost of the course of treatment costs large sums for patients, and many do not feel the result. Disputes about the need and expediency of such therapy have been going on for a long time, in our country a doctor can prescribe hepatroprotectors in the following cases:

• Viral hepatitis(see) - they are prescribed if antiviral drugs do not help or, for some reason, antiviral treatment is not possible. Hepatoprotectors in this case can be used for prophylaxis in complex treatment.
• Alcoholic hepatitis threatened by cirrhosis of the liver- in this case, alcohol should be abandoned, these drugs do not have a significant effect. If alcohol intake continues, whether the patient uses hepatoprotectors or not is not important. No, even the best medicines for the liver will not help if a person continues to drink alcohol.
• Fatty liver disease (non-alcoholic)- in patients with obesity or in patients with type 2 diabetes, fat cells are also formed in the liver, which leads to its destruction (see). In this case, hepatoprotectors are needed to accelerate the effect only with an integrated approach to therapy - a diet that promotes weight loss, increased physical activity, antidiabetic drugs, lowering cholesterol (see).
• Drug-induced hepatitis (toxic), primary biliary cirrhosis- certain hepatoprotectors are prescribed in complex therapy.

It should be understood that it is impossible to restore the liver with drugs alone, you should also follow a diet and limit alcohol intake, quit smoking, and treat concomitant diseases, since the patient often has impaired functions of other organs involved in digestion - the gallbladder, pancreas.

Why are hepatoprotectors as a class of medicines available only in Russia and the CIS countries?

The class of medicines "hepatoprotectors" exists only in Russia and the CIS countries, neither in Europe, nor in North America, nor in Australia, most of them are registered. They are not included in the lists of tablets for the treatment of liver diseases due to the fact that their therapeutic efficacy has not been proven and clinical significance has not been confirmed.

Very rarely, some of them are used in the USA and Europe for narrow indications, they are used as dietary supplements (that is, their use does not guarantee an effect). The French company Sanofi, one of the manufacturers of Essentiale, sends 99% of its production to Russia and the CIS countries, since no one in the world needs this drug.

It is worth noting that the pharmaceutical market in the 21st century is a very profitable business, in which there is the same fierce competition as in any branch of the market economy. And today it is very difficult to determine how effective this or that drug is, since research (very expensive) is funded by interested parties.

Preparations for the liver - essential phospholipids

• fatty degeneration of the liver
• liver cirrhosis
• chronic hepatitis
• toxic hepatitis
• alcoholic hepatitis (see)
• radiation syndrome

Is it really? Below we will give two points of view, one - these instructions for essential phospholipids and known efficacy studies, and the other - other information about studies that contradict the advertising campaign of this group of drugs.

positive opinion- What does the instruction for the use of these capsules say? Essential phospholipids (derived from soy) are components of the cell wall of hepatocytes. The action of phospholipids is that they penetrate into the lipid layer of the walls of damaged cells, improving their functions.

Many believe that essential phospholipids are able to restore liver cells, this is not entirely true, since their action only improves the condition of cell walls. When taking phospholipids, the energy costs of the liver are reduced, enzyme activity is increased, and the physicochemical properties of bile are improved. To obtain a tangible result, these tablets should be taken for a very long time (up to six months). The greatest effect is achieved with intravenous administration of Essentiale Forte.

By the end of 2001, there were 186 clinical trials, including more than 11,000 patients, which allow us to draw conclusions about the effectiveness of these drugs. Essential phospholipids increase the likelihood of a response to α-interferon (c), are well tolerated by patients, and reduce the frequency of relapses after completion of α-interferon therapy.

negative opinion— Initially it was assumed that essential phospholipids are effective as a "drug cover" when taking hepatotoxic drugs, with alcoholic, viral hepatitis and hepatic steatosis of various origins.

However, a 2003 US study of veteran medical centers, did not reveal any positive effect of these drugs on liver function. In addition, it was found that against the background of viral hepatitis, both acute and chronic, the intake of essential phospholipids contributed to the activation of inflammation, as it provoked bile stasis. Based on these studies, their use in the treatment of viral hepatitis is not advisable.

Moreover, it is known that various B vitamins that are added to some products (Essliver Forte) are not recommended to be taken at the same time (see). According to some sources, liver pills like Essentiale hardly get into the liver, but are distributed and metabolized throughout the body, which casts doubt on their effectiveness. But the cost of treatment with these drugs is very high - only for a monthly course of treatment (in capsules) an adult needs more than 3,000 rubles.

Conclusion: Now in clinical practice, essential phospholipids are widely used in non-alcoholic steatohepatitis, toxic liver damage, as a cover when taking hepatotoxic drugs, but the effectiveness remains in doubt. In addition, with active hepatitis, their use requires caution, or refusal to use, since this can enhance the activity of the process and increase cholestasis.

List of essential phospholipids

Essentiale N, Essentiale forte N Ingredients: essential phospholipids. Side effects: well tolerated, sometimes diarrhea, abdominal discomfort. Contraindicated in children under 12 years of age. Average price in pharmacies 2018: 30 pcs. 660 rubles, 5 amp. 950 rub. 90 pcs. 1300 rub.

Essliver Forte Ingredients: essential phospholipids (less than in Essential), vitamins (B1, B2, B6, E, PP, B12) Side effects: possible diarrhea, pain in the upper abdomen With caution in children under 1 2 years old, pregnant, lactating. Price: 30 caps. 300 rubles, 50 caps. 420 rub.

Ingredients: Lipoid C100 and Silymarin () Price: 30 caps. 420-480 rub.

Gepaguard Active Ingredients: essential phospholipids, vitamin E Price: 30 caps. 300 rubles, 120 caps. 900-950 rubles.

Ingredients: phospholipids, trisodium salt of glycyrrhizic acid (antiviral and immunomodulating effect) Price: 50 caps. 450-500 rub. powder for injections 5 pcs. 1300-1500 rub.

Resolution PRO Ingredients: Lipoid PPL 600, which contains: medium chain triglycerides, phospholipids, glycerol mono/dialconate, soybean oil, vitamin E. Price: 30 caps. 450 rubles, 100 caps. 1300 rub.

Doppelherz active essential phospholipids Compound: Essential phospholipids, Vitamin B1, B2, B6 Price: 60 caps. 460 rubles, 5 amp. 640 rub.

Eslidine Composition: phospholipids + methionine Indicated: For liver diseases, diabetes mellitus, psoriasis, dystrophy and exhaustion, atherosclerosis of the coronary arteries and brain vessels . Contraindicated: children under 3 years of age, pregnant and lactating with caution. Price: 580 -720 rubles.

Tablets - bile acids

Ursodeoxycholic acid is a bile acid preparation. It is used for the treatment of diseases of the biliary tract and liver, uncomplicated cholelithiasis. It has a hypoglycemic effect, choleretic, therefore it is contraindicated in the presence of X-ray-positive (high in calcium) gallstones (see also), reduces the saturation of bile with cholesterol (until cholesterol stones are completely dissolved), causes an increase in pancreatic and gastric secretion. Affects immunological reactions in the liver - reduces, affects the formation of interleukin-2, the number of T-lymphocytes.

Since drugs containing ursodeoxycholic acid have a number of serious contraindications (acute inflammatory processes in the intestines, gallbladder, severe dysfunction of the pancreas, kidneys and liver, gallstones), and also have an immunomodulatory effect, their use without a doctor's recommendation is dangerous.

These drugs are used for:

• biliary reflux gastritis,
• for symptomatic treatment of primary biliary cirrhosis,
• to dissolve cholesterol stones in the gallbladder,
• alcohol, toxic liver damage,
• acute hepatitis, with hepatopathy of pregnant women.
• UDCA is the most effective treatment for primary biliary cirrhosis, primary sclerosing cholangitis.

Pathogenetic therapy with ursodeoxycholic acid is carried out in patients with viral hepatitis with aggravating factors - during pregnancy, alcoholic-viral liver damage, hemophilia, in adolescence, with oncohematological diseases, drug and substance abuse.

10 caps. 250 rub, 50 caps. 1000 rub. 100 caps. 1800 rub, susp. 1200 r.	Exhol 10 pcs 200 rub 100 pieces. 1500	Urosliv 10 caps. 160 rubles, 100 caps.1300 rub.	100 caps. 1100 rub.
Grinterol 50 pcs. 700 rub 100 pcs 1400 rub.	100 caps. 1200 rub.	50 pcs.300 rub. 100 pieces. 900r.	10 caps. 200 rub. 100 caps. 1500 rub.

Tablets for the liver of animal origin

Positive opinion: There are literally two such tablets for the liver - Sirepar and Hepatosan, they are not used for prevention, they are dispensed by prescription, are used only for the treatment of liver diseases according to indications (cirrhosis, hepatitis, drug-induced and toxic hepatitis). They are produced from porcine liver cells (Hepatosan) and from cattle liver hydrolyzate (Sirepar), contain amino acids, cyanocobalamin, low molecular weight metabolites and fragments of liver growth factors. It is believed that these tablets for the liver have a hepatoprotective effect, detoxification, antioxidant properties, stimulate the regeneration of the liver parenchyma.

There is also a complex preparation Prohepar (composition: inositol, cyanocobalamin, liver extract KPC N (liver hydrolyzate), cysteine ​​hydrochloride), improves blood flow in the liver tissue, restores the structure of hepatocytes, stops the formation of connective tissue in the liver, improves functional indicators of liver function, increases diuresis . It is used in the complex treatment of chronic hepatitis, cirrhosis, fatty degeneration of the liver, radiation sickness, drug intoxication.

Negative opinion: There is no evidence base to support their clinical efficacy and safety. Moreover, taking these drugs is potentially dangerous:

• It is impossible to prescribe them to patients with active forms of hepatitis, since the phenomena of immunopathological, mesenchymal-inflammatory and cytolytic syndromes may increase.
• These drugs have a high allergenic potential, therefore, before starting treatment, it should be determined whether there is an increased individual sensitivity to the drug.
• The use of bovine liver hydrolysates increases the risk of a patient becoming infected with a prion infection that causes spongiform encephalopathy (a fatal neurodegenerative disease - Creutzfeldt-Jakob disease). At the end of the 20th century, interest in this pathology arose when iatrogenic transmission of prions was proven in 250 patients with spongiform encephalopathy when contaminated gonadotropin was administered.

Due to the potential danger and unproven efficacy, drugs of this group are not advisable to use for the treatment of liver pathologies.

Treatment of the liver with amino acids

Ademetionine - Heptral, Heptor

positive opinion– Amino acids, for example, ademetionine, take part in the synthesis of biologically active substances and phospholipids, have regenerating and detoxifying properties. Heptral by the end of 1 week of use also exhibits a pronounced antidepressant effect, breaks down fats and promotes their removal from the liver. These drugs are used for fatty liver hepatosis (fatty degeneration), chronic hepatitis, toxic hepatitis, withdrawal symptoms, and depression.

The analysis of the conducted clinical studies indicates the clinical efficacy of ademetionine and indicates a pronounced hepatoprotective efficacy in alcoholic and drug-induced liver damage, cholestatic liver diseases (primary biliary cirrhosis), and chronic viral hepatitis. It has choleretic and cholekinetic effects, antioxidant, neuroprotective and antifibrosing properties.

negative opinion- as a drug Heptral is registered in Germany, Italy, Russia. In Australia, it is registered as a drug for animals (veterinary), in other countries, as a dietary supplement, since studies have shown a dubious effect.

Practicing doctors - gastroenterologists, infectious disease specialists, hepatologists know that this drug very effective, but only with intravenous infusions, since only a small part of the drug is absorbed when taken orally. Therefore, Heptral in tablets with serious liver pathology is an almost useless waste of money, in contrast to intravenous use.

Ingredients: active ingredient ademetionine It has an antidepressant, regenerating, antioxidant effect. Slows down the development of cirrhosis of the liver. Side effects: may be heartburn, stomach pain. Price: 20 tab. or 5 fl. 1700 -1800 rub.

Ingredients: active substance ademetionine As well as Heptral is indicated for toxic liver damage, depression, cirrhosis of the liver, treatment of the consequences of alcohol abuse. Contraindicated: children, lactation and in the I and II trimester of pregnancy. Price: 20 tab. 800-1000 rubles, 5 fl. 1200 rub.

Ornithine aspartate - Hepa-Merz

positive opinion- Ornithine helps to reduce high levels of ammonia, is used for violations of brain functions associated with impaired liver function, as well as for fatty degeneration and toxic hepatitis. For prevention, this medicine is practically not used.

The effectiveness of Hepa-Merz has been proven in a randomized multicenter study in patients with cirrhosis of the liver with elevated levels of ammonia in the blood. It is prescribed for various types of hepatitis, non-alcoholic steatohepatitis, especially for hepatic encephalopathy and cirrhosis of the liver.

negative opinion- this drug was widely advertised, but with alcoholic liver damage it has practically no effect, it makes no sense to use it for the prevention, protection, restoration of the liver. The only time when its use gives a tangible effect is with a hepatic coma for a short-term exit from it, since ornithine binds components toxic to the brain in the blood.

Thioctic acid

Action: normalizes lipid, energy, carbohydrate metabolism, has hepatoprotective, antioxidant properties. Helps reduce blood glucose levels, is used in the complex treatment of hepatitis and toxic liver damage.
Contraindications: children, can lead to a sharp decrease in blood glucose levels (especially in diabetics).
Side effects: nausea, vomiting, diarrhea, pruritus, headache.

Complex hepatoprotector - Remaxol, infusion solution

Remaxol Compound: succinic acid, meglumine, riboxin, methionine, nicotinamide. Indications: liver dysfunction (toxic, drug, alcoholic hepatitis), treatment of viral hepatitis. Contraindications: pregnancy, lactation, childhood, intolerance. Side effects: skin redness, feeling hot, dry mouth, skin allergies, low blood sugar, increased uric acid in the blood (with gout with caution). Price: 350-380 rubles.

Prevention of the hepatotoxic effect of alcohol

Medicines for the liver of plant origin

Medicines for the liver with milk thistle - Legalon, Karsil, Gepabene, Silimar

Positive opinion:- these drugs are widely used and really effective (see). When asked which medicine is best for the liver, the answer is milk thistle preparations. Silymarin is the collective name for the biologically active substances of the fruits of milk thistle, is a strong antioxidant (and the only antidote for poisoning with pale toadstool). According to the indications, it is prescribed for hepatitis and other liver diseases with a course of at least 3 months, helps to reduce the intensity of the progression of liver cirrhosis. Preparations with the active substance silymarin are a good medicine for recovery, maintenance of the liver, as it stimulates the growth of new cells and restores the destruction of cell membranes.

For more effective treatment, it is better not to save money, but to take Legalon with a purer chemical substance and a higher dosage (70 and 140 mg) or Karsil Forte (90 mg) than simple Karsil (35 mg).

In pharmacy chains, there is a fairly wide selection of preparations with milk thistle, both medicines and dietary supplements. Among the analogues of Karsil, one can single out Silimar tab., Legalon, Silibinin, Silymarin, among dietary supplements - milk thistle meal, milk thistle oil, capsules.

negative opinion: Despite the safety of this agent, the clinical efficacy of silymarin in alcoholic liver damage and acute hepatitis has not been confirmed due to a lack of adequate studies. In acute viral hepatitis B, there was no improvement in liver function between the placebo and silymarin groups (see). Data on the effectiveness of its use in acute hepatitis C have not yet been obtained, there are only descriptions of individual cases when milk thistle extract reduced the activity of aminotransferases in chronic hepatitis C. Summarizing today's data from evidence-based medicine on its effectiveness, we can state that today experimental data to recommend further study of the effectiveness of silymarin in chronic liver diseases (including fatty liver).

Karsil (35mg) and Karsil Forte (90mg) Ingredients: milk thistle extract. Application: before meals, drinking plenty of water, the course is at least 3 months. For prevention, 1 tablet 3 r / day. For children over 12 years old and adults with severe liver damage, 4 others 3 r / day, then 1-2 dr 3 r / day. Side effects Karsil 80 pcs. 330 rub., Karsil Forte 30 pcs. 380 rub.

Ingredients: milk thistle fruit extract. Application: after eating, without chewing, drinking a small amount of liquid. The beginning of treatment for 2 caps. 3 r/day, maintenance therapy 1 dr. 3 r/day. Side effects: allergic reactions, diarrhea. Legalon 70 mg: 30 caps. 230 rub. 60 caps. 400 rub Legalon 140 mg: 30 caps - 340 rubles, 60 caps. 600 rub.

Gepabene (milk thistle and fumes) Ingredients: herbs of fume medicinal dry extract and milk thistle. Contraindication: children under 18 years old, acute inflammation of the liver and biliary tract. Application: 1 caps. 3 r / d. In case of pain syndrome, additionally take 1 more caps. before bedtime. The maximum daily dose is 6 capsules, taken in 3-4 doses. Price: 30 caps. 430-570 rub.

Silimar tablets Ingredients: milk thistle fruit extract. Application: with toxic liver damage, cirrhosis, after hepatitis, chronic hepatitis, with prolonged use of alcohol and drugs, with intoxication. 1-2 tab. 3 r / d in 30 min. before meals. The course is 25-30 days. After 1-3 months, you can repeat the treatment. Not recommended children under 12 years old. Side effects: loosening of the stool and allergic reactions are possible. Price: 30 pcs. 110-150 rub.

Milk thistle tablets (extract) Ingredients: 50 mg silymarin. Application, indications, contraindications and side effects the same as in other preparations with milk thistle extract. Price: 20 pcs. 130 rub.

Milk thistle meal (ground plant) Application: 1 teaspoon 3 r / day with meals. Contraindications: cholelithiasis, exacerbation of gastric and duodenal ulcers, hypersensitivity, pregnant, lactating women. Side effects: pain in the right hypochondrium, diarrhea, allergy. Price: 60 rubles.

Milk thistle oil capsules Application: adults 1 caps. 2 r / d during meals. The course is 1 month, which can be repeated 2-3 times a year. Contraindications Key words: acute gastrointestinal diseases, childhood. Price: 40-60 rubles

milk thistle syrup Ingredients: meal and milk thistle extract, common thyme herb, common tansy flowers. Application: 1 tbsp. spoon 1-2 r / d during meals. Course 4-6 weeks. It is possible to repeat the course up to 4 times a year. Contraindications: children under 14, pregnancy, lactation, diabetes mellitus. Price: 150 ml. 110 rub.

Artichoke is a plant used to treat the liver

positive opinion: Artichoke is a plant that has been used in folk medicine since ancient times to reduce joint pain, to treat jaundice, as it improves metabolism, helps reduce bad cholesterol, has a diuretic, choleretic and hepatoprotective effect. In artichoke preparations, the main active ingredient is cymarin, similar in properties to silibinin. Among preparations with artichoke, Hofitol can be distinguished, among dietary supplements - Cynarix, Artichoke Extract. They are used to relieve alcohol intoxication, for the treatment of cholecystitis, hepatitis,. The drug has low toxicity and is indicated for liver cirrhosis and toxic hepatitis.

Negative opinion: As a hepatoprotector, artichoke leaf extract is widely used, but no evidence-based efficacy studies have been carried out, and it is not recommended for use in acute hepatitis, cholelithiasis and cholestasis syndrome.

bottle 350-400 rubles, 60 tab. 300 rub. 180 tab. 600-700 rub.	Solgar Artichoke leaf extract Price: 60 caps. 1100 rub.
Artichoke Price: 20 tab. about 120 rubles.	Price: 60 tab. 360 rub.

Medicine for the liver - Liv 52, and other dietary supplements

positive opinion- the manufacturer of Liv 52 claims that the extracts of medicinal herbs that make up the drug protect the liver parenchyma in case of toxic damage (drugs, alcohol), normalize the protein-synthetic function of the liver, have a choleretic effect, stimulate the restoration of liver cells, have a slight antioxidant effect, restore the ratio of some phospholipid fractions. It is used for hepatitis, anorexia, for the prevention of liver diseases, cirrhosis. Studies conducted in Russia have shown the effectiveness of using Liv 52 in the treatment of hepatitis A in children, the results were published in an article by experts from the Research Institute of Pediatrics and Pediatric Surgery in Moscow.

negative opinion- however, according to the results of various US studies, the claimed actions of Liv 52 are not noted. For example, in viral hepatitis, taking Liv 52 did not lead to a reduction in the duration of treatment, but there was a decrease in bilirubin in the blood and a reduction in severe weight loss in patients. In the treatment of alcoholic hepatitis, neither antitoxic nor restorative effect was found. Moreover, the results of one of the clinical studies conducted in the United States led to the withdrawal of this drug from the country's market. In the treatment of alcoholic hepatitis when taking Liv 52, the survival rate in the placebo group was 86%, and in the group taking Liv 52 - 74%. In acute liver pathologies, the use of these tablets for the liver aggravated the severity of the inflammatory syndrome.

As for the use of dietary supplements intended for the treatment of liver diseases, its cleansing, normalization of digestion - this remains the choice of the patient, whether he believes the manufacturer's assurances or not. Since the safety and quality of each series of food supplements can only be confirmed by the manufacturer - a "piece of paper" (certificate of quality), and what will be written there and whether it corresponds to reality is on his conscience. However, there are dietary supplements, the manufacturers of which, taking care of the promotion of the product, confirm their medicinal properties, a positive effect on health by various laboratory and clinical studies, but there are only a few such manufacturers.

Among dietary supplements containing extracts of medicinal herbs, one can distinguish Hepatotransit, Milona 10, Ovesol, Dipana, Hepatrin.

The composition includes aqueous extracts of 10 plants. Price: 48 pcs. 220 rub.

Liv 52 contains extracts of 7 medicinal plants. Price: 100 pcs. 200-250 rub.

as part of silymarin, lecithin, vitamins E, B6, B1, B2, essential phospholipids. Price: 30 pcs.200 rub. 60 pieces350 rub.

contains oat grass, agrimony, voladushki, corn stigmas, powdered lemon juice. Price: 100 rubles.

dandelion roots, burdock, elecampane, artichoke extract, corn silk. Price: 400 rubles.

as a part of Oat Grass, Turmeric, Volodushka Grass and Roots, Sandy Immortelle, Peppermint. Price: 150-200 rubles.

pumpkin seed oil

Positive opinion: The composition of preparations from pumpkin seed oil includes polyunsaturated and unsaturated fatty acids with a high percentage of oleic, linoleic acids - phytosterols, vitamins C and group B, beta-carotene, essential oils, niacin, which has a hepatoprotective effect. A large amount of tocopherols and carotenoids in the composition of the preparations has an antioxidant effect, the presence of essential phospholipids slows down the process of damage to hepatocyte membranes and gives an additional membrane-stabilizing effect, accelerates the recovery of liver cells. Pumpkin seed oil (Tykveol, Peponen) is recommended for use in chronic liver diseases (hepatitis, cirrhosis).

Negative opinion: There is no evidence base for the clinical efficacy of pumpkin seed oil preparations. To judge the real hepatoprotective activity of this agent, additional studies are required.

Tykveol 100 ml 600 rubles, 50 cap. 260 rub.	Peponen	pumpkin seed oil

Homeopathic preparations for the liver

Positive opinion: Among homeopathic preparations, Hepel (Germany) and Galsten (Austria) can be distinguished. It should be remembered that any homeopathic treatment to obtain a tangible effect must be under the control of a homeopath and long enough. Monopreparations with a special affinity for liver cells - May celandine Chelidonium majus and milk thistle Carduus marianus, according to homeopaths, cover most of the symptoms that occur with liver diseases, they are also used as drugs that support the liver.

negative opinion: Homeopathy has both its supporters and its ardent opponents (they consider their effectiveness simply). Homeopathic remedies do not undergo proper clinical research, therefore, there is nothing to say about the effectiveness of these drugs for the treatment of liver diseases.

In custody

Many patients consider herbal preparations and nutritional supplements to be completely safe and sometimes take them without the knowledge of a doctor and without restrictions. This is a big mistake. During treatment, you should tell your doctor about all the dietary supplements, herbs and medications you are taking, as they can be hepatotoxic and interact with other medications you take.

All medicinal plants have a complex composition and contain, although minimal doses, toxic (poisonous) substances. For example, many Chinese herbs have hepatotoxic properties, leading to acute liver failure. Moreover, control over such herbal products (food additives), even in the United States, where the safety of medicines and products is strictly controlled, is not carried out properly. What to say about Russia. Therefore, the use of any herbal remedies should be treated with caution, keeping in mind their possible hepatotoxicity.

So, drugs with proven effectiveness (to varying degrees) are hepatoprotectors:

• Ursodeoxycholic acid
• Amino acid preparations (ornithine aspartate, ademetionine)
• Silymarin preparations are hepatoprotectors with alleged but unproven efficacy, used in certain conditions
• Essential phospholipids - the question of the effectiveness of their use in capsules remains controversial, intravenous administration is more preferable

Cattle liver hydrolysates should not be used due to the potential hazard to the human body. The remaining herbal remedies cannot be recommended for widespread use in chronic liver diseases yet, since their effectiveness has not been adequately proven.

In the zone of responsibility of the liver, almost all of our organs and systems. It simultaneously performs a lot of functions. Wow, a real multitasker! One of the most important functions of the liver is a barrier: it neutralizes the products of protein metabolism, taking them from the blood. It is in the liver that toxins, poisons and allergens that enter our body are neutralized: they are processed there into less toxic and easily excreted compounds.

This organ secretes bile, which is necessary for the body to digest food. The liver is also involved in the synthesis of cholesterol and controls fat metabolism, helps regulate hormonal levels, removing excess hormones from the body that are produced by the endocrine glands. In addition, the liver produces glucose - the main source of energy. It is also responsible for carbohydrate metabolism, maintaining a constant level of glucose in the blood throughout the day.

In the terms of her duties and the metabolism of vitamins A, B, C, D, E, K, PP and folic acid, it also stores vitamins A and D, B12 and some vital macro- and microelements. For example, iron, copper, cobalt.

In emergency mode

Why is the liver under enormous overload today?

“The problem here is in bad ecology, and in numerous stresses, which have become much greater, and in the fact that the number of drugs has seriously increased - some use them without any measure,” comments the situation. Doctor of Medical Sciences, Professor of the St. Petersburg Military Medical Academy Evgeny Sas. “And also the fact that modern man leads a sedentary lifestyle and eats unhealthy foods saturated with easily digestible carbohydrates and animal fats.”

By the way, getting rid of extra pounds quickly also harms her, adds Evgeny Sas. After all, fat reserves, from which the body is released in the process of losing weight, are excreted through the liver, forcing it to process cholesterol in an enhanced mode and release it into bile.

“If my patient reports that he has lost 5-6 kg in a month, I immediately send him for an ultrasound examination of the liver and bile ducts, since such rapid weight loss very often turns into fatty liver and the formation of gallstones,” explains Professor. So those who reduce body weight should definitely monitor liver function.

How to recognize?

Another famous doctor Galen, who lived in the II century AD. e., describing the functions of the liver, discovered its close connection with the work of the cardiovascular system. Modern Aesculapius confirm his correctness. Thus, in 2009, at a medical congress in Bologna, a study was published that showed that 85-90% of patients with non-alcoholic fatty liver disease die from heart attacks and strokes, not living up to the next stage of liver disease - the development of cirrhosis.

But that's the problem, that many people do not even suspect that they have problems with the liver. If other organs declare their trouble with pain, then the liver almost never hurts. All symptoms are hidden. And to understand that something is wrong with the liver is possible only by indirect signs, such as increased fatigue, drowsiness, asthenia. However, you can not bring yourself to these unpleasant symptoms, but in time to do prevention, which is not difficult at all.

Diet will help

How to support the liver so that it can better cope with its functions? Eugene Sas makes the following recommendations:

• First of all, you need to reconsider your diet.: reduce the amount of fats and carbohydrates. Their ratio in our diet should be in the following proportions: 1 part of proteins, 1 - fats and about 4 - carbohydrates, while a modern person has this ratio: 1 part of proteins, about three - fats and carbohydrates on average 12-15 parts. The body is not accustomed to such a huge amount of carbohydrates. Especially refined ones. Their immoderate consumption leads to fatty liver.
• Limit the amount of alcohol- another piece of advice given by the professor. However, 150 g of dry wine per day is even beneficial for health, because it contains the substance resveratrol, which has antitumor, anti-inflammatory and cardioprotective effects. But 150 g is the threshold that must not be exceeded!
• Gotta move as much as possible. A sedentary lifestyle slows down the utilization of saturated fats. As a result, fats are deposited in the liver cells, which leads to their degeneration as a result of oxidative stress. This can lead to the formation of non-alcoholic fatty liver disease and even cirrhosis and liver failure.
• It is important that the menu includes polyunsaturated fatty acids. They are present in cold-pressed vegetable oils - sesame, linseed, nuts, seeds, fish and seafood.
• Take hepatoprotectors based on essential phospholipids. “These substances are not synthesized by our body, we get them with food. But they make up the membranes of liver cells (and not only the liver, but also muscles and other organs), explains Evgeny Sas. “That is, by restoring damaged liver cell membranes with the help of these substances, we restore the normal functioning of the cells themselves, but their intake should be long - from 3 months to six months.” Back in 1996, American doctors conducted a study that proved that taking essential phospholipids lowers cholesterol, triglycerides and increases high-density lipoprotein levels, and also lowers blood sugar levels so much that patients with type 2 diabetes even have to reduce the dose of hypoglycemic drugs .

The deteriorating ecology, the stresses of an urbanized society, along with bad habits and an unhealthy lifestyle often create difficult conditions for the normal functioning of such a vital element of the human body as the liver.

Given the importance of its functions, it is necessary to prevent and treat possible pathologies in time by selecting effective dosage forms. According to the type of their effect, preparations for the liver are divided into several main groups, which suggests the need for a careful approach to the choice of medicine in each specific case of the disease.

Features and main functions of the body

The liver is the most voluminous gland of the body with great functionality. Thanks to this powerful organ and with its participation, the processes of metabolism, hematopoiesis, neutralization of harmful bacteria, poisons, toxins, allergens and other negative agents are carried out.

Without this ideal filter, which constantly cleanses our body, human life is almost impossible. The amazing property of the liver to actively regenerate is simply amazing. Even with the removal of most of this gland, the patient has a chance for its full recovery to normal size.

The fight against liver diseases can be complicated due to the lack of primary bright symptoms. Mild discomfort in the right hypochondrium, nausea and belching after eating are not considered a sufficient reason to see a doctor. This gland is not endowed with nerve endings, so for a long time we do not feel any pain symptoms if its work is disturbed. The presence of more pronounced symptoms already indicates serious malfunctions in the liver.

Despite the great potential and tremendous ability to recover, she becomes powerless in the face of a combination of negative factors and requires reasonable, qualified help to maintain the liver and treat with appropriate medications. Modern developments of medical preparations in symbiosis with traditional means are able to resist the destruction of the organ and effectively contribute to its restoration.

Causes of liver diseases

In order to choose the right drugs for liver restoration, it is necessary to consider the main causes that can cause serious damage to the liver. These include:

Often, diseases of this organ occur due to improper lifestyle. If you establish a healthy, optimal diet, eliminate bad habits and conduct appropriate drug treatment to restore the liver, you can completely heal the diseased organ.

The main classification of drugs

For each specific disease, it is required to take certain pills for the liver to eliminate symptoms and restore the organ. All medical restorative drugs developed for the treatment of liver disease are classified into three main groups:

• hepatoprotective drugs help improve metabolic processes, increase stability and restore functions (Essentiale Forte, Ovesol, Karsil);
• choleretic drugs, increase the secretion of bile and its outflow (Allochol, Cholenzim);
• cholelitholytic agents are aimed at dissolving and removing gallstones (ursodeoxycholic and chenodeoxycholic acid).

Traditional medicine primarily refers to the most effective and effective medicines for the treatment of the liver, drugs from the group of hepatoprotectors. With their help, it is possible to completely restore cells and replace a damaged cell, as well as the structure and functions of an organ. These drugs for the treatment of the liver are easily absorbed and give a quick positive effect. They are real defenders and protect the gland from the damaging effects of the virus, toxic or drug substances, alcohol, and even their own immune system. It is based on universal mechanisms, in particular, the antioxidant effect.

According to the type of origin of the active ingredient, hepatoprotectors are divided into:

1. Preparations based on natural compounds. Here, medicinal herbs are taken as the active substance, which improve the secretion of bile and the entire process of digestion.
2. synthetic drugs. Their effectiveness is due to the content of essential phospholipids, which restore the diseased organ by replacing and embedding into the damaged cell.

The intake of such drugs is necessary in case of clinical conditions of deterioration of the liver, in the presence of intoxication, and also as a treatment after alcohol. Today, many types of restorative drugs with a variety of effects have been developed.

A complex approach

The greatest effect gives an integrated approach to treatment and medication. Such a medicine, as from the liver, a tablet of therapeutic and restorative action, is indicated for use in patients with diagnoses:

• viral hepatitis;
• alcoholic hepatitis;
• fatty hepatosis;
• primary biliary cirrhosis.

In these cases, with the help of hepatoprotectors, the causes and symptoms of chronic inflammation are eliminated, and complex therapy prevents further destructive processes, stimulating the liver to regenerate. With fatty liver, the excretion of cholesterol is accelerated and the load on the organ is reduced. As a rule, in such cases, a rather long course of taking the prescribed drug is necessary. Treatment with drugs based on hepatoprotectors provide the following effect:

• phospholipid-based medications help restore liver cell membranes and protect hepatocytes;
• products containing amino acids increase metabolism;
• medicines containing vitamins B and E promote regeneration;
• in the presence of glycyrrhizic acid, antioxidant, antifibrotic and anti-inflammatory effects are manifested.

But for a guaranteed restoration of organ cells, one medication is not enough. It is required to exclude all destructive factors, to revise the lifestyle and diet, and also to treat concomitant diseases in parallel.

Cholagogue preparations

Choleretic drugs are divided into increasing bile secretion - choleretics, as well as provoking the release of bile fluid - cholekinetics. Choleretics are used to treat problems associated with the biliary tract. They can be divided according to the type of action and composition:

1. Preparations containing bile acids and bile (Holenzim, Allahol).
2. Medicines based on natural ingredients.

Choleretics based on corn stigmas, helichrysum, flamin contribute to the production of bile, relieve spasms and inflammation. They also contain essential oils, flavones, resins. The cholekinetic type of drugs also include magnesium sulfate and berberine bisulfate. With their help, the intestinal mucosa is irritated and contractions of the gallbladder are intensified. Such types of mineral water as Essentuki No. 17 and Arzni have a choleretic effect and contribute to the release of bile.

Cholelitholitics promote and accelerate the dissolution of gallstones, stones due to the presence of chenodeoxycholic or ursodeoxycholic acids, and also dissolves and reduces the synthesis of cholesterol in the gallbladder. The principle of action of these acids is based on the reduction of cholesterol in bile and its precipitation for the formation of stones. Medicinal preparations of this action are well used to eliminate small cholesterol stones. They are also effective in cases of alcoholic hepatitis, biliary cirrhosis of the liver.

Evaluation of the effectiveness of drugs

For the treatment and restoration of the liver, modern medicine has a large number of drugs. For these purposes, pharmacies offer herbal preparations, amino acid derivatives, phospholipids, bile acids, as well as dietary supplements and homeopathic remedies. It should be noted that there is no universal remedy capable of eliminating the consequences of diseases and toxic effects on the liver in a short time. Hepatoprotectors are part of a complex, comprehensive course of treatment prescribed after examinations by the attending physician.

Herbal preparations

Modern medicines for liver restoration based on herbal ingredients are the most effective method to get a guaranteed result without harm to the body. Due to its unique properties, the rating of herbal preparations is traditionally headed by milk thistle, in tablets. This plant has been known for more than two thousand years for its restorative abilities regarding liver functions.

The presence of silymarin in its composition has a beneficial effect on the liver, stops the destruction of cells and stimulates the regeneration of new ones. Indications for taking medications containing this type of thistle are such serious diseases as cirrhosis, hepatosis, fibrosis and hepatitis.

Strong options with good silymarin content are liver medications such as Karsil and Karsil Forte. The restorative drug Gepabene, along with preparations based on milk thistle, includes fume extract to relieve spasms and enhance the choleretic effect. An excellent example of a hepatoprotector herb is the artichoke plant. It has an effect similar to silibinin and is prescribed in case of alcohol intoxication, as well as in atherosclerosis and hepatitis. It has a diuretic property and is found in preparations such as artichoke extract, Hofitol.

Animal products

Medicines and restorative agents for the liver of animal origin are made on the basis of porcine liver cells or bovine liver hydrolyzate. With the help of these drugs, the liver is protected, its functions are restored and toxins are removed. Medicines for liver restoration Sirepar, Heptral and Heptor are designed for the breakdown of fats and the synthesis of phospholipids. They are also effective in depression and toxic effects. In case of severe toxic liver damage, Hepa-Merz is prescribed, as it reduces the level of ammonia and brain problems associated with the disease.

Many medicines designed to treat, restore and maintain the liver are also very effective in prevention. Hepatoprotectors from the group of essential phospholipids are used when it is necessary to strengthen the membrane of hepatocytes. The advantage of restorative drugs of this group (Essentiale, Hepaforte, Phospholip) is the possibility of their adoption regardless of age, as well as pregnant and lactating women.

Homeopathic medicines are considered the best medicines for the liver. Popular drugs in this group are Galtena and Hepel, produced in Germany and Austria. These mono-preparations contain a herbal complex based on milk thistle, May celandine and effectively support the liver. Despite this, many experts perceive homeopathic remedies as a placebo effect.

Despite the excellent regenerative abilities of the liver, the number of patients with a disease of this gland is increasing every year. That is why it is very important to carry out rehabilitation measures in a timely manner, complex treatment of pathologies with a careful selection of effective and appropriate effective drugs.

The liver in the human body is damaged due to infectious and other diseases, as well as due to dysfunctional disorders. This circumstance should be taken into account when prescribing drugs to restore the liver and improve the functioning of the organ.

Medicines for the prevention of hepatic pathology

Thinking about the question of what to drink to prevent liver diseases, you should pay attention to tablets that have a complex effect, since they:

1. provide protection and restoration of damaged cell membranes;
2. effective for maintaining the metabolic processes of each cell at the proper level;
3. optimize the formation of bile;
4. increase the synthesis of enzymes;
5. accelerate the removal of harmful substances.

As a rule, all prescribed tablets contain mandatory substances that intensively affect the functioning of the liver:

• Glycyrrhizic acid. It is characterized by antioxidant, anti-inflammatory and hepatoprotective properties. This is a good remedy that prevents the development of cirrhosis and is recommended for the prevention of hepatic pathology in case of alcohol abuse.
• Phospholipids. Effective for liver restoration, as they are actively involved in the regeneration of damaged hepatocytes. Long-term (about 3 months) therapy is necessary to obtain the desired result.
• Ursodeoxycholic acids. They have a choleretic effect and stimulate the dissolution and removal of small stones. A good drug containing this element - ursofalk, is used exclusively as directed by a specialist.
• Ademetionine. It is an integral part of all drugs used to eliminate the toxic effects on the liver, for example, with alcohol intoxication.
• Milk thistle extract. Has antioxidant properties. Included in many inexpensive and effective drugs for the treatment of the liver.
• Extract of fumigus officinalis. It underlies the drugs used to treat the liver and gallbladder, as it eliminates spasms and improves bile formation.

When comparing the list of drugs prescribed for the prevention and treatment of hepatic pathology, the effectiveness of the constituent components and their effect should be taken into account.

1. Medicines given to improve liver function while taking hepatotoxic drugs or similar procedures (this applies to chemotherapy).
2. Means used to restore the body after a disease (hepatic degeneration, hepatitis, etc.).
3. Medicines designed to protect the body from pathologies such as alcohol intoxication.
4. Pharmaceuticals prescribed for injuries of internal organs, as well as after surgery.

Hepatoprotective drugs

Hepatoprotectors are cheap and quite effective means of protecting the liver. They have a mild effect, so these pills are sold over-the-counter.

Ovesol

Ovesol provides detoxification and normalizes the function of the biliary tract.

A cheap preparation based on herbs: golden flower, common oats, peppermint, turmeric and others.

Use 1 tablet or about 15-20 drops twice a day with meals.

The duration of the therapeutic course is 20-30 days.

It is advised to repeat the treatment 3-4 times a year.

The drug is not prescribed during pregnancy and lactation, children, people with individual intolerance to the components of the drug.

Stabilin

The composition of the tool includes:

• L-carnitine. Prevents the development of oxygen starvation, increases the secretion of gastric juice.
• L-tyrosine. Provides fat burning.
• Vitamins of group B. Normalize metabolic processes, promote cellular renewal.
• Artichoke extract, glycine and tryptophan are necessary to maintain normal patency of blood vessels, increase metabolic processes.

The combination of components provides the best effect. This property provides a mild effect of the drug on the body.

Stabilin drops are used for the prevention and occasional cleansing of the liver from harmful substances. For this purpose, dissolve 3-5 drops in any liquid (water, juice or tea). Drink in the morning and in the evening.

Due to its natural composition, Stabilin has almost no contraindications. During pregnancy and lactation, it is necessary to consult a specialist about the possibility of using the drug. Stabilin is not prescribed to persons with hypersensitivity to the constituent components.

Stabilin drops are considered a new generation hepatoprotective agent designed to improve liver function. According to patients, even one therapeutic course is able to protect the organ from both harmful external influences and destruction. Stabilin drops replenish the content of vitamins and nutrients.

"Essentiale Forte"

The drug is made on the basis of natural ingredients, almost does not cause side effects.

According to the instructions for use, the medicine is taken orally 2 capsules three times a day. Experts say that the effect of the remedy is more psychological, and the cost is increased due to numerous advertising.

Preparations for the liver after alcohol intoxication

Leviron Duo

Leviron Duo is available in two forms:

• Oil, which is consumed before meals three times a day, 1 scoop.
• Drops that are taken orally half an hour before a meal. Dissolve 10 drops in one glass of water.

The medicinal product contains:

• Polysaccharides. Promote the removal of harmful substances.
• Larch bark extract. Slows down the development of age-related changes.
• Minerals and vitamins. Needed to restore metabolism, maintain the immune system.

There are many positive reviews about "Leviron Duo" as a tool needed to improve liver function. It has an effect after a month of use. In addition, the condition of the skin improves, the function of the gastrointestinal tract normalizes, and immunity increases.

Heptral

Heptral is a remedy for the liver, eliminating the effects of taking ethyl alcohol, hepatotoxic drugs and other harmful substances. In addition, it has antidepressant and antioxidant properties.

The drug is effective for cleansing the liver, increasing organ regeneration, and is prescribed to improve the functioning of the gallbladder. Take orally 2-4 tablets of 400 mg medication, without combining with food intake and without chewing.

Side effects from the central nervous system (dizziness, sleep disturbances, headache) and gastrointestinal tract (dyspeptic disorders) are sometimes observed. Before use, you need to consult a specialist.

Karsil

Karsil - cheap pills prescribed for the prevention of hepatic pathology.

Can be given to children from 12 years of age.

Contribute to the elimination of the consequences of hepatitis, alcohol intoxication, cirrhosis.

Use 2-3 tablets per day before meals with liquid.

"Liv 52"

It is a cheap drug used for prophylactic purposes. The harmlessness of the remedy comes from its manufacture based on herbs (chicory, capers, common yarrow).

"Liv 52" is prescribed for the purpose of cleansing the body after alcohol intoxication, antibiotic therapy, the use of oral contraceptives, and so on.

Can be given to children from 5 years of age.

Take 2 tablets twice a day, regardless of food intake.

Phosphogliv

This drug and its substitutes ("Silegon", "Gepalin", "Ursoliv", etc.) are advised for use in case of liver damage with ethyl alcohol, viral hepatitis, fatty diseases of the organ.

It contains glycyrrhizic acid and phospholipids, is necessary to improve liver function, has antiviral and immunomodulatory properties.

The medicine should be taken orally during meals, 1-2 tablets no more than 4 times a day, washed down with liquid. The therapeutic course is about 3 months.

Most patients believe that it is better to prescribe the drug not for the purpose of prevention, but for treatment.

Medicines for the liver and gallbladder

Often, liver diseases are caused by damage to other organs of the abdominal cavity, which additionally take part in the process of digestion and body defense.

Phosphalugel

Phosphalugel has absorbent and antacid properties. Assign for gastritis, gastric ulcer, diseases of the bile ducts and liver.

Adults and children over 6 years of age use 1-2 sachets 2-3 times a day (but not more than 6 sachets per day). Duration of treatment - no more than 2 weeks.

tsikvalon

A good choleretic agent, normalizes the formation and secretion of bile.

Preparations for cleansing the liver and urinary tract

Medicines for the systematic neutralization of the liver, destruction and removal of stones from the gallbladder is a good means of preventing diseases of the digestive system.

Uro Lax

"Uro Lax" promotes the release of stones in the presence of urolithiasis, has an anti-inflammatory and antibacterial effect.

Use during meals 1 capsule 2 times a day (preferably in the morning and afternoon).

CystoTransit

This is a medicinal product based on herbs - highlander, cranberries, peeled chamomile and others. Promotes the dissolution and removal of stones.

Take 1 teaspoon, dissolving in 1 glass of water, 4 times a day. Duration of application is 20 days.

Treatment is advised to carry out 4 times a year.

Gortex

The basis of the drug is the root of hydrangea. It has antiseptic and analgesic properties.

Assign 2 capsules three times a day during meals. Duration of use - 1 month.

The drug is not approved for use during pregnancy, lactation, in the presence of individual intolerance to the drug.

Festive events do not affect a single organ, therefore, when deciding on the purchase of an inexpensive and effective medicine for the liver, you need to think about the digestive system as a whole. To do this, a couple of days before the holiday, you should take funds to improve the functioning of the whole organism:

• panzinorm;
• pancreatin;
• allohod.

Herbal medicines

Herbal preparations are a good way to maintain the proper functioning of the body at home.

milk thistle

The best medicinal plant is milk thistle. Valued for the presence of silymarin in milk thistle, which provides cell protection and stimulates cell proliferation. An extract is made from milk thistle in the form of oil, capsules, etc.

Legalon

The drug is advised for the treatment of the liver from toxic and medicinal lesions, in the presence of chronic hepatitis, cirrhosis, pathology of the bile ducts and gallbladder.

"Legalon 70" is not approved for use if there is an individual intolerance to the components of the remedy.

Use 1-2 capsules no more than 3 times a day, "Legalon 140" - 1 capsule twice a day.

Silimar

It is a means of preventing intoxication during drug therapy and when taking alcohol.

Adults and children over 12 years of age are prescribed 1-2 tablets three times a day for a month. In chronic pathology, it is recommended to repeat the course in 1-3 months.

Silymarin

The drug is used to treat toxic liver damage, with hepatitis, for the purpose of prevention and to stabilize lipid metabolism.

Prophylactically use 70 mg three times a day.

Not approved for use in children under 12 years of age, with increased sensitivity to silibinin and substitutes.

For better results during treatment, alcohol-containing drinks are excluded and a diet is followed.

Gepabene

To increase the effectiveness of the composition there is an extract of fumes. The latter eliminates spasms and improves the passage of bile.

Assign 1 capsule during the day at regular intervals (but not more than 6 capsules).

Hofitol

Most of the patients' feedback on the use of vitamin preparations is positive.

Prevention and treatment of folk methods

For this purpose, decoctions and infusions based on herbs are used.

Infusion of corn stigmas

It is the most affordable and easy to manufacture. Normalizes the passage of bile and facilitates the release of small stones from the tract. For cooking:

• 2 tablespoons of corn stigmas are poured with a glass of boiling water and kept covered for 30 minutes.
• Then filter and drink in three divided doses per day.

Turmeric

Similar properties are inherent in turmeric. The latter contributes to the restoration of liver hepatocytes.

• 1/4 teaspoon of the product is poured into a glass of boiling water,
• add honey (at least a teaspoon),
• stir until completely dissolved and drink immediately,
• drink this infusion 3-4 times a day.

milk thistle

Milk thistle seeds are ground in a coffee grinder.

• For 1/2 liter of water, you need 2 tablespoons of finely chopped seeds.
• Boil over low heat until the water is reduced to the volume of a glass.
• The prepared broth is consumed 1 tablespoon every hour.

Therapy with any folk remedy is performed for from 2 weeks to a couple of months. Then you need a break for 30 days. Further, the therapy is repeated or other medicinal herbs are prescribed.