Silymarin
Generic medicine reference
Not yet clinically reviewed
This entry was migrated from the earlier Pharmapedia app bundle and has not been reviewed by a named clinician on this site. It is provided for educational reference only — verify dosage and safety information against current, authoritative sources and a qualified healthcare professional before any clinical use.
Overview
Silymarin is the active principle from the fruit of Silybum marianum. Silymarin is a free radical scavenger, used for the treatment of hepatic disorders.
Indications
Silymarin is primarily indicated in conditions like Hepatitis, Hepatitis A infection, Jaundice, Dyspepsia and can also be given in adjunctive therapy as an alternative drug of choice in Cirrhosis.
Contraindications
Silymarin is contraindicated in conditions like Hepatic encephalopathy, Primary biliary cirrhosis, Breast cancer, Endometriosis, Hormone sensitive conditions, Ovarian cancer, uterine cancer, Hypersensitivity to any component of product.
Side Effects
The signs and symptoms that are produced after the acute overdosage of Silymarin include Diarrhea. The symptomatic adverse reactions produced by Silymarin are more or less tolerable and if they become severe, they can be treated symptomatically, these include Weakness, Headache, Joint pain, Stomach upset, Abdominal bloating, Allergic reactions, Anorexia, Nausea, Pruritus, Rash.
Warnings
Should not be used by pregnant or breastfeeding women. People with a history of hormone-related cancers, including breast and uterine cancer and prostate cancer, should not take Silymarin. Should be use with caution in children.
High Risk Groups
Drug should not be given to Pediatrics, and Pregnant Mothers. If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Adult Dosage
200 mg (200 (200)) 12 hourly PO —
Child Dosage
20 to 40 mg/kg (30 (30)) 12 hourly Oral —
Neonatal Dosage
No neonatal dosage information is recorded for this medicine yet.
Drug Interactions
There are mixed data regarding milk thistle's ability to exert inhibitory or inductive activity on cytochrome P450 (CYP-450) 1A2, 2C19, 2D6, 2E1, and 3A4, as well as P-glycoprotein. Therefore, close monitoring is warranted when drugs metabolized by these enzymes are given concomitantly with milk thistle.
Storage
Tabs, caps, syrups Store in a well closed container, at room temperature, . Protect from Moisture and Heat.
Available Brands in Pakistan
2 active brands listed alphabetically.
SILIMARIN
ActiveAMSON VACCINES & PHARMA (PVT) LTD.
DML: SILIMARIN
SyrupTabs
SILLIVER
ActiveABBOTT LABORATORIES (PAKISTAN) LIMITED.
DML: SILLIVER
SuspTabs
21 additional records are present but flagged "Unverified / Legacy" and not listed.
