Features of the use of Karsil for treatment and prevention: dosage of the drug

Carsil for the liver is a popular drug from the group of hepatoprotectors, which has a complex effect on liver tissue. It can be purchased at a pharmacy without a doctor's prescription and used according to the instructions. The medicine is of plant origin and is based on milk thistle fruit extract, which is known for its healing and protective properties. Tablets are prescribed both as part of the complex treatment of severe liver dysfunction, and for its cleansing and disease prevention.

pharmachologic effect

Why are Karsil tablets so popular among patients? The medicine is effective and has hepatoprotective and antitoxic properties. The protective effect of the product is manifested due to the inclusion in its composition of a number of flavonolignans isolated from milk thistle fruits.

Medicine has proven the antihepatotoxic effect of the active substance – silymarin. It is created by the drug due to the adhesion of toxins by hepatocytes, which leads to stopping the development of steatosis and fibrosis of the liver.

The medicine activates the reproduction of phospholipids and proteins in damaged liver cells, strengthens their membranes, and returns lipid metabolism to normal. Karsil tablets exhibit an antioxidant effect and bind free radicals.

The result of the drug is an improvement in the condition of patients. The severity of their symptoms decreases and their liver function levels stabilize. Patients' appetite and digestive health improve.

Indications for use

Karsil is prescribed for the treatment and prevention of various liver diseases of any origin. It can be used either independently or as part of complex therapy. The drug will be useful for the following pathologies:

• fatty hepatosis – the appearance of fat inclusions in hepatocytes, which is the first stage of hepatitis, alcoholic liver disease and other dangerous conditions;
• hepatitis - inflammation of the liver parenchyma of infectious or non-infectious origin;
• liver cirrhosis – structural changes in tissue with the formation of connective tissue scars;
• poisoning with hepatotropic poisons;
• alcoholic liver disease.

In case of serious dysfunction of the organ, the drug is used in combination with other treatment methods - diet, anti-inflammatory and painkillers. Karsil can also be part of a complex treatment regimen for viral hepatitis to relieve symptoms and strengthen the liver. In case of cirrhosis, taking hepatoprotectors is mandatory, but it is impossible to cure the pathology completely.

Fatty foods and alcohol are factors from which it is better to protect the liver in advance. This case is one of the indications for which the drug can be taken at home for prevention. If it is not possible to refrain from eating harmful foods, it is recommended to take a Karsila tablet in advance. This method will reduce the harmful effects of toxins on the liver and the body as a whole. The drug will also be effective for a feeling of heaviness in the side caused by poor nutrition.

Analogs

"Karsil" can be replaced by the following analogues:

1. "Antral";
2. "Livolin Forte";
3. "Phosphogliv";
4. "Glutargin";
5. "Enerliv";
6. "Hepa-Merz";
7. Essliver Forte.
8. "Lecithin";
9. "Livenziale";
10. "Levasil";
11. "Progepao";
12. "Hepatox";
13. "Liv.52" and other means.

A large number of drugs with similar effects and a variety of forms are available. The identical active substance is found in synonyms:

1. "Silibor";
2. "Karsil Forte";
3. "Legalon";
4. "Rosilymarin";
5. "Darsil";
6. "Hepalex", etc.

Instructions for use and dosage

Carsil tablets should be taken completely, without chewing. Dragees are washed down with plenty of water. Dosages for patients of different ages will differ:

• adults and children over 12 years of age - for mild liver diseases, 1 or 2 tablets per day, for severe pathologies - 2-3 tablets;
• for prevention purposes – 2 or 3 tablets per day once;
• Children aged 5 to 12 years are prescribed the drug in an amount of 3 mg per 1 kg of weight, the daily dose is divided into 2 or 3 doses.

Capsules can only be taken from 12 years of age. The dosage is calculated individually, depending on the severity of the pathology, and ranges from 1 to 3 capsules per day, 1 per dose. The course of treatment with capsules lasts no more than 1 month; for longer treatment (up to 3 months), it is worth choosing tablets. In order to decide what will best help with various liver problems, you should consult your doctor and find out the exact dosage.

Side effects

The use of Karsil can cause such side effects as:

1. Dyspeptic disorders (nausea, vomiting, feeling of fullness in the stomach, pain in the epigastric region, bloating, diarrhea);
2. Allergic manifestations (rash, itchy skin);
3. Alopecia (pathological hair loss, which leads to thinning or complete disappearance in some areas of the head or torso); exacerbation of vestibular disorders (if any).

Most patients and doctors leave positive reviews about Karsil; if adverse reactions occur, they disappear after stopping treatment.

When is it not possible?

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There are certain contraindications for taking the drug. As with any other medication, there is a possibility of individual intolerance, hypersensitivity to any compound used in the manufacturing process of capsules. In such a situation, “Karsil Forte” is absolutely unacceptable.

The product should not be used during acute poisoning or in the treatment of children under twelve years of age.

What is better and how it differs from analogues

"Karsil Forte" has several analogue drugs that have a protective and regenerating effect on the liver.

Karsil

Karsil differs from Karsil Forte in dosage.
The active ingredient in both products is the same - milk thistle extract. The difference lies in the release form and dosage. Karsil is produced in the form of dragees and contains 35 mg of silymarin. One capsule of “Karsil Forte” includes 90 mg of silymarin, which is several times higher than the dosage of the analogue. It turns out that a monthly preventative course requires 30 capsules of Karsil Forte or 90 tablets of an analogue drug. The cost for a package containing 30 capsules of Karsil Forte and a package of 90 tablets of a similar drug are almost the same. Based on the above, we can summarize that Karsil Forte is better.

Milk thistle

Milk thistle medicines in their pure form are available on the market in large quantities. In pharmacies you can find tablets with plant extract, herbal infusions and teas, capsules, fruits, oil, seeds and meal. The choice is determined by ease of use and price. For busy people, it is advisable to use tablet forms or capsules, and the dosages vary from manufacturer to manufacturer. For example, tablets with milk thistle extract from Evalar contain 80 mg of silymarin; a pack contains 40 pieces.

Legalon

Legalon is another drug with milk thistle extract as an active ingredient. Release form: capsules. Dosages are 70 and 140 mg of silymarin. The medicine is included in the same price category as Karsil Forte.

Silimar

Silimar is a domestic drug from the group of hepatoprotectors. One tablet contains 100 mg of silybin. This flavonoid is a component of the silymarin complex. Indications for use are the same as for analogues. There are 30 tablets in a pack, up to six tablets should be taken per day.

Forliver Help

"Forliver Help" is an analogue of Silymarin. One tablet contains 100 mg of silybin. The dose of the drug is selected by the doctor. The method of application and indications are the same as for analogues.

Essentiale forte

"Essentiale Forte" is a well-known hepatoprotector from a German manufacturer. The product cannot be classified as an analogue of Karsil Forte, since essential phospholipids act as the active component. These substances are structural elements of the membranes of liver cells. The phospholipids that make up the hepatoprotector are obtained from soybeans.

Indications for use are somewhat broader than those of the previously mentioned drugs. In addition to various liver injuries, including intoxication etiology, the drug is used for toxicosis during pregnancy, to prevent stone formation in the biliary tract, and for radiation syndrome. It is recommended to take up to six capsules per day.

In the group of hepatoprotectors, Essentiale Forte belongs to a more expensive price category. The drug acts directly on liver cells, promotes the regeneration of the organ and normalizes its functions. "Essentiale Forte" can be used both for monotherapy and in combination with other medications.

The drug Essentiale

It is believed that Essentiale Forte is better than Karsil. However, if taken for a long time, this drug may cause side effects. When choosing, you should follow your doctor's instructions.

Essliver forte

"Essliver Forte" is similar in composition to "Essentiale Forte". One capsule contains 300 mg of essential phospholipids. In addition, the composition is enriched with vitamins B1, B2, B6, B12, E and niacin. The product package contains 30 or 50 capsules. The medicine is used in the same cases as Essentiale Forte. The drug promotes liver regeneration and improves the chemical composition of bile.

When considering which is better, Essliver Forte or Karsil, it is important to note that B vitamins have a beneficial effect on the nervous system, which is an undoubted advantage of the first remedy.

Use of Karsil for diseases of the liver and gall bladder

The liver is involved in almost all vital processes of the body. It produces energy, supports the immune system, transforms and releases harmful substances from food into bile, and ensures round-the-clock metabolism. When the liver is damaged, the entire body suffers. Patients develop:

• weakness,
• dull pain or feeling of heaviness in the hypochondrium on the right,
• loss of appetite,
• nausea and dizziness,
• vomiting bitterness,
• temperature increase,
• jaundice color of the skin and mucous membranes,
• hematomas (bruises) from blood clotting disorders,
• diarrhea or constipation, bloating as digestion suffers.

Karsil is prescribed for the following diseases:

• inflammation of liver cells (hepatitis): toxic, viral, alcoholic, nutritional,
• hepatosis (diseases of impaired metabolism): fatty, pigmented, cholestatic, accompanying diabetes mellitus, impaired transportation of bile, hereditary enzymatic diseases of bilirubin metabolism,
• initial fibrosis or cirrhotic process in the tissue,
• changes provoked by long-term use of medications in the treatment of systemic diseases (lupus erythematosus, Wilson-Konovalov's disease, ankylosing spondylitis), long-term infections (tuberculosis),
• decompensation of the heart with initial manifestations of cardiac cirrhosis.

The healing properties of Karsil for alcoholic liver disease are explained by the ability of silymarin to neutralize acetaldehyde produced from ethanol. The organ changes when receiving significant doses. Normal parenchyma gradually disappears, the cells are replaced by fatty vesicles, then fibrous tissue, and become nonviable. If you have a hangover, you should not expect a quick effect; use in a course is indicated.

Karsil can be used in toxicology to remove toxins in case of poisoning. Research has revealed the possibility of blocking the venom of the toadstool and some synthetic substances. Taking the drug is indicated for prevention for those working with occupational hazards.

The clinical criterion for cleansing the liver tissue is: elimination of symptoms of damage, disappearance of jaundice, appearance of appetite, stable biochemical tests (transaminases, alkaline phosphatase, bilirubin, gamma globulin).

How, to whom and why

The manufacturer recommends using the product for ages 12 and older. It is recommended to resort to it in case of toxic liver damage caused by drug therapy, alcoholic beverages and other intoxications. The drug restores the well-being of patients with cirrhosis, chronic hepatitis (only if it is not of a viral nature), steatosis (caused by various reasons, including alcohol). If a person has suffered an acute form of hepatitis, Karsil Forte can also be used to restore the normal state of the body.

In what cases does the liver signal distress?

If we compare the size and functions of the liver in accordance with other organs of the abdominal cavity, it turns out that this organ is not only the largest in size. The liver is responsible for the most important functions performed by the body. It is in it that metabolic processes and the synthesis of hormones take place, and it is in it that it is called upon to combat the results of a person’s unhealthy lifestyle. Biological transformations of any substances, including toxins, occur in the liver

Therefore, the fattier the food on a person’s table, the more attention he pays to alcohol, the more noticeable the load falls on this important organ.

Composition and release form

The liver is considered a large internal organ that performs important functions. The liver transforms the drugs that the patient takes. Karsil is classified as a hepatoprotector, which increases the resistance of organ cells to various negative influences. At the same time, liver function is normalized.

The medicine eliminates pain and discomfort, protecting the organ from negative influences. Due to its natural composition, the product is considered safe. It can be bought at the pharmacy in the form of tablets packaged in blisters. The main components include:

• spotted milk thistle;
• lactose;
• talc;
• sorbitol;
• Magnesium stearate.

The main component of the drug is presented in the form of a plant group of flavonoids. They restore and protect the liver. The active ingredient of the tablets is silymarin. It synthesizes structural proteins, stabilizing cell membranes, normalizing lipid metabolism. A drug with antioxidant properties reduces the permeability of cell membranes.

Reviews

Irina, 49 years old

I have been taking Karsil to cleanse my liver for two years now. I work as a painter, so I often inhale chemical fumes that are harmful. The drug helps me restore liver function and protect its cells from toxins. I noticed that after taking the capsules, my digestion normalized, my health improved, and I stopped constantly having headaches.

Ivan, 58 years old

I have a long-standing liver disease, so I have to take pills. A year ago, doctors prescribed taking Karsil for liver hepatosis. These pills are tasteless, easy to swallow and work effectively. Judging by the tests that I undergo constantly, everything is normal with me - the organ does not degenerate into fat, it works properly.

Natalya, 37 years old

My husband drank a lot, was a chronic alcoholic, but managed to cope with his addiction. He no longer drinks, but is still undergoing an intensive recovery course. Now he is taking Carsil capsules for liver prevention. They contain milk thistle plant extract, which protects the organ. My husband says he feels good.

Sergey, 24 years old

I suffered from pneumonia, which I was treated with antibiotics for a long time and persistently. In parallel with the treatment, I took Carsil capsules to protect the liver. If I had not done this, it would have been difficult - the organ was already suffering from a constant attack of antibacterial drugs. After being discharged from the hospital, I feel great, my liver does not hurt.

There are many liver diseases that occur as a result of alcohol abuse, poisoning from hydrocarbons that contain halogen, excess heavy metals in the body, treatment with various medications and many other factors. And complications from liver diseases can be very serious, even fatal, and to avoid this it is necessary to undergo a thorough medical examination from time to time and consult a doctor. In addition, to treat liver diseases, you can take Karsil - tablets that are sold in pharmacies without a prescription.

Contraindications and side effects

The drug is usually well tolerated when used correctly. However, it can have side effects if you do not take into account some contraindications:

• children's age, depending on the form of the drug (tablets - under 5 years, capsules - less than 12 years);
• due to the content of wheat starch - celiac disease or allergic reactions to wheat;
• lactose intolerance due to its presence in the product;
• period of pregnancy and lactation (except for those cases where the potential risk to the mother in case of refusal of treatment exceeds the risk to the fetus due to taking the drug);
• allergic reactions to milk thistle fruit extract or any other components of the drug.

Like any other medicine, Karsil can cause allergies. If a rash, swelling, skin itching, fever, lacrimation or other signs appear, you should stop the course of treatment or prevention with this drug. The rapid development of swelling and general deterioration in well-being may be a symptom of a hypersensitivity reaction. In this case, it is worth rinsing the stomach and taking an antihistamine.

The exact dosage depends on the patient’s age and the stage of the disease; it should be discussed with your doctor.

Cases of overdose with Karsil have not been recorded, but you should not intentionally exceed the dosage for a better effect. If an excessive dose of medication was taken by mistake, it is worth rinsing the stomach. Additionally, you can drink a few tablets of any sorbent (the simplest solution is activated carbon) to cleanse the gastrointestinal tract and prevent poisoning.

Karsil is a hepatoprotector of plant origin. It contains effective bioflavonoids, which help strengthen liver cells and cleanse them of poisons and toxins. In its own form, the drug is indicated for cleansing the liver at home or to prevent its damage. For more serious pathologies (hepatitis, fatty liver), it is used in combination with other drugs and has a similar effect.

How is the new option better than the old one?

According to reviews, Karsil Forte works better and faster than the previous version. The manufacturer explains this by the increased concentration of the active component. At the same time, the manufacturer draws attention to the fact that there are no chemicals in both the old and new versions, and the active substance is extracted from spotted milk thistle - the fruits of the plant are collected and processed using a special technique.

If you evaluate the reviews written by experts, Karsil Forte gives the impression of a reliable and effective drug, as it has high bioavailability. This fact is officially explained by an improved formula relative to the first version of the drug. The manufacturer draws attention to the fact that when it enters the body, the maximum amount of the beneficial substance is absorbed. Then all these compounds are sent to stabilize the liver.

Origin and properties of Karsil

A study of the medicinal plant milk thistle showed that the basis of its healing effect is the bioflavonoid silymarin. Three biochemical isoforms of the substance have been identified: silibinin, silicristin, silydianin. They are involved in ensuring the permeability of the cell membrane of hepatocytes, regulate intracellular metabolism at the level of formation of bonds with free radicals.

Stimulation of the synthesis of proteins, phospholipids, inhibition of the supply of fat molecules allows normalizing fat metabolism, inhibits the transformation of hepatocytes into fibrous tissue during inflammation (hepatitis) and prevents obesity of the parenchyma during hepatosis.

Protection against toxic substances is formed by competition at the receptor sites of the cell membrane. Silymarin displaces toxins. The general effect on the liver is as follows:

• protection of hepatocytes from the destructive effects of free radicals and harmful external factors,
• prevention of aging and cell death,
• activation of protein production and restoration of structures,
• strengthening the cell membrane, preventing the penetration of harmful substances and loss of beneficial ones,
• blocking some toxins and poisons, enhancing their processing into harmless compounds,
• improvement of microcirculation of the organ.

Shelf life of the drug Karsil

The therapeutic effect of Karsil has been proven for alcoholic liver damage. The active component of the drug, silymarin, has the ability to neutralize the production of acetaldehyde, which is a strong toxin for the liver, leading to the death of organ cells, causing fatty degeneration and other disorders in the functioning of the organ.

Taking Karsil will help neutralize intoxication symptoms, so it is recommended to take it to eliminate hangover syndrome, as well as to restore liver cells. In addition, the drug blocks the entry of poisons and toxins into the body, which is also considered important for alcohol poisoning.

Complex therapy for hepatitis of various etiologies may also include taking Karsil tablets. It helps prevent the development of liver necrosis, thereby slowing down the disease, preventing destructive processes, stopping fatty degeneration of cells and eliminating disruption of the outflow of bile.

The medicine is often prescribed for viral hepatitis in combination with other drugs. For mild to moderate stages, it is recommended to take 2 tablets 3 times a day. Treatment lasts 3 months, during which the patient must systematically take pills and visit the attending physician, take the necessary tests that will help monitor the dynamics of the disease.

Elena: “I used to cleanse the liver with folk remedies, but then I consulted a doctor, and he advised me to Karsil. I liked the reviews about this product, in addition, I was previously treated for hepatitis, and I need to periodically support my liver. Good pills, I feel like they are working. Compared to the decoctions that I drank before, it’s much faster and more convenient to take.”

Dragee Karsil composition

1 tablet contains:

Active ingredient: milk thistle fruit extract dry (equivalent to silymarin) - 35,000 mg.

Kernel excipients: lactose monohydrate (55.380 mg), wheat starch (55.380 mg), povidone (Kolidon 25) (1.650 mg), microcrystalline cellulose (67.000 mg), magnesium stearate (2.500 mg), talc (7.000 mg), dextrose monohydrate (20,600 mg), sorbitol (4,130 mg), sodium bicarbonate (1,360 mg).

Shell excipients: cellacephate (0.840 mg), diethyl phthalate (0.600 mg), sucrose (162.190 mg), acacia gum (1.562 mg), gelatin (0.860 mg), talc (26.718 mg), titanium dioxide (4.820 mg), macrogol ( PEG 6000) (0.130 mg), Brown Opalux dye (sucrose, red iron oxide, black iron oxide, methyl and propyl parahydroxybenzoate, purified water) (2.250 mg), glycerol (0.030 mg).

Description

Dragees are biconvex in shape, coated with a brown outer layer and a white inner layer.

Fracture appearance: brownish-yellow to light brown.

Pharmacotherapeutic group: hepatoprotective agent

ATX code: [A05BA03]

Pharmacological properties

Pharmacodynamics

Karsil® belongs to the group of hepatoprotective drugs. Contains milk thistle fruit dry extract (silymarin equivalent), which is a mixture of 4 flavonolignan isomers: silibinin, isosilibinin, silydianin and silicristin.

The mechanism of action of the drug is still not well understood. It has been established that the hepatoprotective effect of silymarin is caused by a competitive interaction with toxins on the corresponding receptors in the hepatocyte membrane, thus exhibiting a membrane-stabilizing effect. Silymarin exerts metabolic and cell-regulatory effects by regulating cell membrane permeability, inhibiting the 5-lipoxygenase pathway, particularly leukotriene B4 (LTB4), and binding to reactive oxygen radicals. Stimulates the synthesis of proteins (structural and functional) and phospholipids in affected hepatocytes, accelerating regenerative processes. The action of flavonoids, to which silymarin belongs, is also determined by their antioxidant and microcirculation-improving effects. Clinically, these effects are expressed in the improvement of subjective and objective symptoms and in the normalization of indicators of the functional state of the liver (transaminases, gammaglobulin, bilirubin). This leads to an improvement in general condition, a reduction in complaints related to digestion, and in patients with reduced absorption of food due to liver disease, it leads to an increase in appetite and weight gain.

Pharmacokinetics

After oral administration, silymarin is slowly absorbed from the gastrointestinal tract. Subjected to enterohepatic circulation. Does not accumulate.

When studying C14-labeled silibinin, the highest concentrations are found in the liver and very small amounts in the kidneys, lungs, heart and other organs.

Metabolized in the liver through conjugation. Glucuronides and sulfates are found in bile as metabolites.

The half-life is 6 hours. It is excreted mainly in bile (about 80%) in the form of glucuronides and sulfates and to a small extent (about 5%) in urine.

special instructions

It is not recommended for use in pregnant and lactating women, and if prescribed, it is under strict medical supervision.

It is prescribed with caution to patients with various hormonal disorders (prostate carcinoma, endometriosis, uterine fibroids, breast, uterine and ovarian carcinoma), since the estrogen-like effect of silymarin is possible.

People with vestibular dysfunction should be careful during treatment, as autonomic manifestations may increase.

Does not affect reaction speed.

Interaction

When taking Karsil and oral estrogen-progestin contraceptives in combination, a decrease in the effectiveness of contraceptives was observed.

In case of parallel use with silymarin, it is possible to enhance the effects of anticoagulants (Plavix, Warfarin, Polocard, Clopidogrel); antihistamines (Aleric, Fexofenadine, Histafen, Diazolin); lipid-lowering drugs (Simvastatin, Lovastatin, Vasilip, Klivas, Atorvastatin); antineoplastic drugs (Vinblastine, Neoben, Vincristine, Navirel); psycholeptics (Diazepam, Nozepam, Gidazepam, Alprazolam, Tazepam); antifungal agents (Nizoral, Ketoconazole), due to their suppressive effect on cytochrome P450.

Alcohol compatibility

Liver diseases are incompatible with drinking alcoholic beverages. The ethanol they contain has a destructive effect on hepatocytes, forcing the liver to constantly renew parenchyma cells. The capabilities of the liver are not limitless; over time, it stops replenishing lost cells, and fibrous tissue forms in their place. Liver fibrosis is considered a disease that precedes cirrhosis and carcinoma, so you should not test the strength of this organ with harmful libations.

Drug therapy is also incompatible with alcohol intake. There can be no talk of any compatibility between Karsil and alcohol.

The effect of alcohol on the liver

Review of people's reviews about liver treatment

Reviews about Karsil Forte are generally positive:

1. The drug is sold at an affordable price. One package lasts on average for a month.
2. According to reviews from people, “Karsil Forte” should not be taken once, but for a long time. The course lasts two to three months.
3. The medicine enhances the detoxification function of the liver and protects the organ from the adverse effects of damaging agents. Taking the drug after drinking alcohol promotes faster recovery of the body and eliminates discomfort in the area of ​​the right hypochondrium. A similar effect is observed when taking the drug during overeating, abuse of fatty foods and fast food.
4. According to reviews, people did not experience allergic reactions or other serious side effects while taking Karsil Forte. Sometimes there is an increase in stool frequency.
5. The drug begins to act on the third or fourth day of treatment. For some, a positive effect is achieved by the end of the first week of use.
6. Another advantage is that the capsules are convenient to take. They are quite large in size, but are easily swallowed with water.
7. "Karsil Forte" is taken both for the prevention of liver diseases and for the treatment of viral and alcoholic hepatitis. The drug is not used for monotherapy of liver diseases, but is often included by doctors in complex treatment regimens.
8. The best effect is achieved by following a rational diet with the limitation of fried, fatty, smoked foods and the exclusion of toxic agents (alcohol, and, if necessary, certain medications after appropriate instructions from a doctor).
9. The drug is available without a prescription, but before use it is advisable to undergo an examination and obtain the advice of a specialist.

Composition, physical and chemical properties, price

The drug is available in two dosage forms for internal use: Karsil and Karsil Forte. The composition of the forms of these karsil differs in the group of auxiliary components and the dose of the active substance.

How to take pills (other)

Medicines for the liver after alcohol

• sharp or dull pain in the right hypochondrium;
• disruption of the digestive tract - constipation or diarrhea;
• painful sensations intensify after eating heavy food;
• general deterioration of health, weakness;
• in severe cases, jaundice may occur.

Liver diseases, if they are not caused by infection, often depend on a person’s lifestyle and diet. Eating fatty, fried foods and alcohol, lack of physical activity and other factors stimulate the accumulation of toxins in the liver cells. According to statistics, most patients with liver pathologies are obese.

The lifestyle of a modern person affects the functioning of the liver. Toxins and harmful toxic substances accumulate in its parenchyma, which the organ cannot cope with removing. It is recommended to periodically clean the liver with special preparations to rid it of harmful elements. To do this, it is enough to take Karsil in preventive doses, according to the instructions.

The main symptom of liver dysfunction may be pain in the right hypochondrium

Karsil is indicated for patients suffering from liver diseases. We list the main conditions and diseases for which the drug is prescribed:

• liver inflammation;
• cirrhosis;
• chronic hepatitis;
• severe intoxication;
• steatosis of alcoholic or non-alcoholic type;
• liver maintenance and liver disease prevention.

Minimum course 3 months.

Preventive intake: 1-2 dr. per day.

Treatment regimen, frequency 3 times a day:

• Maintenance therapy: up to 2 days;
• Severe forms: 4 dr.

How to drink Karsil? Doctors recommend taking tablets 20 minutes before meals or 1 hour after meals. The tablets should be swallowed whole, not chewed, and washed down with plenty of water.

If a medication is missed for any reason, it is prohibited to increase the subsequent dose of the drug.

Erkasil is a dietary supplement or medicine

It is important to emphasize that the drug is registered as a biologically active food supplement. We previously wrote how dietary supplements differ from medicines

Moreover, the content of the active substance is identical to the drug Karsil. In both cases, 1 tablet of the drug contains exactly 35 mg of silymarin.

So what's the big deal? Why is this a dietary supplement and not a medicine?

The point here is the features and financial costs of registering the drug in the Russian Federation. Registering a medicine is much longer and more expensive than registering a dietary supplement. Since milk thistle and drugs based on it have repeatedly proven their therapeutic effect, the manufacturer did not conduct additional research on the already proven clinical effectiveness

Thanks to this, patients received a time-tested and inexpensive (which is extremely important for our pensioners) drug

How to buy?

Before going to the pharmacy on the Internet, you should carefully read the instructions for use. The price of Karsil Forte, reviews - all this indicates that the product is affordable, but it would not be superfluous to first clarify how useful the drug will be in a particular case. According to reviews, one package costs about 350 rubles. If there are concerns that Karsil Forte will be ineffective in a particular case, you should first visit a doctor and consult. If a person is sure that he needs such a remedy, he can go directly to the point of sale of pharmaceutical products; Karsil Forte is dispensed without special medical permission or a prescription.

Review of people's reviews about liver treatment

Analyzing the reviews of people treated with Karsil, it can be seen that most patients positively evaluate the effect of the drug.
According to reviews, Karsil received 94% positive recommendations from consumers. This result inspires confidence in the medicine, especially since from the stories described by patients it follows that the drug has been tested by different generations. In many families, Karsil has been used for several decades and is called one of the main medicines in the home medicine cabinet.

The medicine is positively assessed not only by those suffering from hepatitis, but also by those who have to take various medications for years for chronic diseases, such as antihypertensives.

Among the rare indications of shortcomings, one can read dissatisfaction with the presence of gluten, lactose and sucrose in the composition, the need to be treated for at least 3 months and a “frightening list of side effects,” although they appear extremely rarely.