Silimarina Uses

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Silimarina indications

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Pernicious anemia, both uncomplicated and accompanied by nervous system involvement.

Dietary deficiency of Vitamin B12, occurring in strict vegetarians and in their breast-fed infants. (Isolated vitamin B12 deficiency is very rare).

Malabsorption of vitamin B12, resulting from structural or functional damage to the stomach, where intrinsic factor is secreted or to the ileum, where intrinsic factor facilitates vitamin B12 absorption. These conditions include tropical sprue, and nontropical sprue (idiopathic steatorrhea, gluten-induced enteropathy). Folate deficiency in these patients is usually more severe than vitamin B12 deficiency.

Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy). Total gastrectomy always produces vitamin B12 deficiency.

Structural lesions leading to vitamin B12 deficiency include regional ileitis, ileal resections, malignancies, etc.

Competition for Vitamin B12 by intestinal parasites or bacteria.

The fish tapeworm (Diphyilobothrium latum) absorbs huge quantities of vitamin B12 and infested patients often have associated gastric atrophy. The blind-loop syndrome may produce deficiency of Vitamin B12 or folate.

Inadequate utilization of vitamin B12. This may occur if antimetabolites for the vitamin are employed in the treatment of neoplasia.

For the Schilling Test.

Uses of Silimarina in details

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Silimarina is a liver protectant and antioxidant. Treatment with Silimarina has shown slightly improved liver function, and showed improvement in patients with type 2 diabetes and diabetic nephropathy (kidney disease).

Silimarina description

Each 70-mg capsule contains Silibinin 70 mg (calculated as Silimarina) in dried extract of milk thistle fruits 86.5-93.3 mg while the 140-mg capsule contains Silibinin 140 mg (calculated as Silimarina) in dried extract of milk thistle fruits 173-186.6 mg.

Silimarina dosage

Unless otherwise directed by the physician: Adults and Children >12 years: Usual Dose: Initially, 1 cap 3 times daily.

Maintenance Dose: 1 cap 2 times daily.

Administration: Silimarina should be taken whole with some liquid before meals.

The physician should decide on the length of treatment.

Silimarina interactions

Fish lipid oil prevents blood clotting too quickly, therefore patients who are treated with anticoagulants must consult their doctor before taking Silimarina.

Silimarina side effects

Body as a Whole: Enlarged abdomen, asthenia, body odor, chest pain, chills, suicide, fever, generalized edema, fungal infection, malaise, neck pain, neoplasm, rheumatoid arthritis, and sudden death.

Cardiovascular System: Arrhythmia, bypass surgery, cardiac arrest, hyperlipemia, hypertension, migraine, myocardial infarct, myocardial ischemia, occlusion, peripheral vascular disorder, syncope, and tachycardia.

Digestive System: Anorexia, constipation, dry mouth, dysphagia, colitis, fecal incontinence, gastritis, gastroenteritis, gastrointestinal disorder, increased appetite, intestinal obstruction, melena, pancreatitis, tenesmus, and vomiting.

Hematologic-Lymphatic System: Lymphadenopathy.

Infections and Infestations: Viral infection.

Metabolic and Nutritional Disorders: Edema, hyperglycemia, increased ALT, and increased AST.

Musculoskeletal System: Arthralgia, arthritis, myalgia, pathological fracture, and tendon disorder.

Nervous System: Central nervous system neoplasia, depression, dizziness, emotional lability, facial paralysis, insomnia, vasodilatation, and vertigo.

Respiratory System: Asthma, bronchitis, increased cough, dyspnea, epistaxis, laryngitis, pharyngitis, pneumonia, rhinitis, and sinusitis.

Skin: Alopecia, eczema, pruritus, and sweating.

Special Senses: Cataract.

Urogenital System: Cervix disorder, endometrial carcinoma, epididymitis, and impotence.

Silimarina contraindications

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Hypersensitivity to milk thistle fruits and/or other plants of the compositae, or to any of the excipients of Silimarina.

Active ingredient matches for Silimarina:

Silibinin in Colombia.

Silymarin in Romania.


List of Silimarina substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Capsule; Oral; Milk Thistle (Bionorica)
Silimin 150 mg x 30's
Silimin 150 mg x 1000's
Silin 100 mg
Silirin 150 mg x 3 x 10's, 60's, 100 x 10's, 1000's
70 mg x 10's (Finecure Pharmaceuticals Ltd)
140 mg x 10's (Finecure Pharmaceuticals Ltd)
35 mg x 5 mL x 100ml (Finecure Pharmaceuticals Ltd)
Siliv 70mg TAB / 10 (Finecure Pharmaceuticals Ltd)
Siliv 140mg TAB / 10 (Finecure Pharmaceuticals Ltd)
Siliv 35mg x 5mL SUSP / 100ml (Finecure Pharmaceuticals Ltd)
Siliv 140 mg Tablet (Finecure Pharmaceuticals Ltd)$ 0.06
Siliv 100 ml Suspension (Finecure Pharmaceuticals Ltd)$ 0.03
Siliv 70 mg Tablet (Finecure Pharmaceuticals Ltd)$ 0.04
SILIV tab 70 mg x 10's (Finecure Pharmaceuticals Ltd)$ 0.41
SILIV tab 140 mg x 10's (Finecure Pharmaceuticals Ltd)$ 0.60
SILIV oral susp 35 mg x 5 mL x 100ml (Finecure Pharmaceuticals Ltd)$ 0.66
Siliv 70mg TAB / 10 (Finecure Pharmaceuticals Ltd)
Siliv 140mg TAB / 10 (Finecure Pharmaceuticals Ltd)
Siliv 35mg x 5mL SUSP / 100ml (Finecure Pharmaceuticals Ltd)
Silliver 70 mg x 120's (Abbott)
Silliver 70 mg x 500's (Abbott)
70 mg x 100's (Sidhbali Formulation)$ 4.16
Silmi 70mg TAB / 100 (Sidhbali Formulation)$ 4.16
Silmi 70 mg Tablet (Sidhbali Formulation)$ 0.04
SILMI tab 70 mg x 10's (Sidhbali Formulation)$ 0.42
Silmi 70mg TAB / 100 (Sidhbali Formulation)$ 4.16
Siluma 70 mg
Capsule; Oral; Milk Thistle (Sanum-kehlbeck)

References

  1. PubChem. "silibinin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  2. DrugBank. "Silibinin A". http://www.drugbank.ca/drugs/DB09298 (accessed September 17, 2018).
  3. DTP/NCI. "NSC651520: The NCI Development Therapeutics Program (DTP) provides services and resources to the academic and private-sector research communities worldwide to facilitate the discovery and development of new cancer therapeutic agents.". https://dtp.cancer.gov/dtpstandard/s... (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Silimarina are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Silimarina. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.

User reports

Consumer reported useful

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2 consumers reported age

Users%
46-601
50.0%
16-291
50.0%


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Information checked by Dr. Sachin Kumar, MD Pharmacology

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