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  3. Heptral 400mg Tablet
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Quick summary
Quick Summary

Heptral 400mg Tablet

Prescription Required
ademetionine
Written By:Dr. Vijayalakshmi N.BDS Reviewed By:Dr. Tejashwin AdigaMBBS

Last updated on 13 May 2026 | 08:37 AM (IST)

₹1167

MRP: ₹1457.51

(You Save ₹290.51)

10 TABLET(s) IN A STRIP

Heptral 400mg Tablet is a prescription medicine used to support liver health and treat certain liver related conditions such as intrahepatic cholestasis and liver disorders associated with depression. It contains ademetionine (S-adenosyl-L-methionine), which helps improve liver function, supports detoxification processes, and protects liver cells from damage. Heptral 400mg Tablet should be taken under medical supervision as part of a comprehensive liver care plan.

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Heptral 400mg Tablet
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Heptral 400mg Tablet


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Required

Salt Composition

ADEMETIONINE

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ABBOTT

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Heptral 400mg Tablet
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We are Rated 4.8 ⭐️ On Google

₹1167

MRP: ₹1,457.51

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10 Tablet(s) In A Strip

10 Tablet(s) In A Strip

₹ 116.7/Unit

10 TABLET(s) IN A STRIP


Prescription Required
Prescription Required

Salt Composition

ADEMETIONINE

Marketer

ABBOTT


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Substitutes

Hepura 400mg Tablet

ADLIB BIOLOGICA...

₹ 70.90/tablet

39% cheaper

Hepkart 400mg Tablet

WATERLEY PHARMA...

₹ 78.00/tablet

33% cheaper

Viadali 400mg Tablet

MYLAN PHARMACEU...

₹ 83.00/tablet

28% cheaper

Cirrosam 400mg Tablet 15's

LA RENON HEALTH...

₹ 104.93/tablet

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Introduction

The Heptral 400mg tablet contains an active component called the Ademetionine. It can be used to treat intrahepatic cholestasis, a condition in which bile flow from the liver is reduced. It can also be used to treat other types of liver disease, such as cirrhosis and alcoholic hepatitis. It is effective in treating major depressive disorder. 

This medication helps to promote the production of bile, which is a fluid that helps to digest fats and remove toxins from the body. Heptral tablet can also be used to treat osteoarthritis pain and inflammation. It works by reducing the production of inflammatory chemicals and promoting cartilage repair. 

If you are allergic to heptral 400 mg tab or any other ingredient in the medication, you should not take Heptral 400 mg tab. This medication may trigger manic episodes in people with bipolar disorder, so it is not recommended for this population. It has not been studied extensively in pregnant or breastfeeding women, so it is best to avoid it during these times. 

It may be harmful to people with severe kidney function impairment. Tab Heptral 400 mg should not be used in people with Parkinson's disease, as it may worsen the symptoms. It should be avoided in cases of homocystinuria as it may worsen its symptoms. It is generally safe for older adults. 

However, it is important to consult a healthcare provider before using it in old age. Ademetionine has not been studied extensively in children, so it is best to avoid it in this population unless specifically recommended by a doctor. Heptral 400 mg tablet price varies depending on the seller and location.

Uses

Heptral 400 tablet uses include:

  • Hepatoprotective
  • Antidepressant
  • Chondroprotective
  • Antioxidant
  • Nootropic

How Heptral 400mg Tablet Works

Ademetionine works by donating methyl groups to other molecules, which is essential for many cellular functions, including DNA repair, gene expression, and protein synthesis. It is also a precursor to glutathione, a powerful antioxidant that protects cells from damage. Additionally, it is involved in the production of bile, which helps to digest fats and remove toxins from the body.

Interaction of Heptral 400mg Tablet with other drugs

Inform the doctor about your medicines, including prescription, over-the-counter, nutritional or vitamin supplements, and herbal products. Certain medications may interact with the Ademetionine, reducing effectiveness by causing undesirable side effects.

Storage Conditions

  • Store at room temperature, between 20°C to 25°C
  • Keep away from moisture, heat, and light.
  • It should not be frozen.
  • Keep away from children and pets.

How to take Heptral 400mg Tablet

Ademetionine can be administered orally, intravenously, intramuscularly, or rectally. The route selection depends on the specific condition being treated and the intended therapeutic effect. Heptral 400 dosage should be adjusted based on the patient's medical condition and response to treatment.

Safety Advice for Heptral 400mg Tablet

Breast Feeding-Consult your doctor

Breast Feeding

Consult Your Doctor

It is important to consult with a healthcare provider before taking Ademetionine as it has not been studied extensively in breastfeeding women.

Alcohol-unsafe

Alcohol

Unsafe

It is not safe alcohol while taking Ademetionine, as alcohol can exacerbate certain side effects.

Liver-Consult your doctor

Liver

Consult Your Doctor

If you have liver disorders, informing your healthcare provider before starting the Ademetionine is important.

Lungs-Consult your doctor

Lungs

Consult Your Doctor

Consult your healthcare provider if you have a history of lung conditions before using the Ademetionine.

Driving-Consult your doctor

Driving

Consult Your Doctor

Ademetionine is not known to impair cognitive or motor function. Therefore, it does not typically interfere with the ability to drive or operate machinery. If you experience these symptoms, consult your healthcare provider if you experience side effects.

Pregnancy-Consult your doctor

Pregnancy

Consult Your Doctor

Ademetionine has not been studied extensively in pregnant women, so it is best to avoid it during these times.It is important to consult with a healthcare provider to assess the individual situation.

Side Effects

Heptral 400 mg side effects are unwanted symptoms caused by medicines. Even though all drugs cause side effects, not everyone gets them. The heptral 400 side effects are:

Serious

  • Allergic reactions
  • Mania or hypomania
  • Serotonin syndrome
  • Worsening liver disease

Common

  • Abdominal discomfort
  • Nausea and vomiting
  • Headache
  • Dizziness
  • Insomnia
  • Anxiety

Expert tips

  • Medical conditions and supervision – Do not use Ademetionine if you have bipolar disorder, Parkinson’s disease, or a history of mania without consulting a doctor. Children should only take it under medical supervision.

  • Pregnancy and other health conditions – Avoid this medicine during pregnancy and breastfeeding. Use with caution if you have anxiety disorders, diabetes, or other underlying health issues.

  • Side effects and dosage – Common side effects include stomach upset, dry mouth, headache, and mild insomnia. Always follow the recommended dosage and do not exceed it.

  • Surgery and bleeding risk – Stop taking Ademetionine at least two weeks before surgery. If you have a bleeding disorder or are on medicines that increase bleeding risk, consult your doctor before use.

FAQs about Heptral 400mg Tablet

Q1.

Are there any dietary restrictions to consider when taking Ademetionine?

While there are no specific dietary restrictions while taking Ademetionine, it is advisable to follow a balanced diet as recommended by a healthcare provider.

Q2.

What are the potential side effects of Ademetionine?

Some common side effects of Ademetionine may include gastrointestinal disturbances, dry mouth, headache, and mild insomnia. However, individual reactions may vary.

Q3.

Can Ademetionine be used long-term?

The long-term use of Ademetionine should be monitored by a healthcare provider, especially if it is used to manage chronic conditions. Regular check-ups and discussions with a healthcare provider can help assess the ongoing benefits and any potential risks associated with long-term use.

Q4.

Are there any lifestyle changes recommended when taking Ademetionine?

While there are no specific lifestyle changes required while taking Ademetionine, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can contribute to overall well-being and may complement the effects of Ademetionine.

Q5.

When can I expect Ademetionine to show its effects?

The onset of effects of Ademetionine can vary depending on the condition being treated. It is important to follow the prescribed dosage and consult a healthcare provider to determine the appropriate duration for the desired effects.

Q6.

Are there any specific populations that should avoid using Ademetionine?
 

Certain populations, such as individuals with specific medical conditions or a history of certain psychiatric disorders, should use Ademetionine with caution or avoid its use altogether. Consult a healthcare provider for personalized advice based on individual health status and medical history.

Fact Box

Molecule name:  

Ademetionine

Therapeutic class:

Hepatoprotective agents 

Pharmacological class:

Sulfur-containing amino acid derivative.

Indications: 

1. Hepatoprotective

2. Antidepressant

3. Chondroprotective

4. Antioxidant

5. Nootropic

References

  1. Abbott Laboratories, [Accessed on 25th Oct 2023], https://www.medicine.abbott/content/dam/bss/divisionalsites/epd/productpdf/Transmetil%20500mg.pdf

  2. Mazen Noureddin et al., Early treatment efficacy of S-adenosylmethionine in patients with intrahepatic cholestasis: A systematic review;[Published on Feb 2020][Accessed on 25th Oct 2023] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061266/

  3. S-adenosylmethionine; [Accessed on 25th Oct 2023]; http://accurateclinic.com/wp-content/uploads/2016/02/S-adenosylmethionine-University-of-Maryland-Medical-Center. pdf#2 

Disclaimer

MrMed’s primary intention is to ensure that its consumers get information that is reviewed by experts, accurate and trustworthy. The information and contents of this website are for informational purposes only. They are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of your doctor and discuss all your queries related to any disease or medicine. Do not disregard professional medical advice or delay in seeking it because of something you have read on MrMed. Our mission is to support, not replace, the doctor-patient relationship.

Did you find this information helpful?

Author Details
Dr. Vijayalakshmi N.

Written By

Dr. Vijayalakshmi N.

BDS


Dr. Tejashwin Adiga

Reviewed By

Dr. Tejashwin Adiga

MBBS


Last updated : 13 May 2026 | 08:37 AM (IST)

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