S Methiwave 200mg Tablet 10'S

Introduction About S METHIWAVE 200MG TABLET

S METHIWAVE 200MG TABLET contains S-Adenosyl-L-Methionine which belongs to the
group of medicines called Amino acid derivatives. It is used to manage liver
problems such as intrahepatic cholestasis (ICP; block in bile flow), liver
cirrhosis, hepatitis and alcoholic liver disease in adults.

It can also be used to manage ICP of pregnancy and can reduce the fatigue caused
by chronic liver problems. It also helps to reduce joint pain (osteoarthritis),
fibromyalgia (severe muscle pain with memory and mood problems), anxiety,
depression and other mental illnesses.

Before taking S METHIWAVE 200MG TABLET inform your doctor if you have any kidney
problems. You must also inform your doctor if you have bipolar disorder or a
previous history of suicidal thoughts as a precaution.

Vitamins such as folic acid and vitamin B12 are essential to enhance the effects
of S-Adenosyl-L-Methionine in your body. Therefore, inform your doctor if you
have any vitamin deficiencies or anemia as a precaution. You doctor may advise
you to take B-vitamin supplements (folic acid and vitamin B12) along with this
medicine.

During management with S METHIWAVE 200MG TABLET your doctor will routinely
monitor the levels of ammonia, folic acid and vitamin B12 in your blood as a
precaution and adjust the dose accordingly.

Do not take S METHIWAVE 200MG TABLET without consulting your doctor if you are
pregnant or breastfeeding. The most common side effects of taking S METHIWAVE
200MG TABLET are nausea, stomach pain and diarrhea. Consult your doctor if they
trouble you.

Uses Of S METHIWAVE 200MG TABLET

It is used in adults to manage:

• intrahepatic cholestasis (ICP) in patients with or without liver disease
• intrahepatic cholestasis during pregnancy
• liver diseases (liver cirrhosis, hepatitis and alcoholic liver disease)
• fatigue caused due to chronic liver problems
• anxiety, depression and other mental illnesses
• osteoarthritis (joint pain)
• fibromyalgia (severe muscle pain causing memory and mood changes)

How S METHIWAVE 200MG TABLET Works

S METHIWAVE 200MG TABLET protects your liver against various toxins (free
radicals) and helps your liver to function normally. It improves the levels of
glutathione (an antioxidant) in the liver which helps in managing further liver
cell damage.

It also increases the levels of certain chemical messengers (such as dopamine,
noradrenaline, adrenaline, serotonin, melatonin) in the brain that can stabilize
mood and mental health. It can also reduce the production of certain chemicals
in the body that causes pain and inflammation.

How to use S METHIWAVE 200MG TABLET

Take S METHIWAVE 200MG TABLET as advised by your physician. Swallow the medicine
with a glass of water. Do not cursh or chew the medicine. It is preferably taken
before meals.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and disease condition.

Side Effects Of S METHIWAVE 200MG TABLET

Common

• Nausea
• Stomach pain
• Diarrhea
• Bloating
• Stomach discomfort

Rare

Stop taking S METHIWAVE 200MG TABLET and consult your doctor immediately if you
experience any of the following side effects:

• signs of serotonin syndrome (such as feeling agitated, hallucinations, confusion, loss of consciousness, fast heartbeat, feeling dizzy, increased sweating, flushing, tremors, stiff muscles or muscle twitching, loss of coordination, nausea, vomiting, diarrhea or seizures)
• signs of allergic reactions (such as skin rash, swelling of the hands, face, tongue, neck or throat, increased fluid in tissues, fast heart rate, difficulty in breathing)
• worsening of depression

How To Manage Side Effects

Nausea or vomiting:

Take this medicine with or just after meals. Stick to simple meals. Avoid eating
rich or spicy food. Contact your doctor if nausea worsens.

Diarrhoea:

Drink fluids, such as water or fruit juice in enough quantity to keep yourself
hydrated. Don’t take any medicine on your own for managing diarrhoea without
talking to your doctor. Contact your doctor if diarrhoea worsen.

Warning & Precautions

!### Pregnancy

S METHIWAVE 200MG TABLET is not recommended for use in pregnant women unless
considered necessary by the physician. Therefore, consult your doctor before
taking it.

!### Breastfeeding

S METHIWAVE 200MG TABLET is not recommended for use in breastfeeding women
unless considered necessary by the physician. Therefore, consult your doctor
before taking it.

!### Driving and Using Machines

Do not drive or operate any heavy tools or machines if you experience dizziness
after taking S METHIWAVE 200MG TABLET as a precaution.

!### Kidney

S METHIWAVE 200MG TABLET should be used with caution in patients with kidney
diseases. Therefore, consult your doctor before taking it.

!### Allergy

Do not take S METHIWAVE 200MG TABLET if you are allergic to
S-Adenosyl-L-Methionine.

Others

S METHIWAVE 200MG TABLET is not recommended for use if you:

• have bipolar disease (alternative episodes of happiness and sadness)

Before taking S METHIWAVE 200MG TABLET, inform your doctor if you:

• have anemia (low RBC in blood)
• have vitamin B12 or folic acid deficiency
• have a previous history of suicidal thoughts

Use in pediatrics:

The safety and effectiveness of S METHIWAVE 200MG TABLET have not been
established in children and adolescents (aged below 18 years). Therefore,
consult your doctor for advice before taking it.

Use in geriatrics:

S METHIWAVE 200MG TABLET should be used with caution in elderly patients (aged
65 years or above). Therefore, consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking S METHIWAVE 200MG TABLET, inform your doctor if you are taking any
of the following medicines such as:

• other medicines used to manage depression (Ex. phenelzine, iproniazid, isocarboxazid, nialamide, tranylcypromine, moclobemide, fluoxetine, paroxetine, clomipramine, amitriptyline, imipramine etc.)
• levodopa (a medicine used to manage Parkinson’s disease)
• tryptophan (an amino acid used to induce sleep)

Overdosage:

If you or anyone else accidentally took more S METHIWAVE 200MG TABLET, consult
your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	S-Adenosyl-L-Methionine
Pharmacological Category	:	Amino acid Derivatives
Therapeutic Indication	:	Liver disease, Depression, Osteoarthritis
Dosage Forms	:	Tablet, Capsule

More Information

• Keep S METHIWAVE 200MG TABLET out of sight and reach of children
• Store S METHIWAVE 200MG TABLET below 25°C

FAQs About S METHIWAVE 200MG TABLET

What is the use of S METHIWAVE 200MG TABLET?

S METHIWAVE 200MG TABLET is used to manage liver problems such as intrahepatic
cholestasis (ICP; block in bile flow), liver cirrhosis, hepatitis and alcoholic
liver disease in adults. It can also be used to manage ICP of pregnancy and can
reduce the fatigue caused by chronic liver problems. It also helps to reduce
joint pain (osteoarthritis), fibromyalgia (severe muscle pain with memory and
mood problems), anxiety, depression and other mental illnesses.

Can [GBNKEWORD] reduce liver damage?

Yes. S METHIWAVE 200MG TABLET protects your liver against various toxins (free
radicals) and helps your liver to function normally. It also improves the levels
of glutathione (an antioxidant) in the liver which helps in managing further
liver cell damage.

What is the best time to take S METHIWAVE 200MG TABLET?

Take S METHIWAVE 200MG TABLET approximately at the same time each day. You can
take S METHIWAVE 200MG TABLET either in the morning or in the evening as per
doctor’s instructions. Taking it at the same time each day will have the best
effect and it would also help you remember your daily dose.

Can S METHIWAVE 200MG TABLET be used to reduce anxiety?

S METHIWAVE 200MG TABLET has been shown to reduce anxiety. It works by
increasing the levels of certain chemicals within the brain that controls mood
and mental health.

How does S METHIWAVE 200MG TABLET works?

S METHIWAVE 200MG TABLET protects your liver against various toxins (free
radicals) and helps your liver to function normally. It also increases the
levels of certain chemical messengers (such as dopamine, noradrenaline,
adrenaline, serotonin, melatonin) in the brain that can stabilize mood and
mental health. It can also reduce the production of certain chemicals in the
body that causes pain and inflammation.

Can S METHIWAVE 200MG TABLET be used in children?

The safety and effectiveness of S METHIWAVE 200MG TABLET have not been
established in children and adolescents (aged below 18 years). Therefore,
consult your doctor for advice before taking it.

What to do if I forget to take a dose of S METHIWAVE 200MG TABLET?

If you forget to take a dose of S METHIWAVE 200MG TABLET, take it as soon as you
remember. However, if it is time to take the next dose, skip the missed dose and
take the next one at regular times. Do not take a double dose of S METHIWAVE
200MG TABLET to compensate a missed dose, as it could lead to toxicity.

Will taking a higher dose of S METHIWAVE 200MG TABLET than the prescribed one
be beneficial?

No, taking a higher dose of S METHIWAVE 200MG TABLET will not be effective
rather it can lead to toxicity. Always take the dose prescribed by your doctor.
If the prescribed dose is not effective for you, consult your doctor for advice.
Your doctor might increase the dose or suggest an alternative therapy.

Can S METHIWAVE 200MG TABLET be taken daily?

Yes. S METHIWAVE 200MG TABLET can be taken daily as per your doctor’s
instruction. However, if you are doubtful, consult your doctor.

Can S METHIWAVE 200MG TABLET be used in pregnant women?

S METHIWAVE 200MG TABLET is not recommended for use in pregnant women unless
considered necessary by the physician. Therefore, consult your doctor before
taking it.

How to take S METHIWAVE 200MG TABLET?

Take S METHIWAVE 200MG TABLET as advised by your physician. It is preferably
taken before meals. Swallow the medicine with a glass of water. Do not chew or
crush the medicine.

Can I stop taking S METHIWAVE 200MG TABLET once I started feeling better?

Do not stop taking S METHIWAVE 200MG TABLET without consulting your doctor as it
may make your symptoms re-appear

What are the side effects of S METHIWAVE 200MG TABLET?

The most common side effects of taking S METHIWAVE 200MG TABLET are nausea,
stomach pain and diarrhoea. Consult your doctor if they trouble you.

Is S METHIWAVE 200MG TABLET safe?

S METHIWAVE 200MG TABLET is safe at doses prescribed by the doctor. Do not alter
the dosage of S METHIWAVE 200MG TABLET without consulting your doctor.

Useful Diagnostic Tests

• Liver function test
• Bilirubin Direct
• Bilirubin indirect
• Bilirubin Total