L-Ornithine L-Aspartate: Uses, Side Effects & Brands in Pakistan
L-Ornithine L-Aspartate is an amino acid medicine that lowers ammonia in liver disease. It is a prescription medicine used for hepatic encephalopathy, cirrhosis and liver disease with high ammonia. In Pakistan it is available as syrup, injections and infusions, made by 3 different manufacturers. On this page you can read how it works, its common side effects and precautions, and compare the brands and prices available at Medimart.
How L-Ornithine L-Aspartate works
L-ornithine and L-aspartate are amino acids that feed the body's own ammonia-clearing pathways. They help the liver turn ammonia into urea, which is passed out in the urine, and help muscles bind ammonia into glutamine. This lowers the amount of ammonia reaching the brain.
What is L-Ornithine L-Aspartate used for?
- Hepatic encephalopathy
- Cirrhosis
- Liver disease with high ammonia
L-Ornithine L-Aspartate is used in people with chronic liver disease, such as cirrhosis, to lower high blood ammonia levels. Raised ammonia can affect the brain and cause hepatic encephalopathy, with confusion, sleepiness, poor concentration and personality changes. It is given as an infusion in hospital or as granules by mouth, usually alongside other treatments such as lactulose.
Side effects of L-Ornithine L-Aspartate
Side effects with L-Ornithine L-Aspartate are uncommon and mostly mild. They can include:
- Nausea
- Vomiting
- Stomach discomfort
- Wind or bloating
- Diarrhoea
Seek urgent help for increasing confusion, extreme drowsiness, vomiting blood or black stools, as these can signal worsening liver disease or bleeding.
Precautions and warnings
- Tell your doctor if you have severe kidney disease, as L-Ornithine L-Aspartate is not suitable for people with severe kidney failure.
- Follow your doctor's advice on diet and fluids, and avoid alcohol completely.
- Keep taking other prescribed treatments, such as lactulose, unless your doctor says otherwise.
- Do not drive if you feel confused or drowsy.
- Use it during pregnancy or breastfeeding only if your doctor advises it.
Frequently asked questions about L-Ornithine L-Aspartate
What is the price of L-Ornithine L-Aspartate in Pakistan?
At Medimart, L-Ornithine L-Aspartate products currently in stock range from Rs 449 to Rs 1,242 per pack, depending on the brand, strength and pack size. The lowest-priced option right now is Levijon Syrup 120ml at Rs 449. Prices are updated regularly, so the product list on this page always shows the latest price.Which brands of L-Ornithine L-Aspartate are available in Pakistan?
L-Ornithine L-Aspartate is sold in Pakistan under brand names such as Hepa (Brookes Pharmaceutical Labs (Pak) Ltd), Hepa-merz (Brookes Pharmaceutical Labs (Pak) Ltd), Levijon (Sami Pharma Ltd) and Hepatec (Genetics Pharmaceuticals).Do I need a prescription for L-Ornithine L-Aspartate?
Yes. L-Ornithine L-Aspartate is a prescription medicine in Pakistan. Use it only when a doctor has prescribed it, at the dose and for the time they advise.
Can L-Ornithine L-Aspartate be used during pregnancy?
Use it during pregnancy or breastfeeding only if your doctor advises it.
Are all L-Ornithine L-Aspartate brands the same?
Brands that contain the same amount of L-Ornithine L-Aspartate in the same form are expected to work in the same way, although inactive ingredients, pack sizes and prices differ. Ask your doctor or pharmacist before switching from one brand to another.
L-Ornithine L-Aspartate brands and prices in Pakistan
Medimart lists 9 products containing L-Ornithine L-Aspartate from different manufacturers. Compare strengths, pack sizes and prices below and order online with cash on delivery.