ZOHEP SUSPENSION 200ML Prescription Required

LIFELINE REMEDIES(INDIA)PVT LT
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Retailer: ANN Pharma and Food Solutions Pvt. Ltd.
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Rs.151.91 Rs.159.90
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ZOHEP SUSPENSION 200ML has the following salts in its composition

 1) Silymarin  2) Vitamins 3) Tricholine citrate

Uses Of ZOHEP SUSPENSION 200ML

Uses Of Salt: Silymarin

Silymarin is used for the treatment of following:

Uses Of Salt: Tricholine citrate

It is used in hepatic disorder like Fatty liver and Liver cirrhosis. In Fatty liver, it converts deposited fat in to lecithin and other similar fats. Lecithin is a type of high density lipid which lowers the cholesterol level in body.

It is also used in treatment of Asthma along with cyproheptadine.

Side Effects Of ZOHEP SUSPENSION 200ML

Side Effects Of Salt: Silymarin

Please consult your doctor if the following happens:

  • Diarrhoea
  • Abdominal Bloating
  • Flatulence (accumulation of gas in alimentary canal)
  • Anorexia
  • Nausea
  • Upset Stomach

Side Effects Of Salt: Tricholine citrate

It can cause hypersensitivity in some individuals. Some other side effects like diarrhoea, constipation, nausea, vomiting are also documented.

Contraindications Of ZOHEP SUSPENSION 200ML

Contraindications Of Salt: Silymarin

Please inform your doctor if you have any of the following conditions:

  • Pregnancy
  • Breast-feeding
  • Fibroids

Contraindications Of Salt: Tricholine citrate

It is contraindicated in pregnant woman.

What Is Acidity

Acidity is a set of symptoms caused due to excess production of acid by gastric glands of the stomach. The stomach usually secretes hydrochloric acid that is required for breakdown and digestion of food eaten by us. Excess production of hydrochloric acid causes acidity.

What Is Diabetes Mellitus Type 2

Diabetes mellitus (type 2) is characterized by high blood sugar, relative lack of insulin and insulin resistance. It is a long term metabolic disorder.

Long term complications of diabetes are diabetic retinopathy, resulting in blindness, heart disease, strokes, kidney failure, poor flow of blood in limbs requiring amputation.

What Is High Cholesterol

Dyslipidaemia or high cholesterol indicate the imbalance of fats (or lipids) in one’s blood system.

High cholesterol or dyslipidaemia, means that there is an imbalance of fats (or lipids), circulating in one’s blood stream. The body uses cholesterol (the fatty substance) to metabolize food and also make hormones.

The following three different measurements are used to determine one’s overall lipid health:

1.    Low-Density Lipoprotein (bad cholesterol, LDL): The higher LDL, the more is the risk of cardiovascular disease. LDL obstructs the proper blood flow into the heart and other organs by building up plaque in arteries.

2.     High-Density Lipoprotein (Good cholesterol, HDL): HDL brings back the cholesterol to the liver from other parts of the body, thus removing the harmful cholesterols from your body. The higher the HDL, the better it is for the heart.

3.   Triglycerides – Also referred to as fat in the blood. This type of fat is usually found in eatable animal fats and vegetable oils. High levels of Triglycerides signify the increased risk of cardiovascular disease as it also contributes to building up of a plaque in one’s arteries

What Is Asthma

  • Asthma is a chronic inflammatory condition of the airways in the lungs. Asthma can either be allergic (most common) or non-allergic.
  • Allergic asthma is due to an allergic response known as a type 1 hypersensitivity reaction. People with asthma’s airways are hypersensitive to certain triggers. The allergic reaction causes narrowing of the small airways and leads to "air trapping" (known as an obstructive airway disease)
  • There are different types of asthma- childhood onset asthma (usually before the age of 5), adult-onset asthma, exercise-induced asthma and aspirin induced asthma. Some asthma is known as seasonal asthma and occurs only at certain times of the year, usually with the changing of seasons such as during autumn or spring.
  • Asthma is diagnosed with lung function tests. A spirometer or a PEFM (Peak Expiratory Flow Meter) is used in conjunction with a bronchodilator. The meter is used to assess your lung function before and after inhaling a fast-acting bronchodilator. A diagnosis of asthma is made when there is an improvement in lung function of more than 20% (PEFM) or more than 12%(when using a spirometer) after the bronchodilator is inhaled.
  • Asthma is diagnosed when a patient has suggestive symptoms and a positive bronchodilator test.

Symptoms Treated With ZOHEP SUSPENSION 200ML

What Are The Symptoms Of Acidity

Common symptoms of acidity are:

  • Indigestion
  • Heartburn
  • Ulcers in stomach
  • Gastric inflammation 

What Are The Symptoms Of Diabetes Mellitus Type 2

Common symptoms include increased thirst, frequent urination, and unexplained weight loss. Some patients may also feel increased hunger, feeling of tiredness, and sores that do not heal. 

What Are The Symptoms Of High Cholesterol

Usually, high cholesterol doesn’t have much of symptoms initially, except chest pain. However, it can lead to sudden heart attack or stroke, if it goes unnoticed.

What Are The Symptoms Of Asthma

  • Symptoms of asthma are typically a wheezy or "tight" chest, shortness of breath and recurrent or persistent coughing that is worse at night and early mornings. Coughing or tight chest are often also present after exercise.
  • Exercise-induced asthma typically only produces symptoms after exercise. 

Causes of diseases where ZOHEP SUSPENSION 200ML is used

What Are The Causes Of Acidity

Acidity can be caused by any of the following reasons:

  • Eating spicy foods, junk foods, irregular eating
  • Smoking
  • Stress
  • Alcoholism
  • Sedentary life style

What Are The Causes Of Diabetes Mellitus Type 2

Type 2 diabetes mainly occurs because of obesity and lack of exercise. Some people are at more risk genetically than others. Type 2 diabetes can be prevented by regular exercise, maintaining normal weight and proper diet.

What Are The Causes Of High Cholesterol

  • Obesity
  • Eating fatty foods
  • No physical exercise
  • Age (after 20, it starts to rise).
  • Family history

What Are The Causes Of Asthma

  • Mostly asthma starts in childhood and is often outgrown in early adulthood. Some asthmatics may, however, need treatment lifelong.
  • Asthma has a strong genetic component and is part of the so-called "atopic triad" in childhood which includes allergic rhinitis, atopic dermatitis (eczema) and asthma.
  • Early insult to a child's lungs such as neonatal pneumonia or bronchitis may play a role in developing asthma later.
  • People with asthma have individual triggers. These triggers are commonly sensitivities to house-dust mites, grass, pollen, animal dander, dairy, wheat, nuts and soy products. Chest infections, cold air or air pollution can also trigger an attack.
  • Adult onset starts in the early twenties. There is speculation about possible causes; genetics, smoking and a history of allergies seem to play the biggest part. It affects females more than males.
  • Asthma can be caused/ triggered due to any of the following reasons:

                 1. Airborne substances like pollen, dust mites, pet dander or particles of cockroach waste.

                 2. Respiratory infections such as common cold

                 3. Exercise-induced asthma

                 4. Cold air

                 5. Air pollutants like smoke

                 6. Certain medications including beta blockers, aspirin, ibuprofen  and naproxen

                 7. Strong emotions, stress

                 8. Foods which contain Sulphites and preservatives

                 9. Gastroesophageal reflux disease (GERD)

Asthma is a combination of environmental and genetic factors, as many people live in same conditions. Still, some people get asthma and some don’t.

Worst Foods With ZOHEP SUSPENSION 200ML

What Are The Worst Foods For Acidity

  • Spicy foods
  • French fries and other fried foods
  • Fatty red meat
  • Citrus fruit
  • Tomatoes
  • Fatty red meat
  • Butter, oil,
  • Chocolate, caffeine
  • Peppermint
  • Alcohol

What Are The Worst Foods For Diabetes Mellitus Type 2

  • Sugar
  • White bread, pastries, cakes, cookies
  • Fruits like mango, bananas, melon, peaches, nectarines 
  • Canned juices, fruits
  • White rice
  • Blended coffee, ice creams, sweets
  • Chinese food
  • Fruit juices
  • French fries
  • Fatty meats

What Are The Worst Foods For High Cholesterol

Here are the things you should avoid:

  • Saturated fats: Red meat, whole-fat dairy products, eggs, vegetable oils, such as palm oil, coconut oil, and cocoa butter. Saturated fat can increase your levels of "bad" LDL cholesterol and at the same time lowers triglycerides and nudges up levels of "good" HDL cholesterol. Hence, saturated fats should be taken in moderate quantities.
  • Trans fats: Pies, cakes, cookies, donuts, French fries, chips, Margarine, samosa, muffins, pan cakes, fried chicken and other fried items.

What Are The Worst Foods For Asthma

  • Foods with preservatives added to them
  • Wine, beer
  • Shrimps
  • Pickles
  • Eggs (for children, as some children are allergic to eggs)
  • Peanuts
  • Excessive salt in food
  • Oily, fatty foods

Do's With Usage of ZOHEP SUSPENSION 200ML

What Are The Things One Should Do To Manage Acidity

  • Eat small and frequent meals.
  • Shed excess weight.
  • Identify your trigger foods and avoid them.
  • Avoid stress as this is one the major causes of acidity.

What Are The Things One Should Do To Manage Diabetes Mellitus Type 2

  • Control your weight
  • Exercise regularly
  • Skip sugary drinks, processed hard to digest foods
  • Limit red meat
  • Choose good fat, remove bad fat from your diet

What Are The Things One Should Do To Manage High Cholesterol

  • Exercise regularly (3o minutes daily for 5 days a week) and keep your weight under control.
  • Though fat people are more at risk of getting high cholesterol, it can also happen to thin people. Hence, get the regular check up done after the age of 40 years.
  • Eat low salt, low-fat diet.

What Are The Things One Should Do To Manage Asthma

  • Identify your asthma triggers and avoid them.
  • Always cover yourself fully (especially chest, feet and ears) before going out in cold weather.
  • Avoid exercises beyond your physical stamina. Do not over exert.
  • Always wear pollution mask if you are staying in high pollution area.
  • If asthma is hampering your day to day activities, pl. consult your doctor as he might change your medication.
  • Wash your bed sheets and pillow covers every week in hot water to get rid of dust mites.
  • Reduce stress.·        
  • Consult your general practitioner or paediatrician early if your child shows symptoms of asthma.  Asthma can be potentially life-threatening, especially in an acute episode.
  • Make sure your asthma is controlled. Follow-up with your doctor six months to review and adjust your treatment is necessary. If your asthma is well controlled, your doctor may consider tapering down your treatment.
  • Consider doing an allergy test- blood or skin prick. If you have allergic asthma, it will be helpful to know what the triggers are and how to avoid them

Dont's With Usage Of ZOHEP SUSPENSION 200ML

What Are The Things One Should Avoid To Manage Acidity

Don’t take late night snacks.

Don’t ignore the symptoms.

Don't smoke or consume alcohol.

What Are The Things One Should Avoid To Manage Diabetes Mellitus Type 2

  • Don’t have sedentary life style
  • Quit smoking and alcohol

What Are The Things One Should Avoid To Manage High Cholesterol

  • Alcohol, smoking is a complete no-no for patients with high cholesterol.
  • Do not have a sedentary life style.

What Are The Things One Should Avoid To Manage Asthma

  • Avoid pets.
  • Remove carpets and soft toys from the room of your child as these accumulate dust, dust mites which trigger an asthma attack.
  • Avoid dampness in the house. Let fresh air come in. Keep all areas of your house dry.
  • Do not smoke, avoid being close to people who smoke.
  • Avoid burning of incense (Pooja agarbatti) at home, since it triggers an asthma attack.
  • Avoid going to kitchen when food is being cooked, especially frying etc.·       
  • Do not delay seeking treatment when you suspect to have a chest infection. Because your airways are hyper reactive, an infection can easily trigger an acute asthma attack.
  • Do not leave your house without your reliever pump or allow your medication to run out. An acute episode can occur at any time and may be fatal.
  • Do not smoke if you have asthma or smoke around your child who has asthma. Passive smoking's effects are just as harmful.

Other Useful Tips With Usage OfZOHEP SUSPENSION 200ML

What Are The Tips For Asthma

Having a nebuliser at home will be helpful for acute asthmatic episodes.

  • Is this medicine effective?

    • Yes
      Percentage: 80%
    • No
      Percentage: 20%
  • What is the frequency of use?

    • Once a day
      Percentage: 29%
    • Twice a day
      Percentage: 29%
    • Thrice a day
      Percentage: 14%
    • Four times a day
      Percentage: 11%
    • More than 4 times a day
      Percentage: 14%
  • Have you been prescribed this medicine by a doctor?

    • Yes
      Percentage: 50%
    • No
      Percentage: 50%
  • How do you rate this medicine on price?

    • Very Economical
      Percentage: 20%
    • Economical
      Percentage: 20%
    • Just the right price
      Percentage: 20%
    • Expensive
      Percentage: 20%
    • Very Expensive
      Percentage: 20%
  • This page was last updated on 23-08-2017.

Uses Of ZOHEP SUSPENSION 200ML

Uses Of Salt: Silymarin

Silymarin is used for the treatment of following:

Uses Of Salt: Tricholine citrate

It is used in hepatic disorder like Fatty liver and Liver cirrhosis. In Fatty liver, it converts deposited fat in to lecithin and other similar fats. Lecithin is a type of high density lipid which lowers the cholesterol level in body.

It is also used in treatment of Asthma along with cyproheptadine.

Side Effects Of ZOHEP SUSPENSION 200ML

Sideeffect Of Salt: Silymarin

Please consult your doctor if the following happens:

  • Diarrhoea
  • Abdominal Bloating
  • Flatulence (accumulation of gas in alimentary canal)
  • Anorexia
  • Nausea
  • Upset Stomach
Sideeffect Of Salt: Tricholine citrate

It can cause hypersensitivity in some individuals. Some other side effects like diarrhoea, constipation, nausea, vomiting are also documented.

Contraindications Of ZOHEP SUSPENSION 200ML

Contraindications Of Salt: Silymarin

Please inform your doctor if you have any of the following conditions:

  • Pregnancy
  • Breast-feeding
  • Fibroids
Contraindications Of Salt: Tricholine citrate

It is contraindicated in pregnant woman.

Best Foods With ZOHEP SUSPENSION 200ML

What Are The Best Foods For Acidity

Some foods known for easing acidity are:

  • Oatmeal
  • Ginger
  • Beans
  • Lean Meats
  • Egg whites
  • Healthy fats like nuts, sesame oil, avocados, olive oil.

What Are The Best Foods For Diabetes Mellitus Type 2

  • Whole grains, such as brown rice, oatmeal, quinoa, millet, or amaranth
  • Indian blueberry
  • Brown rice
  • Broccoli, hailed as super food for diabetes management
  • Fish
  • Psyllium husk
  • Cannellini beans
  • Spinach
  • Sweet potatoes
  • Walnuts
  • Cinnamon
  • Green leafy vegetables like collard greens
  • Turmeric

What Are The Best Foods For High Cholesterol

Different foods help lowering cholesterol in different ways. Some foods have soluble fibre that binds cholesterol in the digestive system and pushes them out of the body before they even enter the circulation.

Others give polyunsaturated fats, helpful in directly lowering LDL. Some have stanols and plant sterols that inhibit the body from absorbing cholesterol.

  • Oats. Oats give you soluble fibre, which helps in improving the cholesterol. One bowl of oatmeal, with added banana and a few strawberries, is the best breakfast.
  • Barley, other whole grains: They deliver soluble fibre, thus lowering risk of a heart disease.
  • Beans. Beans (kidney beans, garbanzos, lentils and black eyed peas) are also rich in soluble fibre.
  • Nuts: Two ounces of almonds, walnuts, peanuts etc. not only reduce LDL but also provide other nutrients which protect the heart in many ways.
  •  Vegetable oils. Use liquid vegetable oils such as sunflower, canola, and safflower instead of butter or pure ghee in cooking.
  • Citrus fruits, apples, grapes and strawberries are rich in pectin, a type of soluble fibre which lowers LDL.
  • Fish: To lower LDL, eat fish 2-3 times a week as it delivers omega 3 fats.

What Are The Best Foods For Asthma

There are certain food items, which are commonly available in every household and are extremely effective in reducing the seriousness of asthma. Some best foods for asthma are given below:

  • Garlic: Boiled in water, mixed with honey, it helps in reducing airway contraction.
  • Mustard oil: Mix camphor in hot mustard oil and apply in on the chest, back and neck.
  • Figs: Soak 3 pieces overnight in water and eat it empty stomach next day.
  • Fresh Garlic: 2-3 cloves a day.
  • Hot coffee.
  • Eucalyptus Oil: It has decongestant properties. Add 2-3 drops of eucalyptus oil in the pot of hot boiling water and inhale the steam.
  • Honey
  • Onions, Apples, carrots, melon, Avocados.
  • Flax seeds.

Worst Foods With ZOHEP SUSPENSION 200ML

What Are The Worst Foods For Acidity

  • Spicy foods
  • French fries and other fried foods
  • Fatty red meat
  • Citrus fruit
  • Tomatoes
  • Fatty red meat
  • Butter, oil,
  • Chocolate, caffeine
  • Peppermint
  • Alcohol

What Are The Worst Foods For Diabetes Mellitus Type 2

  • Sugar
  • White bread, pastries, cakes, cookies
  • Fruits like mango, bananas, melon, peaches, nectarines 
  • Canned juices, fruits
  • White rice
  • Blended coffee, ice creams, sweets
  • Chinese food
  • Fruit juices
  • French fries
  • Fatty meats

What Are The Worst Foods For High Cholesterol

Here are the things you should avoid:

  • Saturated fats: Red meat, whole-fat dairy products, eggs, vegetable oils, such as palm oil, coconut oil, and cocoa butter. Saturated fat can increase your levels of "bad" LDL cholesterol and at the same time lowers triglycerides and nudges up levels of "good" HDL cholesterol. Hence, saturated fats should be taken in moderate quantities.
  • Trans fats: Pies, cakes, cookies, donuts, French fries, chips, Margarine, samosa, muffins, pan cakes, fried chicken and other fried items.

What Are The Worst Foods For Asthma

  • Foods with preservatives added to them
  • Wine, beer
  • Shrimps
  • Pickles
  • Eggs (for children, as some children are allergic to eggs)
  • Peanuts
  • Excessive salt in food
  • Oily, fatty foods

Symptoms Treated With ZOHEP SUSPENSION 200ML

What Are The Symptoms Of Acidity

Common symptoms of acidity are:

  • Indigestion
  • Heartburn
  • Ulcers in stomach
  • Gastric inflammation 

What Are The Symptoms Of Diabetes Mellitus Type 2

Common symptoms include increased thirst, frequent urination, and unexplained weight loss. Some patients may also feel increased hunger, feeling of tiredness, and sores that do not heal. 

What Are The Symptoms Of High Cholesterol

Usually, high cholesterol doesn’t have much of symptoms initially, except chest pain. However, it can lead to sudden heart attack or stroke, if it goes unnoticed.

What Are The Symptoms Of Asthma

  • Symptoms of asthma are typically a wheezy or "tight" chest, shortness of breath and recurrent or persistent coughing that is worse at night and early mornings. Coughing or tight chest are often also present after exercise.
  • Exercise-induced asthma typically only produces symptoms after exercise. 

Causes of diseases where ZOHEP SUSPENSION 200ML is used

What Are The Causes Of Acidity

Acidity can be caused by any of the following reasons:

  • Eating spicy foods, junk foods, irregular eating
  • Smoking
  • Stress
  • Alcoholism
  • Sedentary life style

What Are The Causes Of Diabetes Mellitus Type 2

Type 2 diabetes mainly occurs because of obesity and lack of exercise. Some people are at more risk genetically than others. Type 2 diabetes can be prevented by regular exercise, maintaining normal weight and proper diet.

What Are The Causes Of High Cholesterol

  • Obesity
  • Eating fatty foods
  • No physical exercise
  • Age (after 20, it starts to rise).
  • Family history

What Are The Causes Of Asthma

  • Mostly asthma starts in childhood and is often outgrown in early adulthood. Some asthmatics may, however, need treatment lifelong.
  • Asthma has a strong genetic component and is part of the so-called "atopic triad" in childhood which includes allergic rhinitis, atopic dermatitis (eczema) and asthma.
  • Early insult to a child's lungs such as neonatal pneumonia or bronchitis may play a role in developing asthma later.
  • People with asthma have individual triggers. These triggers are commonly sensitivities to house-dust mites, grass, pollen, animal dander, dairy, wheat, nuts and soy products. Chest infections, cold air or air pollution can also trigger an attack.
  • Adult onset starts in the early twenties. There is speculation about possible causes; genetics, smoking and a history of allergies seem to play the biggest part. It affects females more than males.
  • Asthma can be caused/ triggered due to any of the following reasons:

                 1. Airborne substances like pollen, dust mites, pet dander or particles of cockroach waste.

                 2. Respiratory infections such as common cold

                 3. Exercise-induced asthma

                 4. Cold air

                 5. Air pollutants like smoke

                 6. Certain medications including beta blockers, aspirin, ibuprofen  and naproxen

                 7. Strong emotions, stress

                 8. Foods which contain Sulphites and preservatives

                 9. Gastroesophageal reflux disease (GERD)

Asthma is a combination of environmental and genetic factors, as many people live in same conditions. Still, some people get asthma and some don’t.

Do's With Usage of ZOHEP SUSPENSION 200ML

What Are The Things One Should Do To Manage Acidity

  • Eat small and frequent meals.
  • Shed excess weight.
  • Identify your trigger foods and avoid them.
  • Avoid stress as this is one the major causes of acidity.

What Are The Things One Should Do To Manage Diabetes Mellitus Type 2

  • Control your weight
  • Exercise regularly
  • Skip sugary drinks, processed hard to digest foods
  • Limit red meat
  • Choose good fat, remove bad fat from your diet

What Are The Things One Should Do To Manage High Cholesterol

  • Exercise regularly (3o minutes daily for 5 days a week) and keep your weight under control.
  • Though fat people are more at risk of getting high cholesterol, it can also happen to thin people. Hence, get the regular check up done after the age of 40 years.
  • Eat low salt, low-fat diet.

What Are The Things One Should Do To Manage Asthma

  • Identify your asthma triggers and avoid them.
  • Always cover yourself fully (especially chest, feet and ears) before going out in cold weather.
  • Avoid exercises beyond your physical stamina. Do not over exert.
  • Always wear pollution mask if you are staying in high pollution area.
  • If asthma is hampering your day to day activities, pl. consult your doctor as he might change your medication.
  • Wash your bed sheets and pillow covers every week in hot water to get rid of dust mites.
  • Reduce stress.·        
  • Consult your general practitioner or paediatrician early if your child shows symptoms of asthma.  Asthma can be potentially life-threatening, especially in an acute episode.
  • Make sure your asthma is controlled. Follow-up with your doctor six months to review and adjust your treatment is necessary. If your asthma is well controlled, your doctor may consider tapering down your treatment.
  • Consider doing an allergy test- blood or skin prick. If you have allergic asthma, it will be helpful to know what the triggers are and how to avoid them

Dont's With Usage Of ZOHEP SUSPENSION 200ML

What Are The Things One Should Avoid To Manage Acidity

Don’t take late night snacks.

Don’t ignore the symptoms.

Don't smoke or consume alcohol.

What Are The Things One Should Avoid To Manage Diabetes Mellitus Type 2

  • Don’t have sedentary life style
  • Quit smoking and alcohol

What Are The Things One Should Avoid To Manage High Cholesterol

  • Alcohol, smoking is a complete no-no for patients with high cholesterol.
  • Do not have a sedentary life style.

What Are The Things One Should Avoid To Manage Asthma

  • Avoid pets.
  • Remove carpets and soft toys from the room of your child as these accumulate dust, dust mites which trigger an asthma attack.
  • Avoid dampness in the house. Let fresh air come in. Keep all areas of your house dry.
  • Do not smoke, avoid being close to people who smoke.
  • Avoid burning of incense (Pooja agarbatti) at home, since it triggers an asthma attack.
  • Avoid going to kitchen when food is being cooked, especially frying etc.·       
  • Do not delay seeking treatment when you suspect to have a chest infection. Because your airways are hyper reactive, an infection can easily trigger an acute asthma attack.
  • Do not leave your house without your reliever pump or allow your medication to run out. An acute episode can occur at any time and may be fatal.
  • Do not smoke if you have asthma or smoke around your child who has asthma. Passive smoking's effects are just as harmful.

ZOHEP SUSPENSION 200ML has the following salts in its composition

 1) Silymarin 2) Vitamins 3) Tricholine citrate

Other Useful Tips With Usage Of ZOHEP SUSPENSION 200ML

What Are The Tips For Asthma

Having a nebuliser at home will be helpful for acute asthmatic episodes.

Pls spare a minute to answer 4 questions for this section and unlock the results.

Q1) Is this medicine effective?