New in box unopened Hepa Merz Granulat 30 Sachets - Merz Shipped Priority - Airmail With Tracking Number Composition: Active substance: L-ornithine-L-aspartate The other ingredients: Citric acid anhydrous, lemon flavor, orange flavor, saccharin, sodium cyclamate, orange yellow S, fructose. directions: Hepa Merz granulate is used in the treatment of latent or manifest hepatic encephalopathy in patients with insufficient hepatic detoxification (eg liver cirrhosis) and their complications. Administration method: The contents of 1 to 2 granulated Hepa-Merz envelopes will be dissolved in a sufficient quantity of liquid (eg a glass of water, tea or juice) and the solution obtained will be given orally up to 3 times / day.