New in box unopened Hepa Merz Granules 30 Sachets - Merz Shipped Priority - Airmail With Tracking Number Composition: Active substance: L-ornithine - L - aspartate The other components: Anhydrous citric acid, lemon flavor, orange flavor, saccharin, sodium cyclamate, Orange Yellow S, fructose. directions: Granulated hepatic merz is used in the treatment of latent or overt hepatic encephalopathy in diseases with insufficient hepatic detoxification activity (eg in liver cirrhosis) and their complications. Administration method: The contents of 1-2 sachets of granulated Hepa-Merz will be dissolved in a sufficient amount of liquid (for example a glass of water, tea or juice) and the solution obtained will be administered orally up to 3 times / day.