What is Karsil used for?

Kars - hepatoprotective drug, which includes dried extract of milk thistle fruit, which is an analogue of silymarin.

It is used in various disorders of the functions and diseases of the liver, as well as a prophylactic agent. The advantage of the drug is a plant based vegetable, namely, milk thistle fruits that have been used to treat liver pathologies since ancient times.

On this page you will find all the information about Karsil: complete instructions for use for this drug, average prices in pharmacies, complete and incomplete analogues of the drug, as well as reviews of people who have already used Kars. Want to leave your opinion? Please write in the comments.

Clinical and pharmacological group

Antitoxic, hepatoprotective effect.

Pharmacy sales terms

It is released without a prescription.


How much is Kars? The average price in pharmacies is 350 rubles.

Release form and composition

Coated tablets with an outer layer of brown and an inner layer of white, biconvex shape; on a break - from brownish yellow to light brown.

1 dough of Karsil:

  • Dry extract of the milk thistle fruit (equivalent of silymarin) - 35 mg;
  • Excipients: lactose monohydrate, wheat starch, povidone (colidone 25), microcrystalline cellulose, magnesium stearate, talc, dextrose monohydrate, sorbitol, sodium bicarbonate.

1 capsule of Karsil:

  • dry extract of the thistle fruit - 163.6-225 mg;
  • Excipients: lactose monohydrate, microcrystalline cellulose (type 101), wheat starch, povidone K25, polysorbate, anhydrous colloidal silicon dioxide, mannitol, crospovidone, sodium bicarbonate, magnesium stearate.

Carsil or Carsil Forte - which is better?

In this case, the choice of drug is determined only by the severity of the liver lesions, since the differences between these two drugs Karsil / Karsil Forte consist only in their form (tablets / capsules), the mass content of silymarin (22.5 / 90 mg) and some changes in the composition of additional ingredients.

Pharmacological effect

Means of plant origin. The main is hepatoprotective effect. Flavolignans, including Silybin, Dehydrosilybin, Isosilybin, Silymarin, Dehydrosilymarin, Silychristin, Tasifoline (2.8–3.8%) stabilize lysosomal and cell membranes, preventing the release of enzymes from cells. Interact with free radicals and inhibit lipid peroxidation. Due to the antioxidant effect, various toxins (including chlorinated hydrocarbons, alpha-amanitin, pale toadstools, nitrosamines) are inhibited by the penetration into the liver cells. Silybin, silymarin and their derivatives stimulate specific RNA polymerase A, as a result of this, the synthesis of proteins and phospholipids in hepatocytes is activated, and the processes of regeneration and detoxification in the liver are accelerated.

Normalization of metabolic processes contribute to the tocopherols contained in the fruit, macro- (potassium, magnesium) and trace elements (copper, selenium). Fatty oil of fruits (20-34%) contains a large amount of unsaturated fatty acids (including linoleic - 50-62%), which have redox properties, contribute to the oxidation of cholesterol and, together with beta-sitosterol, the prevention of atherosclerosis. Mucus polysaccharides (5%) have an enveloping and gastroprotective effect. Nitrogen-containing compound betaine improves the process of digestion, bile formation in the liver. Thistle fruits have a lactogenic effect.

Indications for use

What helps? Karsil is prescribed for the following diseases:

  1. Toxic liver damage.
  2. Chronic hepatitis of non-viral genesis.
  3. Cirrhosis of the liver (as an additional means).
  4. Chronic intoxication, as well as liver steatosis (both alcoholic and nonalcoholic).

The use of Karsil is effective as a prophylactic with prolonged drug therapy and long-term use of alcohol.


Before using the tool it is recommended to carefully read the enclosed instructions. Contraindications include:

  1. Individual intolerance to the drug;
  2. Age up to 12 years.

Use during pregnancy and lactation

Data on the safety of the drug during pregnancy are not available. Apply Kars in the treatment of pregnant women is possible only for special reasons. In this case, the expectant mother should be constantly under medical supervision.

Also not recommended treatment Karsom breastfeeding. In the case of the use of funds, it is necessary to abandon lactation and transfer the child to artificial feeding.

Instructions for use

The instructions for use indicate that Kars or Kars is taken by mouth, before eating, drinking plenty of drinking water. Drops should not be chewed, and capsules - open. In the case of skipping one of the receptions, it is recommended to drink the medication additionally as soon as possible, but not to take a double dose at the subsequent intake.

The dosage and duration of admission are determined by the doctor and depend on the age and diagnosis of the patient. As a rule, the course of admission is at least 3 months.

Dosage Karsil for adults:

  1. In severe liver pathologies - 4 tablets 3 times a day;
  2. In cases of mild disease and as a supportive treatment - 1-2 pills 3 times a day;
  3. For prophylaxis - 2-3 pills during the day.

Dosage Cartil Forte for adults:

  1. In severe liver disease - 1 capsule 3 times a day;
  2. In cases of mild disease and as a supportive treatment, take 1 capsule 1 or 2 times a day;
  3. For prophylaxis - 1 capsule 1 time per day.

Dosage Karsila for children from 12 to 18 years:

  1. In severe liver pathologies - 4 tablets 3 times a day;
  2. In cases of mild disease and as a supportive treatment - 1-2 pills 3 times a day;
  3. For prophylaxis - 2-3 pills during the day.

Dosage Karsil Forte for children from 12 to 18 years:

  1. In severe liver disease - 1 capsule 3 times a day;
  2. In cases of mild disease and as a supportive treatment, take 1 capsule 1 or 2 times a day;
  3. For prophylaxis - 1 capsule 1 time per day.

If you accidentally take a high dose of Karsil is recommended to induce vomiting and perform gastric lavage. After that, it is necessary to take a sorbent and, if necessary, conduct symptomatic therapy.

Side effects

The use of Karsil can cause such side effects as:

  1. Dyspeptic disorders (nausea, vomiting, feeling of fullness in the stomach, pain in the epigastric region, bloating, diarrhea);
  2. Allergic manifestations (rash, pruritus);
  3. Alopecia (pathological hair loss, which leads to their thinning or complete disappearance in some areas of the head or torso);
    exacerbation of vestibular disorders (if any).

Most patients and doctors leave positive reviews about Karsil, and if adverse reactions occur, they disappear after stopping treatment.


Cases of overdose with Karsil have not been reported, but in order to avoid the risk of side effects, the dose recommended in the instructions should not be exceeded, otherwise the patient may develop signs of dyspepsia.

When accidentally ingested a large amount of dragees, the patient is washed the stomach and allowed to ingest enterosorbents. As a rule, this is enough.

Special instructions

During therapy, a possible manifestation of the estrogen-like action of silymarin. In this regard, patients with hormonal disorders (uterine fibroids, endometriosis, carcinoma of the prostate, uterus, breast, ovaries) should be prescribed Kars.

It should be borne in mind that Karsil includes wheat starch (it can be dangerous for patients with gluten enteropathy (celiac disease)) and glycerol (in high doses it can irritate the gastric mucosa and cause headache).

Drug interactions

The active component of Karsil (silymarin) can interact with other drugs:

  1. Reduce the contraceptive effect of oral contraceptives.
  2. Enhance the effect of drugs such as: Ketoconazole, Vinblastine, Diazepam, Lovastatin, Alprazolam;


We picked up some reviews from people about Karsil:

  1. Elizabeth. I have a friend who takes Kars before every heavy meal since the Soviet times, she is now almost 60 years old, and she looks at a maximum of about 50.
  2. Yuri. I was convinced of the positive effect of Karsil tablets after repeated use, which gave a quick result. Sometimes the pain in the area of ​​the liver for a long time does not give rest after taking even a small portion of alcohol, and after applying these pills everything quickly returns to normal. And for prevention, I think, there are no simpler and cheaper drugs than Kars, which have their healing effect fairly quickly. Pleases also the fact that the drug is inexpensive. “Kars” is always with me, both at home and at work. I sin with love for spicy food, and as a result - an unpleasant heaviness in my side, nausea. And how, if not with “Karsil”, to quickly and effectively cope with negative manifestations? Only “Carsil”!
  3. Lena. I saw “Kars” for the liver, it seems to be normal, but I did not notice anything unusual in changing my state. Then she switched to “Hepatium”, these are German vitamins. Saw in January, because after the new year something oh, oh, how hard it was for me. I was always not very happy with my liver, and after the holidays the weight was terrible, even though a wolf howl. Well, nothing, with these vitamins recovered in half a month.


There are a lot of drugs with a similar spectrum of action and similar composition, among the most popular ones:

  • Hepa_Mertz;
  • Essliver Forte;
  • Antral;
  • Energetic;
  • Hepatox;
  • Heptral;
  • Livolin Forte;
  • Phosphogliv;
  • Essentiale Forte H;
  • Lecithin;
  • Sticks;
  • Legalon;
  • Milk thistle tablets;
  • Heparsil.

Before using analogues consult your doctor.

Essentiale N or Karsil - which is better?

It is impossible to give a definite answer, which of these drugs is better. Both drugs are representatives of the same group - hepatoprotectors, both have a positive effect on the protection and restoration of liver cells, but differ in their composition (the active ingredient Essentiale - essential phospholipids) and the mechanism of action on the liver. In the case of Karsil, first of all, the protective function is traced, and the effects of Essentiale are more aimed at restoring the cellular structure and regeneration.

Exactly the same actions should be followed when choosing between oral drugs Karsil or Essentiale Forte N. It is best to take the patient with varying degrees of liver damage, only a doctor can recommend after a thorough investigation of the problem.

"Karsil" or "Liv. 52" - which is better?

In this case, similar to the above. Both analogs are effective and are used according to the same type of indications. The drug "Liv. 52" has other herbal ingredients, additionally exhibits choleretic effect. Both drugs are interchangeable and supplemented. However, doctors still prefer tablets "Kars" than the Indian counterpart.

Storage conditions and shelf life

Without special storage conditions, at temperatures up to 25 ° C. Shelf life 2 years.

Watch the video: website carsil background video (November 2019).

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