Product image of Isochol (Hymecromone) supplied by GNH India

Isochol

Active Ingredient:
Hymecromone
Origin:
EU

Isochol (Hymecromone)

Hymecromone, the active ingredient in Isochol, is a choleretic presented as an oral dosage form for oral use. It is employed to support bile flow in patients with cholestasis, biliary dyskinesia, and gallstone disease.

GNH India supplies Isochol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Isochol is a choleretic used in hepatobiliary disorders to enhance bile production and flow.

  • Cholestasis: Improves bile secretion, helping to relieve hepatic bile accumulation.
  • Biliary dyskinesia: Increases bile flow, reducing functional biliary motility disturbances.
  • Gallstone disease: Enhances bile acid output, supporting dissolution and prevention of gallstones.

How It Works

  • Hymecromone is hydrolyzed to 4‑methylumbelliferone, which stimulates hepatic bile‑acid synthesis and promotes secretion of bile from hepatocytes into the biliary tract. The resulting increase in bile‑acid pool enhances bile flow, aiding the resolution of cholestatic conditions.

Side Effects

Hymecromone may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Diarrhea: loose stools.
  • Abdominal pain: discomfort in the stomach area.
  • Flatulence: increased intestinal gas.
  • Headache: mild to moderate head pain.
  • Skin rash: mild erythema.

Serious or Rare Side Effects

  • Allergic reactions: hives, swelling, or anaphylaxis.
  • Hepatotoxicity: significant elevation of liver enzymes.
  • Cholestatic hepatitis: inflammation of the liver with bile flow obstruction.
  • Severe rash: Stevens‑Johnson syndrome.
  • Eosinophilia: abnormal increase in eosinophils.
  • Anaphylactic shock: life‑threatening systemic reaction.

Precautions & Warnings

When prescribing Isochol, clinicians should consider several safety precautions to minimize risk.

  • Liver function monitoring: assess baseline enzymes and repeat during therapy.
  • Hepatic impairment: use with caution in patients with existing liver disease.
  • Hypersensitivity: discontinue if allergic signs appear.
  • Pregnancy: safety not established; avoid unless benefit outweighs risk.
  • Concomitant cholestatic agents: evaluate potential additive effects.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Isochol can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Cyclosporine: may increase risk of hepatotoxicity.
  • Warfarin: potential alteration of anticoagulant effect.

Moderate Interactions (Monitor Closely)

  • Erythromycin: may affect bile metabolism and drug levels.
  • Ketoconazole: could raise serum concentrations of Hymecromone.
  • Statins: monitor liver enzymes for additive hepatic stress.

Frequently Asked Questions

Isochol contains the choleretic agent Hymecromone and is used to support bile production and flow in patients with hepatobiliary conditions such as cholestasis, biliary dyskinesia, and gallstone disease. By enhancing bile secretion, it helps alleviate symptoms associated with impaired bile drainage.

Hymecromone is converted in the body to 4‑methylumbelliferone, which stimulates hepatic synthesis of bile acids and promotes their secretion into the biliary tract. The increased bile‑acid pool accelerates bile flow, reducing bile stasis and assisting in the management of cholestatic disorders.

The dosage of Isochol is individualized and must be determined by a qualified prescriber based on the patient’s clinical condition, severity of disease, and response to therapy. No fixed regimen is provided here; the prescribing clinician will set the appropriate dose.

Safety data for Hymecromone in pregnancy and lactation are limited. It is generally advised to avoid use unless the potential benefit to the mother clearly outweighs any possible risk to the fetus or infant. Consultation with a healthcare professional is essential before use in these populations.

To request Isochol, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

The most common alternative for cholestatic liver disorders is ursodeoxycholic acid (UDCA). While UDCA primarily protects cholangiocytes and improves bile composition, Hymecromone (Isochol) directly stimulates bile‑acid synthesis and flow. Choice of therapy depends on the specific clinical scenario, physician preference, and patient tolerance.

Isochol should be stored at ambient temperature below 25 °C, in its original packaging, and protected from moisture and direct sunlight. Keep the product out of reach of children and avoid storing in bathrooms or other humid environments.

Isochol is taken orally, typically with a glass of water. The exact timing relative to meals should follow the prescribing clinician’s instructions, as food may influence absorption in some patients.

Serious adverse events, although rare, include allergic reactions such as hives, swelling, or anaphylaxis, as well as significant liver enzyme elevations indicating hepatotoxicity or cholestatic hepatitis. Patients should seek immediate medical attention if they experience rash, jaundice, severe abdominal pain, or signs of an allergic reaction.

Isochol is contraindicated in individuals with known hypersensitivity to Hymecromone or any of its excipients. Caution is also advised for patients with severe hepatic impairment, active liver disease, or those taking medications that may cause serious hepatotoxic interactions. Pregnant or breastfeeding women should only use it if clearly indicated by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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