For practitioner dispensing and professionally guided use.
Always read the label and follow the directions for use.
Use cautiously if you have gallstones or a history of gallbladder attacks.
Professional advice is required because a gallstone may become impacted and obstruct a bile duct.
Do not use without medical advice if you have bile-duct obstruction, gallbladder inflammation, cholangitis, pancreatitis or another diagnosed biliary condition.
Seek urgent medical assessment for severe or persistent pain beneath the right ribs, fever, repeated vomiting, jaundice, dark urine or pale stools.
Do not use St Mary’s Thistle as a substitute for investigation or treatment of liver disease.
Do not describe the product as reversing fatty liver disease, repairing alcohol-related liver damage, treating hepatitis or regenerating a cirrhotic liver.
Clinical research involving specific silymarin products has produced conflicting or insufficient results for diagnosed liver conditions.
Research involving a dry silymarin extract, tablet, capsule or different liquid preparation should not automatically be transferred to this 2:1 extract.
Abnormal liver-function results require investigation of possible causes such as medication effects, alcohol use, infection, metabolic health, gallbladder disease or another medical condition.
Seek medical advice for yellowing of the skin or eyes, dark urine, pale stools, persistent nausea, unexplained itching, unusual bruising, abdominal swelling, confusion or marked fatigue.
Do not use St Mary’s Thistle as emergency treatment following suspected poisoning, medication overdose or consumption of a poisonous mushroom.
Contact emergency services or the Poisons Information Centre immediately where poisoning is suspected.
Consult your doctor or pharmacist before use if you take prescription medicines.
Reliable evidence does not establish a serious interaction with every medicine, but herbal products may affect treatment suitability or monitored health conditions.
Tell your healthcare professional about all prescription medicines, over-the-counter products and supplements being used, particularly when liver enzymes, medicine concentrations or other blood tests are being monitored.
Do not change or discontinue prescribed medication without advice from the healthcare professional managing your care.
Possible side effects may include nausea, bloating, gas, abdominal discomfort, diarrhoea, dry mouth or headache.
Stop use and seek professional advice if a persistent or unexpected reaction develops.
Use during pregnancy or breastfeeding only under the supervision of a qualified healthcare practitioner.
Reliable safety information during pregnancy and breastfeeding remains limited.
This product contains 69% ethanol.
People who need or prefer to avoid alcohol should consider suitability with their healthcare practitioner rather than assuming all liquid Milk Thistle products are alcohol-free.
Professional advice is particularly important where alcohol avoidance has been recommended because of pregnancy, liver disease, medication, recovery from alcohol dependence, religious considerations or another individual reason.
The current product provides an adult dosage only.
Do not give this concentrated ethanol-containing preparation to a child or adolescent unless an age-appropriate amount has been individually prescribed.
Discontinue use seven days before general anaesthesia, surgery or an invasive procedure unless otherwise directed by the treating healthcare professional.
Keep out of reach of children.