Syrups
Siliram-Max Suspension
Silymarin, L-ornithine L-aspartate, tricholine citrate and B-complex vitamin oral suspension
Siliram-Max is a registered product of Ramnova Healthcare Private Limited.
Siliram-Max Suspension composition
Each 5 ml contains
| Ingredient | Strength |
|---|---|
| Silymarin | 35 mg |
| L-ornithine L-aspartate | 150 mg |
| Tricholine citrate | 275 mg |
| Vitamin B1 (thiamine) | 1.4 mg |
| Vitamin B2 (riboflavin) | 2.5 mg |
| Vitamin B3 | 18 mg |
| Vitamin B5 (pantothenic acid) | 5 mg |
| Vitamin B6 (pyridoxine) | 1.5 mg |
| Vitamin B12 | 1 mcg |
About Siliram-Max Suspension
SILIRAM-MAX is a liver support nutritional suspension. Each 5 ml contains silymarin 35 mg (from milk thistle), L-ornithine L-aspartate 150 mg and tricholine citrate 275 mg, with vitamins B1, B2, B3, B5, B6 and B12. It is used as supportive care in liver conditions such as fatty liver, alongside the treatment your doctor recommends.
Shake the bottle well and take the dose your doctor or dietician advises with the measuring cup, at the same times each day. It is usually well tolerated, though mild stomach upset or diarrhoea can occur. It supports, but does not replace, treatment of the cause of liver disease, so avoid alcohol and follow your doctor's advice.
Therapy category: Liver and nutritional support.
Uses of Siliram-Max Suspension
- Supportive care in liver disease, including fatty liver
- Vitamin B-complex support in people with liver conditions
Benefits of Siliram-Max Suspension
Supportive care in liver disease
Silymarin is an antioxidant from milk thistle that has been studied for protecting liver cells, although results in liver disease have been mixed. L-ornithine L-aspartate supplies amino acids the liver uses to clear ammonia, a waste product that can build up when the liver is not working well. Tricholine citrate supplies choline, which the liver needs to process fat. Your doctor can advise whether it is suitable alongside your other treatment.
Vitamin B-complex support
Liver disease often reduces appetite and the body's stores of B vitamins. Each 5 ml provides the daily recommended amount of vitamins B1, B2, B3, B5, B6 and B12, which the body needs to turn food into energy and keep nerves healthy.
Side effects of Siliram-Max Suspension
Most side effects are mild and settle as your body adjusts. Tell your doctor if they continue or worry you.
- Diarrhoea or loose stools
- Nausea, bloating or wind
- Abdominal pain
- Tiredness
- Itching or rash (rare allergic reaction)
How to take Siliram-Max Suspension
Shake the bottle well before use. Take the dose your doctor or dietician advises using the measuring cup provided, at the same times each day. Keep the cap tightly closed and store below 25°C, away from light and moisture.
How Siliram-Max Suspension works
Silymarin, taken from milk thistle seeds, is an antioxidant that is thought to help protect liver cells from toxins. L-ornithine L-aspartate provides two amino acids that the liver uses to convert ammonia into urea, which the body then removes. Tricholine citrate supplies choline, which the liver uses to move fat out of its cells. The B vitamins help replace nutrients that are often low in liver disease.
Safety advice for Siliram-Max Suspension
- Unsafe
Alcohol
Avoid alcohol completely. It damages the liver and works against this treatment.
- Consult your doctor
Pregnancy
Safety in pregnancy has not been established. Use only if your doctor advises it.
- Consult your doctor
Breastfeeding
There is not enough information on use while breastfeeding. Ask your doctor first.
- Consult your doctor
Driving
Not known to affect driving, but liver disease itself can cause drowsiness or confusion. Do not drive if you are affected.
- Use with caution
Kidney
Not suitable for people with severe kidney disease. Tell your doctor about any kidney problem.
- Consult your doctor
Liver
Intended for liver conditions. Use only under your doctor's supervision, with regular liver tests.
Quick tips
- Shake the bottle well and use the measuring cup for each dose.
- Avoid alcohol and smoking while you take it.
- Eat a balanced diet low in fried and fatty food, and stay active to help reduce liver fat.
- Keep your follow-up appointments. Your doctor may check your liver and kidney tests regularly.
- Tell your doctor about any other herbal products, vitamins or supplements you take.
- See your doctor if you notice yellowing of the skin or eyes, dark urine, confusion or swelling of the abdomen.
Warnings and interactions
Safety details must be checked against the current pack insert and advice from a qualified healthcare professional.
Warnings
- This suspension supports, but does not replace, treatment of the underlying cause of liver disease.
- People allergic to plants in the daisy family, such as ragweed, chrysanthemum or marigold, may react to silymarin.
- Avoid taking other vitamin B supplements at the same time unless your doctor advises it.
- It contains sugar, so people with diabetes should check with their doctor before use.
- It contains the colour tartrazine, which can cause allergic reactions in some people, particularly those sensitive to aspirin.
- It contains polyols, which can have a laxative effect.
Contraindications
- Severe kidney disease
- Allergy to milk thistle, plants in the daisy family, or any other ingredient
Important interactions
- Silymarin may lower blood sugar slightly, so people taking diabetes medicines should monitor their sugar levels.
- Information on interactions with this combination is limited, so tell your doctor about all the medicines and supplements you take.
Frequently asked questions about Siliram-Max Suspension
- Siliram-Max Suspension is used for: supportive care in liver disease, including fatty liver; and vitamin B-complex support in people with liver conditions.
- Common side effects of Siliram-Max Suspension include: diarrhoea or loose stools; nausea, bloating or wind; abdominal pain; tiredness; and itching or rash (rare allergic reaction). Tell your doctor if they continue or worry you.
- Shake the bottle well before use. Take the dose your doctor or dietician advises using the measuring cup provided, at the same times each day. Keep the cap tightly closed and store below 25°C, away from light and moisture.
- Do not take Siliram-Max Suspension in the following cases: severe kidney disease; and allergy to milk thistle, plants in the daisy family, or any other ingredient.
- Avoid alcohol completely. It damages the liver and works against this treatment.
- Safety in pregnancy has not been established. Use only if your doctor advises it.
- Not known to affect driving, but liver disease itself can cause drowsiness or confusion. Do not drive if you are affected.
- Siliram-Max is a registered product of Ramnova Healthcare Private Limited, Silvassa, India, and is marketed by Ramnova Healthcare.
- Siliram-Max Suspension contains silymarin 35 mg, L-ornithine L-aspartate 150 mg, tricholine citrate 275 mg, vitamin B1 (thiamine) 1.4 mg, vitamin B2 (riboflavin) 2.5 mg and 4 other vitamins, minerals and nutrients in each 5 ml; see the full composition table above.
What is Siliram-Max Suspension used for?
What are the side effects of Siliram-Max Suspension?
How should I take Siliram-Max Suspension?
Who should not take Siliram-Max Suspension?
Can I drink alcohol with Siliram-Max Suspension?
Is Siliram-Max Suspension safe in pregnancy?
Can I drive after taking Siliram-Max Suspension?
Who markets Siliram-Max Suspension?
What is the composition of Siliram-Max Suspension?
More information
Marketed by Ramnova Healthcare Private Limited, Silvassa, India. FSSAI Lic. No. 10425310000219
For dosage, pack sizes or prescribing information, refer to the current pack insert or contact Ramnova Healthcare. Catalogue information updated 2026-10-01.
- National Center for Complementary and Integrative Health (NIH): Milk Thistle: Usefulness and Safety (United States, accessed 2026-10-01)
