Indicated for: functional hepatobiliary disorders; dyspepsia
Route of administration: oral
Substance: greater celandine (choleretic herbal medicine)
ATC: A05AXN1 (Alimentary tract and metabolism | Bile therapy | Other drugs for bile therapy)
This medicine may affect the liver.
Use during breastfeeding only on medical advice.
Use during pregnancy only on medical advice.
Greater celandine, botanically known as Chelidonium majus, is a plant traditionally used in some products for mild digestive complaints or for topical application on warts, calluses or corns. It contains active alkaloids, so it should not be regarded as harmless simply because it is herbal. Use should be cautious and preferably based on standardised, authorised products.
For internal use, dosing and duration should follow the package leaflet strictly. Long-term use or high doses may increase the risk of toxic reactions. For skin use, the product should be applied only locally, avoiding healthy skin, eyes, mucous membranes and open wounds. Concentrated homemade preparations should not be used without professional advice.
The most important warning is the risk of liver injury. Increased liver enzymes, drug-induced hepatitis and rare severe cases have been reported. Other reactions may include nausea, abdominal pain, diarrhoea, dizziness, skin irritation or allergic reactions. The risk is not always predictable and may occur even with doses that seem usual.
Stop taking it and contact a doctor urgently if severe tiredness, loss of appetite, severe nausea, pain in the upper right abdomen, dark urine, pale stools or yellowing of the skin and eyes occur. Greater celandine is not recommended during pregnancy, breastfeeding, liver disease or in children without medical advice. It does not replace medical assessment for persistent abdominal pain.