Practin EN Syrup belongs to a group of medicines called 'appetite enhancers' used to stimulate the appetite and treat alimentary tract and metabolism problems. Practin EN Syrup helps in the treatment of lack of appetite, weight loss, and anorexia nervosa (an eating disorder with low body weight). Besides this, it is also prescribed for underweight children who have an inadequate dietary intake, loss of appetite, anaemia, liver/digestive disorder and as an adjunct to anti-tubercular (anti-TB drugs) and antiretroviral (anti-HIV drugs) treatment for weight gain.

Practin EN Syrup is a combination of two drugs, namely: Cyproheptadine hydrochloride (antihistamine/antiallergic) and Tricholine citrate (bile acid binder). Cyproheptadine hydrochloride works by reducing the effect of a chemical messenger in the hypothalamus called serotonin, thereby helping stimulate the appetite. Tricholine citrate is a bile acid-binding agent that works by removing excess bile acid which causes the liver to produce more bile acid utilizing cholesterol, this, in turn, lowers the fat content in the body.

You are advised to take Practin EN Syrup for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience common side effects such as dry mouth, drowsiness, confusion, and ataxia (impaired balance or coordination). Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if the side effects persist or worsen.
 

Inform your doctor if you have asthma, hyperthyroidism, high blood pressure, intraocular (eye) pressure or heart problems. Consult your doctor if you are pregnant. It is not recommended to take Practin EN Syrup if you are breastfeeding. Practin EN Syrup may cause drowsiness, so drive only if you are alert. Avoid consumption of alcohol while taking Practin EN Syrup as it may cause increased drowsiness. Keep your doctor informed about the medicines and your health condition to rule out any side effects.

Practin EN Syrup belongs to a group of medicines called appetite enhancers, which are used to stimulate the appetite and increase body metabolism. Practin EN Syrup is indicated for loss of appetite, weight loss, and anorexia nervosa (an eating disorder with low body weight). Practin EN Syrup is also prescribed for underweight children with inadequate dietary intake, loss of appetite, anaemia, liver or digestive disorder. Additionally, Practin EN Syrup is used as an adjunct to anti-tubercular (anti-TB) and antiretroviral treatment (anti-HIV) for weight gain. Practin EN Syrup helps stimulate appetite, ensure weight gain, provide effective hepatoprotective action, and enhance protein synthesis. It is also indicated in hepatobiliary disorder (liver disease) associated with anorexia (lack/loss of appetite).

• Dry mouth
• Drowsiness
• Confusion
• Ataxia (impaired balance or coordination) 

Do not take Practin EN Syrup if you are allergic to any of its contents; if you have glaucoma, peptic ulcers, prostatic hypertrophy, bladder neck obstruction, or pylori duodenal obstruction. Inform your doctor if you have asthma, hyperthyroidism, high blood pressure, intraocular (eye) pressure or heart problems. Practin EN Syrup may show additive effects if taken along with alcohol, CNS depressants, and anti-anxiety drugs. Consult your doctor if you are pregnant. It is not recommended to take Practin EN Syrup if you are breastfeeding. Practin EN Syrup may cause drowsiness, so drive with caution. Avoid consumption of alcohol while taking Practin EN Syrup as it may cause increased drowsiness. 

Drug-Drug Interactions: Practin EN Syrup may interact with an antihistamine (diphenhydramine, cetirizine), an antidepressant (duloxetine, fluoxetine, sertraline), anti-convulsant (pregabalin, topiramate), and anti-psychotic agent (quetiapine) 

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform your doctor if you have asthma, heart, kidney, or liver problems.

• DIPHENHYDRAMINE
• CETIRIZINE
• DULOXETINE
• FLUOXETINE
• SERTRALINE
• PREGABALIN
• TOPIRAMATE
• QUETIAPINE

• Exercise regularly as it helps increase your energy expenditure, thereby increasing hunger.
• You may eat more if you are having a good time during your meal. So, try to make mealtimes enjoyable by eating with friends and family or watching a favourite show.
• Change your menu and eat food that you enjoy.
• Try not to skip meals. Make time for eating. 
• Include calorie-containing beverages in your diet, such as protein shakes, fruit juices, milk, etc.
• Proper management of basic hygiene and bowel regularity can positively affect appetite in adults.
• Setting the alarm for mealtime or posting a meal schedule on the wall could be helpful for adults to remind them to eat.
• Limit excessive snacking in between meal times.
• If you have trouble obtaining or preparing food or if you have difficulty with limited food choices, try delivery services that deliver fully prepared healthy meals.

Loss of appetite (anorexia): It is a condition in which an individual has no desire to eat food. Lack of appetite causes missing meals or less urge for hungriness, which results in a deficiency of essential and non-essential nutrients required for the proper metabolism and growth of the body. The most common reasons for the decrease in appetite include psychological conditions like stress, anxiety, depression, gastrointestinal conditions (such as acidity, peptic ulcers, and ulcerative colitis), slow metabolism, age, lowered activity levels, other disease conditions (like AIDS, HIV, cancer) and some medication side effects.