Bitoline Syrup belongs to the class of cholesterol-lowering agents primarily used to treat and prevent fatty liver disease and other liver-related disorders like hepatotoxicity. Bitoline Syrup also helps improve occasional constipation, loss of appetite, and indigestion. Fatty liver disease, also known as hepatic steatosis, is a medical condition associated with a build-up of fat in liver cells. Hepatotoxicity is referred to as liver damage caused by exposure to drugs. 

Bitoline Syrup is composed of two medicines: Sorbitol (laxative) and Tricholine citrate (bile acid-binding agent). Sorbitol is a laxative with a diuretic (urine producing) and cathartic (that stimulates defecation) properties. It helps treat constipation. Tricholine citrate is a bile acid-binding agent that removes excess bile acids from the body. This makes the liver utilize the body's cholesterol in producing bile acid, thus lowering the cholesterol levels in the body. 

Your doctor will advise on how often you need to take Bitoline Syrup based on your medical condition. The common side effects of Bitoline Syrup include nausea, vomiting, gas, constipation, dizziness, bloating, stomach cramps, dry mouth, and drowsiness. If these side effects occur, they resolve gradually over time and do not usually require medical attention. However, if you notice any side effects that are not manageable, it is advised to consult your doctor.

Try not to stop taking this medicine on your own. Let your doctor know if you are allergic to Bitoline Syrup and have any kidney/liver diseases, gastrointestinal disorders, obstructive jaundice, viral hepatitis, and diabetes. If you are pregnant, planning to conceive, or breastfeeding, it is essential to seek medical advice before starting Bitoline Syrup. Inform your doctor if you are due to undergo any surgery. Do not take additional laxatives while using Bitoline Syrup.

Bitoline Syrup is used to treat and prevent fatty liver disease and other liver-related disorders like hepatotoxicity. It contains Sorbitol (laxative) and Tricholine citrate (bile acid-binding agent). Sorbitol is a laxative with a diuretic (urine producing) and cathartic (that stimulates defecation) properties. It helps treat constipation. Tricholine citrate is a bile acid-binding agent that removes excess bile acids from the body. Due to this, the liver utilizes the body's cholesterol to produce more bile acids, thus lowering the body's cholesterol levels. Tricholine citrate may cause constipation as its side effect. Administering Sorbitol, along with Tricholine citrate, helps in relieving constipation and other digestive problems. Bitoline Syrup is also useful in hepatobiliary and digestive disorders, such as biliary atonia or hypotonia, non-obstructive biliary lithiasis (presence of concrements/calcareous material in the gallbladder, the biliary ducts, or both), post hepatitis, chronic hepatic & pancreatic insufficiency.

• Nausea
• Vomiting
• Gas
• Constipation
• Dizziness
• Bloating
• Stomach cramps
• Dry mouth
• Drowsiness 

Before taking Bitoline Syrup, let your doctor know if you have had any allergic reactions to Bitoline Syrup. It is important to tell your doctor if you have any kidney/liver diseases, gastrointestinal disorders, obstructive jaundice, viral hepatitis, diabetes, stomach pain, and rectal bleeding before using Bitoline Syrup. It is advised not to use additional laxatives while using Bitoline Syrup. Do not use other over-the-counter medications, herbal or vitamin supplements without medical advice while using Bitoline Syrup. If you are pregnant, planning to conceive, or breastfeeding, it is essential to seek medical advice before starting Bitoline Syrup. Bitoline Syrup is not recommended for children below the age of two years. 

Drug-Drug Interaction: Bitoline Syrup may interact with HIV/AIDS medication (lamivudine), drugs treating high potassium levels (sodium polystyrene sulfonate), and other laxatives. Let your doctor know if you are using any prescription, over-the-counter, vitamin, and herbal products before starting Bitoline Syrup.

Drug-Food Interaction: Limit alcohol intake and avoid fatty foods to help control your cholesterol and triglyceride levels. 

Drug-Disease Interaction: Bitoline Syrup should be cautiously administered in cases of kidney/liver diseases, gastrointestinal disorders, diabetes, viral hepatitis, stomach pain, and rectal bleeding. Bitoline Syrup is contraindicated in obstructive jaundice.

• LAMIVUDINE
• SODIUM POLYSTYRENE SULFONATE

• Low cholesterol diet and regular exercise regime are found to complement treatment with Bitoline Syrup effectively. 
• Keep your cholesterol and triglyceride levels under control with a low-fat diet.
• Eat at regular intervals, and maintain a healthy diet that includes fresh fruits, and vegetables.
• Limit alcohol intake and caffeine consumption.
• Keep a check on your weight and exercise regularly.

• Please keep a check on your cholesterol levels (HDL, LDL) in blood with timely blood examinations.
• Liver function tests may be suggested by your doctor to keep a check on liver health.

Fatty liver disease: It is also known as hepatic steatosis. It is a medical condition associated with a build-up of fat in liver cells. Fatty liver disease is of two types, namely alcoholic fatty liver disease, and non-alcoholic fatty liver. When a fatty liver is developed in an alcoholic, it is known as alcoholic fatty liver disease or alcoholic steatohepatitis. Non-alcoholic fatty liver is developed in someone who doesn't drink alcohol. Symptoms include fatigue, weight loss, and abdominal pain.

Hepatotoxicity: It is referred to as liver damage caused by exposure to drugs or industrial chemicals. Symptoms include rash, stomach pain, nausea, vomiting, jaundice, and loss of appetite.