Europe — EMA
Milk Thistle (Silybum Marianum Extract)
GNH USA supplies Milk Thistle (Silybum marianum extract), a herbal supplement for hepatoprotection and support of liver function in mild hepatic disorders.
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What is Silybum Marianum Extract?
Silybum marianum extract, the active ingredient in Milk Thistle, is a herbal supplement presented as an oral preparation for oral use. It is traditionally employed to support liver health and may be used in individuals with mild hepatic disturbances.
GNH USA supplies Milk Thistle as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and procurement teams worldwide. Our distribution network ensures consistent quality and regulatory compliance across EU‑origin batches.
What is Silybum Marianum Extract used for?
Milk Thistle (Silybum marianum extract) is used to support liver function and protect hepatocytes in various mild hepatic conditions.
- Hepatoprotection: helps protect liver cells from oxidative damage. - Support of liver function: may aid in maintaining normal liver enzyme levels. - Adjunct in mild liver disorders: used as a complementary approach in conditions such as fatty liver or mild hepatitis.
What are the side effects of Silybum Marianum Extract?
Milk Thistle is generally well tolerated, but adverse reactions can occur.
Common Side Effects: - Gastrointestinal upset: mild nausea or stomach discomfort. - Diarrhoea: occasional loose stools. - Abdominal discomfort: transient cramping. - Headache: mild, self‑limiting. - Skin rash: mild allergic dermatitis. - Flatulence: increased gas production.
Serious or Rare Side Effects: - Anaphylaxis: severe allergic reaction requiring immediate medical attention. - Hepatic enzyme elevation: unexpected rise in liver enzymes. - Jaundice: yellowing of skin or eyes indicating liver stress. - Severe skin reactions: such as Stevens‑Johnson syndrome. - Hepatotoxicity: rare cases of liver injury. - Pulmonary oedema: very rare respiratory compromise.
What precautions apply to Silybum Marianum Extract?
When considering Milk Thistle, several safety points should be observed.
- Pregnancy: safety not established; avoid unless advised by a healthcare professional. - Breastfeeding: unknown safety profile; weigh potential risks and benefits. - Pre‑existing liver disease: use under medical supervision. - Drug interactions: review concomitant medications for possible interactions. - Allergy: discontinue if hypersensitivity to milk thistle or related plants is known. - Store at ambient temperature: keep in the original container, protect from moisture and light.
What does Silybum Marianum Extract interact with?
Milk Thistle may influence the activity of other medicines; interactions are classified by their clinical significance.
Major Interactions (Avoid): - CYP3A4 substrates: may increase plasma levels of drugs such as warfarin, statins, and certain antihistamines. - Estrogen‑containing medications: potential alteration of hormone levels. - Immunosuppressants: possible reduction in therapeutic effect.
Moderate Interactions (Monitor Closely): - Antidiabetic agents: may enhance hypoglycaemic effect, requiring glucose monitoring. - Anticoagulants: may increase bleeding tendency; monitor INR or clotting parameters. - Antihypertensives: occasional additive blood‑pressure lowering effect.


