What is Granulated Hepa-Merz and what is it used for? Granulated Hepa-Merz belongs to the group: liver therapy. Granulated Hepa-Merz stimulates ammonia detoxification by increasing urea synthesis in the urea cycle. It helps extrahepatic detoxification of ammonia from tissues. It is used to treat latent or manifest hepatic encephalopathy in conditions with insufficient liver detoxification activity (e.g. liver cirrhosis) and their complications. How to use Granulated Hepa-Merz The contents of 1 – 2 sachets of granulated Hepa-Merz will be dissolved in a sufficient amount of liquid (for example a glass of water, tea or juice) and the solution obtained will be administered orally up to 3 times / day. Packaging size: box of 30 sachets