hysin 1.5 mg/55 mg drop - Cyproheptadine (1.5mg) + Tricholine Citrate (55mg) medicine

Aptimust Oral Drops: Complete Medicine Guide

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🏭 Dr. Johns Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 24, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited to moderate for appetite stimulation; well-established for cyproheptadine as an antihistamine.
Reviewed by
SaathiMed Expert Panel | Oct 24, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe drowsiness or inability to wake up
  • Seizures or convulsions
  • Yellowing of skin or eyes
  • Blood in vomit or stool
  • Inability to pass urine
  • Severe abdominal pain

If experiencing severe symptoms, call emergency services immediately.

What is hysin 1.5 mg/55 mg drop used for?

This medicine is a combination of cyproheptadine and tricholine citrate used to stimulate appetite and support weight gain, especially in children. It works by blocking histamine and serotonin receptors in the brain to increase hunger, while tricholine citrate supports digestion.

  • Generic Name: Cyproheptadine (1.5mg) + Tricholine Citrate (55mg)
  • Manufacturer: Dr. Johns Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 hysin 1.5 mg/55 mg drop के बारे में (Hindi Summary)

उपयोग: यह दवा साइप्रोहेप्टाडीन और ट्राइकोलीन सिट्रेट का मिश्रण है, जिसका उपयोग मुख्य रूप से भूख बढ़ाने और वजन बढ़ाने में मदद के लिए किया जाता है। यह बच्चों और कुछ बड़ों में भूख की कमी, बीमारी के बाद कमजोरी, और वजन न बढ़ने की समस्या में दी जाती है। यह दवा दिमाग में हिस्टामिन और सेरोटोनिन रिसेप्टर्स को ब्लॉक करके भूख बढ़ाती है और ट्राइकोलीन सिट्रेट पाचन और लिवर को सहारा देता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुँह सूखना, चक्कर आना और पेट में हल्की गड़बड़ी शामिल हैं। कुछ बच्चों में नींद की जगह बेचैनी या चिड़चिड़ापन भी हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर सांस लेने में तकलीफ, चेहरे या गले में सूजन, या पीलिया जैसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का उपयोग केवल डॉक्टर की सलाह पर करें और बताई गई मात्रा से ज्यादा न दें। नवजात शिशुओं को यह दवा न दें। दवा लेने के बाद गाड़ी चलाने या मशीन चलाने से बचें क्योंकि इससे नींद आ सकती है। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। दवा को बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 hysin 1.5 mg/55 mg drop Uses & Benefits

[{"condition":"Poor appetite and inadequate weight gain in children","description":"This medicine is commonly prescribed to stimulate appetite and support weight gain in children with poor oral intake or failure to thrive when other causes have been evaluated.","evidence":"Commonly used in clinical practice; evidence quality varies"},{"condition":"Appetite loss during recovery from illness","description":"It may be used short-term to improve appetite after infections, surgery, or other conditions that reduce food intake.","evidence":"Limited to moderate evidence"},{"condition":"Nausea and vomiting associated with certain conditions","description":"Cyproheptadine has antiemetic properties that can help reduce nausea in selected patients.","evidence":"Limited evidence"},{"condition":"Allergic conditions such as itching and urticaria","description":"The antihistamine component can relieve itching and allergic skin reactions, though this combination is not primarily marketed for allergy alone.","evidence":"Well-established for cyproheptadine"}]

Off-label uses: [{"condition":"Migraine prevention in children","description":"Cyproheptadine is sometimes used off-label to reduce migraine frequency in children and adolescents.","evidence":"Limited to moderate evidence"},{"condition":"Cyclic vomiting syndrome","description":"It may be used off-label to reduce episodes of cyclic vomiting in some patients.","evidence":"Limited evidence"},{"condition":"Insomnia related to serotonin syndrome","description":"Cyproheptadine has been used off-label in specialized settings for serotonin syndrome, but this is not a routine use of this combination product.","evidence":"Case reports and expert opinion"}]

Primary treatment for: Poor appetite and inadequate weight gain

Also treats: Appetite loss during recovery, Nausea and vomiting, Allergic itching

📋 Drug Information

Generic Name(s)Cyproheptadine (1.5mg) + Tricholine Citrate (55mg)
Brand Namehysin 1.5 mg/55 mg drop
ManufacturerDr. Johns Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Protect from light and moisture. Keep the bottle tightly closed.
Shelf LifeRefer to the packaging for the exact shelf life. Do not use after the expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always use the dropper provided to measure the exact dose; household spoons are not accurate.
2
Give this medicine at the same time each day to maintain consistent levels.
3
If drowsiness occurs, give the dose at bedtime to minimize daytime sedation.
4
Monitor appetite and weight weekly to assess response.
5
Do not use for longer than prescribed without medical review.
6
Inform your doctor if the child becomes unusually irritable or excited.
7
Keep a record of any side effects and report them to your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Poor appetite
This medicine is commonly prescribed for this.
Likely Use
✅
Underweight
May be used to support weight gain.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Allergic itching
Cyproheptadine can relieve itching.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCyproheptadine is well absorbed from the gastrointestinal tract after oral administration. Tricholine citrate is also absorbed, but its primary action occurs in the gut. Specific absorption data for this combination product are not established from the available information.
DistributionCyproheptadine is widely distributed in the body, including the central nervous system, which explains its sedative and appetite-stimulating effects. Distribution data for tricholine citrate are not established from the available information.
Protein BindingCyproheptadine is highly protein-bound. Specific protein binding data for tricholine citrate are not established from the available information.
MetabolismCyproheptadine undergoes extensive metabolism in the liver, primarily through glucuronidation. Tricholine citrate is metabolized and excreted as bile acid complexes. Specific metabolic pathways for the combination product are not established from the available information.
Half-LifeThe elimination half-life of cyproheptadine is not established from the available information for this specific product. Tricholine citrate half-life is also not established from the available information.
ExcretionCyproheptadine and its metabolites are excreted mainly in urine and feces. Tricholine citrate is excreted in bile and feces. Specific excretion data for this combination product are not established from the available information.
BioavailabilityBioavailability data for this specific oral drops combination are not established from the available information.
Onset of ActionAppetite-stimulating effects may begin within a few days of starting treatment, but noticeable weight gain usually takes several weeks. Sedative effects can occur within 1 to 2 hours after a dose.
Peak Plasma TimePeak plasma time for cyproheptadine is not established from the available information for this product.
Duration of ActionThe sedative and appetite-stimulating effects of cyproheptadine can last for several hours, typically 4 to 8 hours. Duration for tricholine citrate is not established from the available information.

How It Works

This medicine combines two active ingredients with different actions. Cyproheptadine is a first-generation antihistamine that blocks histamine H1 receptors and also antagonizes serotonin 5-HT2 receptors. This dual action reduces allergic symptoms and nausea, and it stimulates appetite through effects on appetite-regulating pathways in the brain. Tricholine citrate is a bile acid sequestrant that binds bile acids in the intestine, which may alter fat digestion and support liver function. The appetite-stimulating effect is mainly attributed to cyproheptadine, while tricholine citrate is included to support digestive and hepatic health.

Mechanism Steps

1
Histamine H1 receptor blockade: Cyproheptadine binds to histamine H1 receptors in the brain and periphery, reducing allergic symptoms and causing sedation.
2
Serotonin 5-HT2 receptor antagonism: Cyproheptadine blocks serotonin 5-HT2 receptors, which contributes to appetite stimulation and antiemetic effects.
3
Appetite pathway modulation: By affecting hypothalamic appetite centers, cyproheptadine increases hunger and food intake.
4
Bile acid sequestration: Tricholine citrate binds bile acids in the intestine, reducing their reabsorption and potentially improving fat digestion and liver function.

💡 How to Take hysin 1.5 mg/55 mg drop

Strength: Oral drops containing Cyproheptadine 1.5 mg and Tricholine Citrate 55 mg per dose unit.

1Shake the bottle well before use.
2Use the dropper provided to measure the exact dose prescribed.
3Administer directly into the mouth or mix with a small amount of water or food if advised.
4Take with or without food as directed by your doctor.
5Wash the dropper after each use and close the bottle tightly.

Dosage Information

Adult DosageThe dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, and liver and kidney function. For adults, it is typically prescribed as a small measured dose using the dropper provided, often once or twice daily. Do not self-adjust the dose. Follow your doctor's instructions exactly.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the sedative and anticholinergic effects of this medicine. Use with caution and lower doses may be advised by the doctor.
Renal ImpairmentDose adjustment may be needed in patients with kidney disease. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with liver disease. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum daily dose is not established from the available information. Follow your doctor's prescription.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
Alcohol
Avoid
Increases sedation.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of hysin 1.5 mg/55 mg drop

✅ Common Side Effects

Drowsiness (Common (up to 10%))
Avoid driving or operating machinery. If persistent or excessive, consult your doctor.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugar-free gum. Consult doctor if severe.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid sudden movements.
Mild stomach upset (Common (5-10%))
Take with food or milk to reduce stomach irritation.
Increased appetite (Common (intended effect))
This is expected. Maintain a balanced diet to ensure healthy weight gain.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you notice swelling of face, lips, throat, difficulty breathing, or severe rash.
Blood disorders (e.g., agranulocytosis, hemolytic anemia) (Rare (<0.1%))
Report unusual bruising, bleeding, fever, or sore throat to your doctor promptly.
Liver problems (hepatotoxicity) (Rare (<0.1%))
Seek medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Seizures (Rare (<0.1%))
Call emergency services if a seizure occurs.
Urinary retention (Rare (<0.1%))
Seek medical help if you are unable to pass urine.

⚠️ Rare Side Effects

Photosensitivity
Use sunscreen and protective clothing when outdoors.
Extrapyramidal symptoms
Report muscle stiffness, tremors, or abnormal movements to your doctor.
Cholestatic jaundice
Seek medical attention if jaundice occurs.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
CNS depressants Major
Anticholinergics Major
SSRIs Moderate
Beta-blockers Moderate
Diuretics Moderate
Antacids Minor
Caffeine Minor

🚨 Major Interactions

  • MAO inhibitors
  • CNS depressants (e.g., benzodiazepines, opioids, alcohol)
  • Anticholinergic drugs (e.g., atropine, tricyclic antidepressants)

⚡ Moderate Interactions

  • Selective serotonin reuptake inhibitors (SSRIs)
  • Beta-blockers
  • Diuretics

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it can significantly increase drowsiness, dizziness, and impairment of judgment. Combining alcohol with cyproheptadine may also increase the risk of respiratory depression.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Newborns and premature infants","Narrow-angle glaucoma","Urinary retention or prostatic hypertrophy","Severe liver disease","Known hypersensitivity to cyproheptadine or tricholine citrate","Concurrent use with MAO inhibitors"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Do not use in newborns or premature infants.","Use with caution in elderly patients due to increased risk of confusion and falls.","Avoid alcohol and other CNS depressants.","Consult a doctor before use in pregnancy or breastfeeding.","Do not exceed the prescribed dose.","Keep out of reach of children."]

🤱 Lactation Safety

Cyproheptadine may pass into breast milk and could cause drowsiness in the infant. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause severe drowsiness, confusion, rapid heartbeat, hallucinations, and seizures. Seek emergency medical attention immediately. Treatment is supportive and symptomatic. Do not induce vomiting unless instructed by a healthcare professional.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Use this medicine only when prescribed by a qualified doctor, and follow the exact dose and duration advised. Do not give this medicine to newborns or premature infants. Avoid driving, cycling, or operating heavy machinery until you know how this medicine affects your alertness. Do not drink alcohol while taking this medicine because it can increase drowsiness and impair judgment. Keep the bottle tightly closed and out of reach of children. Tell your doctor about all other medicines, especially sedatives, antidepressants, and anticholinergic drugs. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Do not use this medicine as a replacement for a healthy diet and regular meals.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to sedation, confusion, and falls. Use with caution and lower doses may be needed. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. The safety of this combination in pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, as it may interact with anesthetics and other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it can cause dry mouth and may interact with sedatives used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Offer small, frequent meals to stimulate appetite.
🥗
Include nutrient-dense foods like nuts, dairy, and eggs.
😴
Encourage physical activity to improve appetite.
💧
Maintain a regular meal schedule.
🧘
Ensure adequate sleep and reduce stress.
🌞
Avoid junk food that provides empty calories.

🏋️ Exercise Considerations

This medicine can cause drowsiness and dizziness. Avoid strenuous exercise or activities requiring balance until you know how it affects you. Light to moderate exercise is generally safe.

🥗 Diet Recommendations

Include protein-rich foods like lentils, eggs, and lean meat.
Add healthy fats such as ghee, nuts, and seeds.
Offer fruits and vegetables for vitamins and minerals.
Stay well hydrated.
Avoid excessive sugary drinks and snacks.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. It is best to take it when you do not need to be alert. Discuss with your doctor if your work requires high concentration.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Your doctor will determine the appropriate duration based on your response and underlying condition. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine should be monitored by a doctor. Prolonged use of cyproheptadine may lead to tolerance of its sedative effects and potential weight gain beyond desired levels. Regular monitoring of weight, appetite, and liver function is advised. Do not use for extended periods without medical review.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary counseling

A nutritionist can help create a high-calorie, nutrient-rich diet plan.

Evidence: Well-established
Treating underlying causes

Addressing medical or psychological causes of poor appetite.

Evidence: Well-established
Other appetite stimulants

Medicines like megestrol or dronabinol may be used in specific cases.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established from the available information. Continue routine vaccinations as scheduled.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case of customs checks. Store at room temperature and protect from extreme heat or cold. If crossing time zones, consult your doctor about adjusting the dosing schedule. Keep the bottle tightly closed and out of reach of children.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 4-year-old child with poor appetite and underweight
The child was prescribed this medicine by a pediatrician after other causes of poor appetite were ruled out. The parents gave the drops as directed before bedtime. After 3 weeks, the child's appetite improved and weight gain was noted. The parents reported mild drowsiness initially, which reduced after a week.
💡 Lesson: Consistent use and regular monitoring can lead to improved appetite and weight gain, but side effects should be reported.
👤 An adult recovering from a prolonged illness with loss of appetite
An adult was prescribed this medicine to help regain appetite after a severe infection. The dose was taken once daily in the morning. Appetite improved within 10 days, but the patient experienced dry mouth and drowsiness, which were managed by taking the dose at night after consulting the doctor.
💡 Lesson: Adjusting the timing of the dose can help manage side effects while maintaining benefits.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Appetite improvement may be noticed within a few days to weeks. Weight gain typically takes several weeks of consistent use.

Q: Is it safe for children?

A: It is commonly prescribed for children but should only be used under a doctor's supervision. It is not for newborns.

Q: Can I stop taking it suddenly?

A: Do not stop without consulting your doctor. Your doctor will advise on the duration of treatment.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my child's growth?
  • Can I drive after taking this medicine?
  • Does it interact with other medicines?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for hysin 1.5 mg/55 mg drop

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be used by anyone to gain weight quickly.
    Fact: It is a prescription medicine and should only be used under medical supervision for specific indications.
  • Myth: It is safe to give to newborns.
    Fact: It is contraindicated in newborns and premature infants.
  • Myth: It has no side effects.
    Fact: It can cause drowsiness, dry mouth, and other side effects.

🔄 Alternative Options

Generic Alternatives

  • Cyproheptadine + Tricholine Citrate oral drops

Brand Alternatives

  • Aptimust Oral Drops

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Cyproheptadine 1.5 mg + Tricholine Citrate 55 mg","form":"Oral drops","primary_use":"Appetite stimulation"},{"medicine":"Cyproheptadine alone","composition":"Cyproheptadine","form":"Tablet/Syrup","primary_use":"Allergy, appetite stimulation"}]

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