Dosing Schedule
Adults and Children >10 years of age
31 drops, three times a day (equivalent to 120 mg of ivy leaf extract per day)
Children 4-10 years of age:
21 drops, three times a day (equivalent to 80 mg of ivy leaf extract per day)
Children 2-4 years of age:
16 drops, three times a day (equivalent to 60 mg of ivy leaf extract per day)

hypersensitivity to the active ingredient, plants of Araliaceae, or any excipients of this drug.
 children < 2 years of age
Special Precautions for Use
 a medical diagnosis is required before starting the drug treatment in children 2-4 years of age with persistent or recurrent cough.
 if dyspnea, fever, or purulent sputum occurs, consult your physician or pharmacist.
 patients with gastritis or peptic ulcer should use the drug with special caution.
 in children < 5 years of age, concomitant use of the drug and any substrates of alcohol dehydrogenase, in particular, ethanol, may cause adverse events.
 although there is no evidence that propylene glycol can cause toxic effects on reproductive function and embryofoetal development in animals or humans, this substance can reach the fetus and has been detected in milk. Therefore, the appropriateness of taking propylene glycol-containing products during pregnancy and lactation should be considered on a case-by-case basis.
 patients with impaired renal or hepatic function require medical supervision, as there are known cases of various adverse events associated with the use of propylene glycol, in particular, renal dysfunction (acute tubular necrosis), acute renal failure, and hepatic dysfunction.
Drug Interactions

Consultation with the attending physician or pharmacist is required before using the product in children < 5 years of age, particularly if they are taking other drugs containing propylene glycol or alcohol.
During pregnancy or lactation, the use of this drug is allowed only if recommended by the attending physician. Your physician may perform additional monitoring of your health while you are using this drug.
In case of hepatic or renal disorders, the use of this drug is allowed only if recommended by the attending physician. Your physician may perform additional monitoring of your health while you are using this drug.
Pediatric Patients
Consult the attending physician in case of persistent or recurrent cough in children 2-4 years of age. The attending physician should assess the effectiveness of the treatment with this drug for the child.
Pregnancy and Lactation
During pregnancy and lactation, as well as in case of anticipated pregnancy or planning for pregnancy, consult your physician or pharmacist before using the drug.
There is no or little information on the use of ivy leaf extract in pregnant women. There is limited data from reproductive toxicology studies in animal models. Hedelix® s.a is not recommended for pregnant women.
The possibility of safe use during lactation has not been proven. Due to insufficient data, it is not recommended to use the drug during lactation.
Effects on the Ability to Drive or Operate Potentially Dangerous Machinery
No studies have been conducted to assess the effects of the drug on the ability to drive or operate potentially dangerous machinery.

50 ml of the drug is placed into brown glass vials with a dropper insert and plastic screw cap.
One vial together with the Patient Information Leaflet in the Kazakh and Russian languages is placed in a cardboard box.

Do not store above 25°C.
Keep out of reach of children.

5 years.

Krewel Meuselbach GmbH, Germany
Legal Address
2 Krewelstrasse, 53783 Eitorf, Germany
Site of Manufacture
Xavier-Vorbruggen-Strasse 6, 98694, Ilmenau, Germany