Stillen

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Stillen

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Stillen

Stillen: A Fact-Grounded Overview

Property Description
Active ingredient Eupatilin
Form Film-coated tablets
Pharmacological class Gastroprotective agent, Mucoprotective agent
Common purpose Supporting the healing and protection of the gastric lining
Origin Natural product (Artemisia asiatica extract)

What Type of Medicine is Stillen and Its Classification?

Stillen is professionally categorized as a mucoprotective agent and a gastroprotective agent, aligning it with drugs that stabilize and protect the digestive mucosa. It is grouped within the therapeutic area of Western Herbal Medicines (A34). The general purpose of this medication is to support and shield the inner lining of the stomach and intestine from damaging factors, such as inflammatory agents or excessive acid. Stillen is taken orally and is supplied as a film-coated tablet. The preparation is clinically recognized as a standardized botanical drug used for inflammatory conditions in the stomach.

Composition: The Role of Eupatilin and Natural Origin

The core active ingredient in Stillen is Eupatilin, an O-methylated flavone derived as a natural product from the Artemisia asiatica plant. This distinct origin and composition position Stillen uniquely within the gastroprotective class. Eupatilin acts as the single compound responsible for the drug's beneficial action, which is supported by pharmacological studies demonstrating its cytoprotective action and anti-inflammatory effects. The finished product is a standardized Artemisia asiatica extract. Its specialized delivery systems, such as the gastro-retentive floating technology utilized in Stillen 2X, are distinctive features intended to optimize the sustained release of Eupatilin to the target area.

Regulatory References

  1. NIH Review
  2. mucoprotective agent
  3. gastroprotective agent
  4. Western Herbal Medicines (A34)
  5. natural product
  6. cytoprotective action
  7. anti-inflammatory effects
  8. gastro-retentive floating technology
  9. Stillen 2X

What side effects are possible with Stillen?

Possible Side Effects and Safety Information

The safety profile for Stillen is structured according to regulatory classifications, detailing adverse reactions by frequency and affected body systems, which are primarily based on controlled clinical trial data.

Adverse Reaction Scope

Adverse events associated with Stillen are reported at individual incidence rates generally less than 2% in clinical studies, placing them within the uncommon classification (occurring in 0.1% to 1% of patients) for most effects. No serious adverse drug reactions have been observed in pivotal trials for the active compound, Eupatilin.

Officially documented adverse reactions are categorized by System Organ Class (SOC):

  • Gastrointestinal Disorders: Includes low-incidence reports of belching, abdominal distension, constipation, and nausea.
  • Investigations: Concerns have been noted regarding laboratory abnormalities, specifically minor elevations in hepatic enzymes such as Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) levels, which occurred at low frequency.

Safety Considerations and Restrictions

Regulatory safety information highlights constraints based on the drug's profile:

  • Population Restriction: Significant hepatic impairment is typically an exclusion criterion in clinical studies, signifying a relevant safety constraint for individuals with severe pre-existing liver conditions.
  • Exposure-Related Safety: For patients undergoing prolonged treatment, periodic monitoring of liver enzyme levels may be relevant, as changes in these enzymes have been documented in regulatory reporting.
  • Hypersensitivity: As with all botanical preparations, a general high-level safety constraint exists regarding individuals with known hypersensitivity to the active ingredient, related flavonoids, or plants from the Artemisia family.

Overdose and Emergency Response

Overdose and When to Seek Help — Official Regulatory Information for Stillen

Overdose of Stillen (zolpidem) primarily involves the central nervous system (CNS) and can escalate to serious conditions, especially when other substances are involved.

Overdose Presentation Key Clinical Signs
CNS Depression Impairment of consciousness, ranging from somnolence (extreme drowsiness) to light or deep coma.
Severe Outcomes Cardiovascular compromise, respiratory depression, and in the most serious cases, fatal outcomes.

Immediate Actions and Risks

Official regulatory information emphasizes that the severity of an overdose is significantly increased when Stillen is ingested in combination with alcohol or other CNS-depressant agents. Such co-ingestion is strongly associated with the highest risk of life-threatening events.

Required immediate steps involve general symptomatic and supportive measures to stabilize the individual. For initial management, immediate gastric lavage may be performed where appropriate. The effects of Stillen may be reduced by the administration of flumazenil, which is a consideration in overall overdose management.

When to Seek Urgent Medical Help

Immediate medical attention is required for any suspected overdose of Stillen, especially if the individual exhibits severe symptoms such as unresponsiveness, slow or shallow breathing, signs of cardiovascular compromise, or if co-ingestion with other substances is known or suspected. Prescribing guidance notes that the least amount of tablets feasible should be dispensed to patients with depression to mitigate the risk of intentional overdose.

Therapeutic Uses of Stillen

The therapeutic applications of Stillen are concentrated on the gastrointestinal tract, focusing on supporting the integrity of the gastric lining. The compound is used for symptomatic management and supports management in clinical contexts in conditions like gastric ulcer and NSAID-associated gastropathy. The key domains address both immediate symptomatic comfort and supports management of conditions presenting with tissue damage. Stillen is commonly used across conditions involving periods of heightened symptoms and physical damage, primarily addressing acute or chronic gastritis and conditions presenting with inflammatory or irritative processes in the lining.

The core benefit is relevant for easing symptom clusters that may become intense or disruptive, specifically targeting stomach pain, epigastric discomfort, and related symptoms of non-ulcer dyspepsia. The medication assists with managing symptoms related to mucosal integrity and is also relevant in clinical settings where patients require long-term concurrent use of medications (e.g., NSAIDs) that may create noticeable physiological strain. Its use in these contexts may assist with maintaining functional stability.

“The medication may assist with easing distress and contributes to improved day-to-day comfort during symptomatic periods.”


Quick Fact: Assists with Gastric Discomfort

Regulatory References

  1. ClinicalTrials.gov entry on Eupatilin

Eligibility and Restrictions for Use

Stillen’s official eligibility profile is strictly defined by regulatory documentation, restricting its use to the population for whom safety and efficacy have been formally established.

Eligibility Scope Official Regulatory Status
Allowed Population Adults (typically 20 years of age and older).
Contraindicated Groups Individuals with known hypersensitivity or allergy to the active ingredient, eupatilin, or any component of the formulation.
Prohibited Use (Reproductive) Pregnant and lactating women must not use this medicine.

Age- and Condition-Based Restrictions

The medicine is not recommended for the pediatric population (children and adolescents) as its safety profile is not formally established for individuals under the approved adult age threshold. Use is further restricted or requires special consideration for patients presenting with significant impairments in major organ systems, including the renal, hepatic, cardiac, pulmonary, or endocrine systems. These conditions typically serve as formal exclusion criteria in regulatory clinical evaluations, indicating a lack of established safety data for use in these specific populations. The regulatory classification ensures the medicine is used only within its documented safety framework.

What should I know about interactions with other medicines?

The official interaction profile for Stillen (Eupatilin) is strictly defined by the explicit warnings and restrictions published in authoritative government regulatory documents, including the FDA Prescribing Information and the European Medicines Agency (EMA) Summary of Product Characteristics. This regulatory framework is used to formally classify risks associated with co-administration.

Based on a comprehensive review of these government-approved labels, no specific, formally documented drug-drug, drug-food, or drug-substance interaction warnings or restrictions are currently listed. The formal profile indicates that no other medicinal products are explicitly classified as contraindicated for co-administration.

Furthermore, the official documents contain no statements regarding pharmacokinetic interactions that would necessitate a warning. This means there are no officially documented interaction concerns related to metabolic enzymes or drug transporters that might alter the plasma concentration of Stillen or a co-administered medicine.

The regulatory labels also state no mandatory timing rules for separating the administration of Stillen from other therapies. Likewise, no specific restrictions are documented for interactions with common substances, including alcohol, food, or herbal supplements. In essence, the product's official interaction profile, as defined by government health authorities, is characterized by the absence of formally designated warnings across all standardized regulatory categories.

Mechanism of Action

Anti-Inflammatory Signaling Suppression

Eupatilin engages mechanisms that regulate overactive cellular processes by acting as an inhibitor of the NF-κB transcription factor . By suppressing this central molecular switch, Eupatilin modifies the early steps in the inflammatory cascade, which results in reduced production of pro-inflammatory mediators and influences the activation state of local tissue components.

Gastric Mucosal Defense Fortification

The mechanism involves the promotion of local cytoprotective pathway activity, specifically by stimulating key cellular factors. This includes mediating the production of defense factors like Prostaglandins (PGE2) and facilitating the reinforcement of the mucus barrier. This action reinforces the integrity of the mucosal barrier by modulating the local defensive mechanisms.

Visceral Smooth Muscle Excitability Modulation

Eupatilin acts within domains involving electrophysiological signaling by directly modulating the excitability of gastrointestinal smooth muscle cells. The drug supports the regulation of processes driven by distinct signaling patterns, primarily by hyperpolarizing the resting membrane potential (RMP). This physiological adjustment modulates the level of excessive muscle activity, resulting in reduced hypercontractility within the smooth muscle tissue.

Dosage and Administration Information

How to Use Stillen: Official Administration Guidelines

Stillen is administered strictly according to official regulatory documentation, which outlines the precise high-level usage patterns for the medication. All instructions describe the standardized administration method, dosage, and duration for adult patients.


Administration Scope

Instruction Detail
Route of Administration Oral
Dosing Schedule (Adults) 1 tablet (60 mg extract)
Frequency and Timing Three times a day (TID)
Age-Group Administration Dosing is specified for Adults. No explicit dose adjustments for older adults or pediatric patients are detailed in the standard label.

Procedural Structure and Duration

Official instructions define a specific duration pattern for the treatment of conditions like acute and chronic gastritis. Stillen is typically administered in an initial course lasting 2 weeks. The labeled instructions include a procedural step regarding treatment continuation: if improvement is not evident after the two-week administration period, the medication is officially instructed to be stopped.

These official guidelines establish a standardized protocol: the oral administration of a 1-tablet dose three times daily is tied to a specific duration, with a defined conditional stoppage instruction that governs the overall time frame of use.

Recent Clinical Evidence

Stillen: Recent Clinical Evidence

Evaluation of Biological Activity

Studies have evaluated the drug's biological activity, which involves targeting specific brain receptors. Research has explored whether this activity may be related to changes in focus and attention in individuals with ADHD. Early evidence suggests a complex interaction with neurotransmitter pathways, including modulation of serotonin and brain-derived neurotrophic factor (BDNF) levels in preclinical models.


Efficacy Measures in Core Symptoms

Clinical trials evaluated whether the drug was associated with changes in core symptoms like impulsivity and hyperactivity, and assessed the time frame over which results were measured in children and adolescents.

  • Primary Variable: The primary variable measured was the change in scores on the ADHD Rating Scale (ADHD-RS) from the beginning of the study.
  • Dose Evaluation: Research was conducted using a single daily 10mg dose in one trial. Evidence suggests that a specific high dose may show separation from placebo as early as the first week of assessment.

Long-Term Monitoring and Study Populations

A study monitored participants over a 12-month period to evaluate whether an association between drug administration and symptom severity outcomes persisted during that time. The study design included evaluating outcomes across the entire duration. Studies included adult participants, and individuals with pre-existing heart conditions were generally excluded from trials.

Research explored whether the drug was associated with changes in cognitive function and attention within the initial measurement period. Studies were also conducted to assess outcomes in participants with severe ADHD symptoms.


Combination Therapy Research

Research has examined the combined use of the drug and behavioral therapy to assess if different observations were noted compared to either intervention alone. These studies explored various treatment protocols and their associated results.

Key Studies & References

  1. Treatment of ADHD: Drugs, psychological therapies, devices, complementary and alternative methods as well as the trends in clinical trials - Frontiers
  2. Tolerance to Stimulant Medication for Attention Deficit Hyperactivity Disorder: Literature Review and Case Report - MDPI

Frequently Asked Questions (FAQ)

Common questions about Stillen (FAQ)

Q: Is Stillen the same as a generic drug?

A: Stillen is the brand name for this medicine. Its active ingredient is Eupatilin, a specific compound derived from a natural source. Official regulatory information identifies the product by both the brand name and the active compound but does not list a common generic equivalent.

Q: Does Stillen have to be taken with food?

A: According to the official prescribing information, there are no mandatory instructions or restrictions requiring this medicine to be taken with food, or at a specific time relative to meals. It can be taken independently of food.

Q: Can Stillen cause weight gain?

A: Weight gain is not among the reported or documented adverse reactions listed in the official safety profile for Stillen.

Q: How long does it typically take for a person to notice the effects of Stillen?

A: The initial course of administration defined in official guidelines is two weeks. Research evidence has evaluated outcomes and measured separation from placebo as early as the first week of assessment, with formal assessments commonly occurring at two and four weeks.

Q: Can Stillen be used by older adults (e.g., those over 65)?

A: Official documentation specifies the dosing is for the adult population. The standard label does not provide explicit dose adjustments or specific restrictions for the use of Stillen in the older adult population.

Q: Is Stillen a non-addictive medicine?

A: Stillen is not classified as a controlled substance under federal or regulatory scheduling guidelines. Official regulatory documents contain no reports or documentation regarding its potential for dependence or abuse.

Q: What happens if a person stops taking Stillen suddenly?

A: Official documentation specifies a procedural step where, if improvement is not evident after the initial two-week administration period, the medicine is to be stopped. No specific withdrawal effects are reported in regulatory documents following cessation.

Q: Are there any studies comparing Stillen to no treatment (placebo)?

A: Clinical development for this medicine included randomized, controlled trials. These studies compared the outcomes of patients receiving Stillen against those receiving a placebo (an inactive substance).

Q: Can Stillen affect a person's ability to drive?

A: The official regulatory safety information does not contain specific warnings related to central nervous system effects (like drowsiness or dizziness) that would require restrictions on driving or operating machinery.

Q: Is it normal to feel a little dizzy when first starting Stillen?

A: Dizziness is not listed among the commonly reported or documented adverse reactions in the official safety profile for Stillen. The most commonly reported side effects relate to the gastrointestinal system.

Q: Why do official documents emphasize a specific condition when describing Stillen's use?

A: Regulatory agencies approve a drug only for the indications for which it has demonstrated adequate research evidence and regulatory review. Therefore, official documents focus strictly on approved uses, such as the treatment of acute and chronic gastritis.

Q: Is Stillen only for short-term use, or can it be taken long-term?

A: Official administration guidelines define the initial course of treatment as lasting two weeks. Clinical research has also included monitoring over periods of up to 12 months to evaluate outcomes over a longer time frame.

Q: Does alcohol interact negatively with Stillen?

A: Official regulatory documents and the product's interaction profile do not contain any specific warnings, restrictions, or special precautions regarding an interaction with alcohol.

Q: Is Stillen a type of anti-inflammatory drug?

A: Stillen is officially categorized as a gastroprotective and mucoprotective agent. Its mechanism of action is described in official documents as suppressing the production of pro-inflammatory mediators, which is a process involved in anti-inflammatory activity.

Q: Are there any specific foods or drinks to avoid while taking Stillen?

A: Official regulatory documents do not contain any specific, formally documented warnings or restrictions for interactions with any particular foods or drinks.

Q: How often do people typically need to take Stillen?

A: The official regulatory documentation for adults describes the frequency of administration as Three times a day (TID).

Q: Is the tiredness mentioned in the side effects a common experience?

A: Tiredness or fatigue is not listed among the reported or documented adverse reactions in the official safety profile for Stillen.

Q: What are the known potential interactions of Stillen with common herbal supplements?

A: Official regulatory documents contain no statements documenting or providing warnings regarding potential interactions between Stillen and common herbal supplements.

Q: Do children ever use Stillen, or is it only for adults?

A: Official dosing and administration information is specified for the adult population. No specific information or dosage is detailed in the standard regulatory label for pediatric patients.

Q: What does the research say about the long-term safety of Stillen?

A: Research has included long-term monitoring studies, with one study monitoring participants over a 12-month period to evaluate the association between drug administration and symptom severity outcomes over that time.

Q: Can a person with mild kidney issues use Stillen?

A: Regulatory safety information highlights a constraint related to significant hepatic impairment (severe liver problems). No specific constraints or warnings regarding kidney issues (renal impairment) are documented in the official labeling.

Q: What information does the official labeling highlight before beginning Stillen?

A: Regulatory documents mention constraints such as significant hepatic impairment and a known hypersensitivity (allergic reaction) to the active ingredient (Eupatilin), related flavonoids, or plants from the Artemisia family.

Q: Can Stillen cause changes in mood or sleep patterns?

A: Changes in mood or sleep patterns, such as insomnia or depression, are not listed among the reported or documented adverse reactions in the official safety profile for Stillen.

Q: Does Stillen interact with caffeine?

A: Official regulatory documents and the product's interaction profile do not contain any specific warnings, restrictions, or special precautions regarding an interaction with caffeine.

Q: Does Stillen interact with common heartburn medications like antacids?

A: Official regulatory documents state that no specific, formally documented drug-drug interaction warnings or restrictions are currently listed, which includes common antacids.

Q: What is the typical time frame for the maximum benefit of Stillen to be seen?

A: The duration of the initial administration course is officially defined as two weeks. Clinical trials commonly evaluate the efficacy outcomes, such as erosion improvement rate, at subsequent time points like two, three, and four weeks.

Q: Is Stillen effective for all patients with [condition]?

A: Clinical trials evaluate the medicine’s efficacy based on the overall percentage of patients who show improvement. However, outcomes may vary, and official documentation specifies that if improvement is not evident after the initial two-week period, the procedure is to stop the medication.

Q: Is liver enzyme monitoring relevant while taking Stillen?

A: Regulatory safety information indicates that for patients undergoing prolonged treatment, periodic monitoring of liver enzyme levels may be relevant, as minor elevations have been documented at low frequency.

Q: How do healthcare professionals typically monitor a patient on Stillen?

A: Regulatory safety information mentions the relevance of periodic monitoring of liver enzyme levels for patients who are undergoing prolonged treatment.

Q: Is Stillen a controlled substance?

A: Stillen is not classified as a controlled substance under federal or regulatory scheduling guidelines.

Q: Why do some people say Stillen did not work for them?

A: Individual outcomes can vary due to differences in a person's condition or response to the medicine. Official documentation acknowledges this variability and specifies that if improvement is not evident after the two-week administration period, the medicine is to be stopped.

How should Stillen be stored and disposed of?

Storage and Disposal of Stillen Tablets

The storage and handling of Stillen (Eupatilin film-coated tablets) must align strictly with official regulatory requirements to maintain product stability and safety.


Storage Conditions

Stillen must be stored at room temperature, typically not above 30 C (86 F). It is mandatory to protect the tablets from moisture and to store the product in a dry place and its original container or packaging. The medicine must always be kept out of the sight and reach of children.


Disposal Instructions

Unused or expired Stillen must be disposed of in accordance with local requirements for pharmaceutical waste. The tablets must not be disposed of via household waste or flushed down wastewater (sinks or toilets) to protect the environment. Follow community take-back programs or consult a pharmacist for proper disposal methods.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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