Ursodeoxycholic Acid (UDCA) works by reducing the cholesterol saturation in bile, which facilitates the gradual dissolution of cholesterol gallstones. During treatment, it decreases cholesterol secretion into bile while enhancing bile acid secretion, helping restore healthy bile composition without reducing phospholipids.
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UDCA is prescribed for the management of various liver and biliary conditions, including:
Ursodeoxycholic Acid is a naturally occurring bile acid that supports liver and biliary health. Its therapeutic actions include:
After oral administration, UDCA is well absorbed (60–80%) in the upper intestine, reaching peak serum concentration within 30–150 minutes. It undergoes hepatic conjugation with glycine or taurine and is excreted mainly via bile. Its biological half-life is approximately 3.5–5.8 days.
UDCA’s effectiveness may decrease when taken with drugs that raise bile cholesterol (e.g., estrogenic hormones) or with bile acid-binding agents such as cholestyramine, charcoal, and certain antacids.
Common adverse effects may include nausea, vomiting, diarrhea, itching (pruritus), or gallstone opacification.
Pregnancy Category B: Safe use has been documented, including in the management of intrahepatic cholestasis during pregnancy.
No adverse effects reported in breastfeeding mothers.
Use with caution in patients with existing liver disease.
Store below 25°C, protected from light and moisture.
Keep out of reach of children.
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