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- Pharmacology For Ursodeoxycholic Acid
Ursodeoxycholic Acid Pharmacology
Ursodeoxycholic Acid
About Ursodeoxycholic AcidGallstone Dissolution Agent, a bile acid, Prophylaxis and treatment of gall stones, chronic hepatitis, liver transplant rejection.Mechanism of Action of Ursodeoxycholic AcidUrsodeoxycholic acid is a bile acid. Normally there is a balance between cholesterol and bile acids in the liver. When there is an excess in cholesterol level, cholesterols are separated out from bile and form stones. Ursodeoxycholic acid is a bile acid itself, it increase the level of bile acids within the bile. It also reduces the synthesis and release of cholesterol from liver and also reduces the absorption of cholesterol from the gut. All these reverse the imbalance and prevent the separation of cholesterol from the bile acids and the bile acids also help to dissolve gall stones.Pharmacokinets of Ursodeoxycholic AcidAbsorption: Ursodeoxycholic acid is incompletely absorbed after oral administration. Absorbed drugs undergo hepatic extraction.
Distribution: It is mainly concentrated in the liver and undergoes enterohepatic circulation.
Metabolism: In the liver it undergoes conjugation with glycine or taurine.
Excretion: It is excreted mainly in the bile.
Onset of Action for Ursodeoxycholic AcidWithin 30 minutesDuration of Action for Ursodeoxycholic Acid12 hoursHalf Life of Ursodeoxycholic AcidN/ASide Effects of Ursodeoxycholic Acid1. Nausea
2. Vomiting
3. Abdominal cramps
4. Pruritis
5. Anorexia
6. Indigestion
7. Diarrhoea
Contra-indications of Ursodeoxycholic Acid1. Hypersensitivity to Ursodeoxycholic acid
2. Radio opaque gall stones
3. Ulcerative colitis
4. Peptic ulcer
5. Non emptying gall bladder
6. Pancreatitis
7. Cholecystitis
8. Hepatic impairment
9. Atherosclerosis
10.Crohn`s disease
Special Precautions while taking Ursodeoxycholic Acid1. Hepatic encephalopathyPregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationContraindicated
NEONATES : Contraindicated
Indications for Ursodeoxycholic Acid1. Primary Biliary cirrhosis
2. Gall stone disease
3. Chronic hepatitis
4. Cystic fibrosis
Interactions for Ursodeoxycholic AcidCholestyramine, colestipol & aluminium antacids: Reduce the efficacy of chenodeoxycholic acid.
Oral contraceptives: Oestrogen preprations may reduce the efficacy of chenodeoxycholic acid.Typical Dosage for Ursodeoxycholic AcidAdult: 10 - 15 mg / kg body weight / day in 2 divided doses. Continue the treatment 3 - 4 more months after dissolution of stones.Schedule of Ursodeoxycholic AcidN/AStorage Requirements for Ursodeoxycholic AcidStore at 20-25 degree C in a tightly closed container. Protect from direct light and moisture. Keep out of the reach of children.Effects of Missed Dosage of Ursodeoxycholic AcidTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of Ursodeoxycholic AcidGive supportive measures and symptomatic treatment.Home Delivery for Ursodeoxycholic Acid in Your City
Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including ursodeoxycholic acid.
However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for ursodeoxycholic acid and other medicines and health products. Home delivery services for ursodeoxycholic acid may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.
Please be aware that you should take ursodeoxycholic acid only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for ursodeoxycholic acid before they complete the sale. You can get this information while placing the order for ursodeoxycholic acid with the pharmacy.
Ursodeoxycholic Acid is a generic medicine name and there are several brands available for it. Some of the brands for ursodeoxycholic acid might be better known than ursodeoxycholic acid itself. If the pharmacy that's willing to deliver medicines to your home doesn't have ursodeoxycholic acid in stock, you can ask for one of the branded alternatives for ursodeoxycholic acid.