Gastroenterology · Hydrophilic bile acid
Ursodeoxycholic Acid
Dose
13–15 mg/kg/day PO in 1–2 doses (PBC); 10–15 mg/kg/day for obstetric cholestasis symptoms.
Use
Primary biliary cholangitis first-line; pruritus in cholestasis.
Monitoring
ALP and bilirubin at 6 and 12 months (Paris-II response criteria).
Side effects
- • Diarrhoea
- • Weight gain
- • Rash
Always confirm dose against your local formulary / BNF before prescribing.
