Ursodeoxycholic Acid
Ursodeoxycholic Acid is a secondary bile acid formed in the intestine. Ursodeoxycholic Acid is the 7-ß-hydroxy epimer of chenodiol (chenodeoxycholic acid). Chemically Ursodeoxycholic Acid is identified as 3a, 7ß-dihydroxy-5ß-cholan-24-oic acid. Ursodeoxycholic Acid is choleretic and decreases the concentration of cholesterol in bile. Ursodeoxycholic Acid is used to dissolve cholesterol gallstones, also effective for the treatment of primary biliary cirrhosis.
Primary Characteristics
It is of Synthetic origin and belongs to Steroid.
It belongs to Bile solubiliser (GI) pharmacological group on the basis of mechanism of action and also classified in Antilipemic Agent pharmacological group.
Molecular Weight: 392.6 · pKa: 5 · Solubility in Water: almost Insoluble · Solubility in Alcohol: freely soluble · Non-proprietary name: Ursodeoxycholic Acid.

Pharmacokinetics
Absorption: Ursodeoxycholic Acid has an oral bioavailability is 100%, pre-systemic (first-pass) metabolism accounts for 62.5% (±12.5%).
Distribution: Ursodeoxycholic Acid has a plasma protein binding is 96 - 99 %.
Elimination: it is metabolised via Hepatic.
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Indications
Ursodeoxycholic Acid is primarily indicated in conditions like Cholestrol gall stones, Dissolution of gallstones, Iron-deficiency anaemia with chronic renal failure.
Contraindications
Ursodeoxycholic Acid is contraindicated in conditions like Calcified gallstones, Non-functioning gallbladders, Pigment gallstone.
Dosage
Ursodeoxycholic Acid's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 10 mg | 10 mg | Every 24h | PO | |
| Paediatric Dosage (20kg) | ||||
| 5 mg/kg | 5 mg/kg | Every 24h | Oral | |
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Ursodeoxycholic Acid is known to cause more or less tolerable side effects which are usually transient. These include Diarrhea.
Warnings / Precautions
Available Brands
Storage Conditions
Drug Classification
- 1.17.9 — Cholagogues & hepatic preparations