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Hey all..

Okay, so I had typed a LONG email about ursodiol and then hit " post "

instead of " send " so now I am thinking a Very Bad Word.

Here is what came up on www.medicinenet.com/ursodiol/article.htm:

DRUG CLASS AND MECHANISM: Ursodiol is a naturally-occurring bile

acid that is made by the liver in humans and is secreted in small

quantities in bile. It is used to dissolve and prevent cholesterol

gallstones and to treat primary biliary cirrhosis, a disease of the

liver. Ursodiol blocks the enzyme in the liver that produces

cholesterol and thereby decreases production of cholesterol by the

liver and the amount of cholesterol in bile. It also reduces the

absorption of cholesterol from the intestine. By decreasing the

concentration of cholesterol in bile, ursodiol prevents the

formation and promotes the dissolution of cholesterol-containing

gallstones. The mechanism by which it acts in primary biliary

cirrhosis is not clear.

[Did you know it was originally from bear bile? Hence the urso. Poor

bear. Also, I wonder who was sitting around in the woods and

thought " I wonder what would happen if we ate bear liver? " Okay,

maybe that's not so unrealistic.]

The GI I have seen for the last year through the xp program (he does

my EGD's/bandings and ERCPs) suggested I take it. But when I asked

my regular GI and the xp heps, the consensus was that I was okay

without it and that it wouldn't do me very much good, considering

that my bilirubin levels were normal.

But anyway, the short explanation (it was very rudimentary the first

time I got it b/c it was immediately following an EGD and I was

drugged out to oblivion) I got from all of them is that the drug

acts as a thinner for bile. If you're itching, it's because your

body isn't getting rid of all the gunk in bile appropriately. With

PBC and PSC (which I theoretically have) your bile ducts are

narrowed, damaged, clogged, etc. so thinner bile makes sense. For

AIH, I am guessing that docs try it to ease the burden on an

otherwise-stressed liver.

Anyhoo, I am looking forward to seeing what other people have to say

about the stuff.

Have a great (rest of) your weekend.

Shirl (WA)

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  • 4 years later...

I take 2400 mg a day, like you I had the cramping etc. I found taking all

the pills at night before stopped all the issues. I also found if you avoid

greasy foods for a while and eat protein in small portions it will help too.

I have stage 3/4 PBC which is probably stage 4, the doctors were not happy at

first with my decision to take the meds but I said it was a quality of life

decision and they gave up.

Kathy Thibeault

In a message dated 1/8/2009 9:50:30 P.M. Eastern Standard Time,

joziemba56@... writes:

Anyone ever had to decrease the ursodiol? I'm taking 1200mg daily

(4pills) but I seem to be having digestive problems a few hours

afterwards. Stomach cramps, nausea, diarrhea. This has been going on

now for months 2 pills after breakfast and 2 after dinner. If I miss a

dose, I'm ok. Hate having to go somewhere after taking the urso, since

I can never be sure if I can get to a bathroom. I'm planning on talking

to my doctor next month at my check up. I've been taking ursodiol now

for 10 months.

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I used to have similiar problems on occasions & I read here that some

take there Ursa all at once after breakfast in the morning so I asked

my MD & got permission to take my 1000mg then and I am feeling better.

Grace, 55, stg 1, PBC, 4/08, SB, Calif

>

> Anyone ever had to decrease the ursodiol? I'm taking 1200mg daily

> (4pills) but I seem to be having digestive problems a few hours

> afterwards. Stomach cramps, nausea, diarrhea. This has been going

on

> now for months 2 pills after breakfast and 2 after dinner. If I

miss a

> dose, I'm ok. Hate having to go somewhere after taking the urso,

since

> I can never be sure if I can get to a bathroom. I'm planning on

talking

> to my doctor next month at my check up. I've been taking ursodiol

now

> for 10 months.

>

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I'm sorry to hear that he isn't well. What form of liver disease does he

have?

Harper

In a message dated 1/9/09 3:44:09 PM, driveriley@... writes:

>

> My husband is a patient at the mayo clinic in jacksonville the doctor

> said ursodiol is no longer a tratment for liver disease as studies

> show it does nothing to help. He is being treated with lactulose &

> rifaximin only.

> What are your thoughts on this ?

>

>

>

**************

New year...new news. Be the first to know what is making

headlines. (http://www.aol.com/?ncid=emlcntaolcom00000026)

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My husband is a patient at the mayo clinic in jacksonville the doctor

said ursodiol is no longer a tratment for liver disease as studies

show it does nothing to help. He is being treated with lactulose &

rifaximin only.

What are your thoughts on this ?

>

> I take 2400 mg a day, like you I had the cramping etc. I found

taking all

> the pills at night before stopped all the issues. I also found if

you avoid

> greasy foods for a while and eat protein in small portions it will

help too.

> I have stage 3/4 PBC which is probably stage 4, the doctors were

not happy at

> first with my decision to take the meds but I said it was a

quality of life

> decision and they gave up.

>

> Kathy Thibeault

>

>

>

> In a message dated 1/8/2009 9:50:30 P.M. Eastern Standard Time,

> joziemba56@... writes:

>

>

>

>

> Anyone ever had to decrease the ursodiol? I'm taking 1200mg daily

> (4pills) but I seem to be having digestive problems a few hours

> afterwards. Stomach cramps, nausea, diarrhea. This has been going

on

> now for months 2 pills after breakfast and 2 after dinner. If I

miss a

> dose, I'm ok. Hate having to go somewhere after taking the urso,

since

> I can never be sure if I can get to a bathroom. I'm planning on

talking

> to my doctor next month at my check up. I've been taking ursodiol

now

> for 10 months.

>

>

>

>

> **************A Good Credit Score is 700 or Above. See yours in

just 2 easy

> steps!

> (http://pr.atwola.com/promoclk/100000075x1215047751x1200957972/aol?

redir=http://www.freecreditreport.com/pm/default.aspx?sc=668072%

26hmpgID=62%26bcd=De

> cemailfooterNO62)

>

>

>

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Hi Jozie,

I too had a terrible time with my stomach when I first started taking Urso

so my doctor prescribed Zantac (Ranitidine) 150 mg 2 x per day and it took care

of the problem. Check with your doctor to see if this might be right for

you. It is also now available over the counter but it is much cheaper as a

generic prescription. Good luck!

Hugs,

Dees, PBC dx 99, Fibromyalgia 99, stg 2/3, Fort Myers, FL. 53

**************A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

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driveriley said:

" My husband is a patient at the mayo clinic in jacksonville the doctor

said ursodiol is no longer a tratment for liver disease as studies

show it does nothing to help. "

Hi,

All I can think of is that there is a miscommunication here.. Urso or

Ursodiol is the only treatment for PBC, maybe the doctor meant that it does

nothing for AIH or some other liver diseases?

Hugs,

Dees, PBC dx 99, Fibromyalgia 99, stg 2/3, Fort Myers, FL. 53

**************A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

(http://pr.atwola.com/promoclk/100000075x1215855013x1201028747/aol?redir=http://\

www.freecreditreport.com/pm/default.aspx?sc=668072%26hmpgID=62%26bcd=De

cemailfooterNO62)

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