Alternatives to ursodeoxycholic acid | Ursodeoxcholic acid

Alternatives to ursodeoxycholic acid

Often, treatment with ursodeoxycholic acid has only a limited effect on the formation and dissolution of gallstones. Even the comparably acting preparation chenodeoxycholic acid does not show a better response. For this reason, symptomatic drug treatment is often necessary.

The very painful upper abdominal pain can be treated with spasmolytics (e.g. metamizole, tramadol, butylscopolamine). If necessary, herbal products can also be used (e.g. artichoke leaves, yarrow, dandelion). As a rule, however, surgical removal is necessary in the case of symptomatic gallstones.

Is it possible to take it during pregnancy and lactation?

A therapy with ursodeoxycholic acid should be avoided during pregnancy and lactation.There are no sufficient tests and studies that can rule out an effect of the preparation on the baby. There is a risk that the active substance may enter the baby’s body via the placenta or breast milk. In addition, pregnancy should also be ruled out before starting therapy with ursodeoxycholic acid.

Ursodeoxycholic acid and the pill – is it compatible?

During treatment with ursodeoxycholic acid, non-hormonal contraceptive measures or low-dose estrogen-containing contraceptives are recommended. If ursodeoxycholic acid is prescribed for the treatment of gallstones, only non-hormonal contraceptives should be used. This is because the hormonal contraceptives (pill) can promote the formation of gallstones and thus counteract the effect of ursodeoxycholic acid.

Is ursodeoxycholic acid available over the counter?

Ursodeoxycholic acid is only available on prescription in pharmacies. The intake, dosage and application should always be carried out in close consultation with the treating physician. Supporting vegetable products can be taken. Artichoke leaves cause an optimization of the composition of the bile, while yarrow and dandelion have a choleretic effect.