Ursofalk, 250 mg capsules 100 pcs

Pharmacodynamics

With high polar properties UDCA forms non-toxic mixed micelles with apolar (toxic) bile acids, which reduces the ability of refluxate to damage cell membranes in biliary reflux gastritis and reflux esophagitis. In addition, UDCA forms double molecules capable of incorporating into cell membranes, stabilizing them and making them immune to the action of cytotoxic micelles.

Limits the saturation of bile with cholesterol by inhibiting its absorption in the intestine, suppressing its synthesis in the liver and reducing its secretion into the bile; increases the solubility of cholesterol in bile, forming liquid crystals with it; reduces the lithogenic index of bile. The result is the dissolution of cholesterol gallstones and prevention of formation of new concrements.

The immunomodulatory activity is caused by inhibition of expression of HLA-antigens on membranes of hepatocytes and cholangiocytes, normalization of natural killer activity of lymphocytes, etc. Significantly delays the progression of fibrosis in patients with primary biliary cirrhosis, cystic fibrosis and alcoholic steatohepatitis, reduces the risk of developing esophageal varices.

For the successful dissolution of gallstones, it is necessary that the stones are pure cholesterol stones, their size does not exceed 15-20 mm, and the gallbladder (filled with stones no more than half) and the biliary tract fully retain their function.

Pharmacokinetics

Absorbed in the jejunum by passive diffusion, in the ileum by active transport. When administered orally in a single dose of 500 mg, serum concentrations after 30, 60 and 90 minutes are 3.8, 5.5 and 3.7 µmol/L, respectively. With systemic administration ursodeoxycholic acid (UDCA) becomes the main bile acid of blood serum (48% of total bile acids).

It is included in the enterohepatic circulation system. The therapeutic effectiveness of the drug depends on the concentration of UDCA in bile. On the background of the therapy there is dose-dependent increase of UDCA share in the bile acid pool up to 50-75% (at daily doses of 10-20 mg/kg). It penetrates through the placental barrier.

Indications

Biliary dyskinesia, Liver damage, Alcoholism, Liver cirrhosis, Constipation, Pain, Reflux esophagitis, Hepatitis, Gallstone disease, Colic

• biliary reflux gastritis;
• primary biliary cirrhosis in the absence of signs of decompensation (symptomatic treatment).

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Active ingredient

Ursodeoxycholic acid

Composition

Active substances:

Ursodeoxycholic acid 250 mg.

Auxiliary substances:

magnesium stearate,

corn starch,

colloidal anhydrated silicon dioxide,

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gelatin,

dodellol,

sodium sulfate,

titanium dioxide,

purified water.

How to take, the dosage

Dissolution of cholesterol gallstones

Approximately 10 mg per 1 kg body weight daily, which corresponds to:

• 2 capsules (2 scoops) of Ursofalk in patients up to 60 kg body weight;
• 3 capsules (3 scoops) of Ursofalc in patients weighing up to 80 kg;
• 4 capsules (4 scoops) of Ursofalc in patients weighing up to 100 kg.

The capsules should be taken in the evening before going to bed, without chewing and with plenty of fluids. The duration of treatment is 6-12 months. To prevent relapse of cholelithiasis it is recommended to take the drug for several months after the stone dissolution.

The treatment of biliary reflux gastritis

1 capsule (1 scoop) of Ursofalk daily. The course of treatment from 10-14 days to 6 months, if necessary – up to 2 years.

The symptomatic treatment of primary biliary cirrhosis

Daily dose depends on body weight and consists of 2 to 6 capsules (scoops) (about 10 to 15 mg of ursodeoxycholic acid per 1 kg of body weight).

The following regimen is recommended

• Body weight 34-50 kg: 2 capsules (scoops, daily dose); 1 in the morning, 1 in the afternoon, 1 in the evening.
• Body weight 51-65 kg: 3 capsules (teaspoons, daily dose); morning – 1, afternoon – 1, evening – 1.
• Body weight 66-85 kg: 4 capsules (teaspoons, daily dose); morning – 1, afternoon – 1, evening – 2.
• Body weight 86-110 kg: 5 capsules (scoops, daily dose); 1 in the morning, 2 in the afternoon, 2 in the evening.
• Body weight over 110 kg: 6 capsules (measuring spoon, daily dose); morning – 2, afternoon – 2, evening – 2.

Patients with a body weight less than 34 kg should use Ursofalk in suspension.

Interaction

Cholestyramine, colestipol and antacids containing aluminum hydroxide bind ursodeoxycholic acid in the intestine, prevent its absorption and weaken its effectiveness (simultaneous use is not advisable).

Contraindications

Acute inflammatory diseases of the gallbladder and bile ducts.

Bile duct or vesicular duct obstruction.

Side effects

Diarrhea, nausea, pain in the epigastric region and the right subcostal area; calcification of gallstones; increased activity of liver transaminases (AST, ALT).

Allergic reactions.

In treatment of primary biliary cirrhosis transient decompensation of cirrhosis of the liver may be observed, which disappears after discontinuation of the drug.

Overdose

There are no data on overdose.

Similarities

Ursosan, Urdoxa, Ursoliv, Exchol, Ursodez, Grinterol, Urcevel, Ursodeoxycholic acid