Drugplain

Ursodiol 400 mg 400 mg/1

Usodiol · CAPSULE · LGM PHARMA SOLUTIONS, LLC

No Recall History
Plain English

Ursodiol is a bile acid medication taken by mouth as a capsule to treat gallstones and certain liver conditions. It works by reducing cholesterol levels in bile to help dissolve gallstones and improve bile flow.

Key Facts

Brand Name
Ursodiol 400 mg
Generic Name
Usodiol
NDC Code (Product)
79739-7144
Manufacturer
LGM PHARMA SOLUTIONS, LLC
Strength
400 mg/1
Dosage Form
CAPSULE
Route
ORAL
Marketing Status
Application #
ANDA205789
Drug Class
Bile Acid [EPC]
Marketing Start
07/01/2020

Recall History

No Recall History

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

off label use1,677 reports
pruritus1,233 reports
diarrhoea1,026 reports
fatigue1,025 reports
nausea940 reports
drug ineffective894 reports
pyrexia798 reports
death675 reports
pneumonia671 reports
vomiting616 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE 1. Ursodiol is indicated for patients with radiolucent, noncalcified gallbladder stones < 20 mm in greatest diameter in whom elective cholecystectomy would be undertaken except for the presence of increased surgical risk due to systemic disease, advanced age, idiosyncratic reaction to general anesthesia, or for those patients who refuse surgery. Safety of use of ursodiol beyond 24 months is not established. 2. Ursodiol is indicated for the prevention of gallstone formation in obese patients experiencing rapid weight loss.

Dosage & Administration

DOSAGE AND ADMINISTRATION Gallstone Dissolution The recommended dose for ursodiol treatment of radiolucent gallbladder stones is 8-10 mg/kg/day given in 2 or 3 divided doses. Ultrasound images of the gallbladder should be obtained at 6-month intervals for the first year of ursodiol therapy to monitor gallstone response. If gallstones appear to have dissolved, ursodiol therapy should be continued and dissolution confirmed on a repeat ultrasound examination within 1 to 3 months. Most patients who eventually achieve complete stone dissolution will show partial or complete dissolution at the first on-treatment reevaluation. If partial stone dissolution is not seen by 12 months of ursodiol therapy, the likelihood of success is greatly reduced. Gallstone Prevention The recommended dosage of ursodiol for gallstone prevention in patients undergoing rapid weight loss is 600 mg/day.

Contraindications

CONTRAINDICATIONS 1. Ursodiol will not dissolve calcified cholesterol stones, radiopaque stones, or radiolucent bile pigment stones. Hence, patients with such stones are not candidates for ursodiol therapy. 2. Patients with compelling reasons for cholecystectomy including unremitting acute cholecystitis, cholangitis, biliary obstruction, gallstone pancreatitis, or biliary-gastrointestinal fistula are not candidates for ursodiol therapy. 3. Allergy to bile acids.

Drug Interactions

Drug Interactions Bile acid sequestering agents such as cholestyramine and colestipol may interfere with the action of ursodiol by reducing its absorption. Aluminum-based antacids have been shown to adsorb bile acids in vitro and may be expected to interfere with ursodiol in the same manner as the bile acid sequestering agents. Estrogens, oral contraceptives, and clofibrate (and perhaps other lipid-lowering drugs) increase hepatic cholesterol secretion, and encourage cholesterol gallstone formation and hence may counteract the effectiveness of ursodiol.

Adverse Reactions

ADVERSE REACTIONS The nature and frequency of adverse experiences were similar across all groups. The following tables provide comprehensive listings of the adverse experiences reported that occurred with a 5% incidence level: GALLSTONE DISSOLUTION Ursodiol Placebo 8-10 mg/kg/day (N=155) (N=159) N (%) N (%) Body as a Whole Allergy 8 (5.2) 7 (4.4) Chest Pain 5 (3.2) 10 (6.3) Fatigue 7 (4.5) 8 (5.0) Infection Viral 30 (19.4) 41 (25.8) Digestive System Abdominal Pain 67 (43.2) 70 (44.0) Cholecystitis 8 (5.2) 7 (4.4) Constipation 15 (9.7) 14 (8.8) Diarrhea 42 (27.1) 34 (21.4) Dyspepsia 26 (16.8) 18 (11.3) Flatulence 12 (7.7) 12 (7.5) Gastrointestinal Disorder 6 (3.9) 8 (5.0) Nausea 22 (14.2) 27 (17.0) Vomiting 15 (9.7) 11 (6.9) Musculoskeletal System Arthralgia 12 (7.7) 24 (15.1) Arthritis 9 (5.8) 4 (2.5) Back Pain 11 (7.1) 18 (11.3) Myalgia 9 (5.8) 9 (5.7) Nervous System Headache 28 (18.1) 34 (21.4) Insomnia 3 (1.9) 8 (5.0) Respiratory System Bronchitis 10 (6.5) 6 (3.8) Coughing 11 (7.1) 7 (4.4) Pharyngitis 13 (8.4) 5 (3.1) Rhinitis 8 (5.2) 11 (6.9) Sinusitis 17 (11.0) 18 (11.3) Upper Respiratory Tract Infection 24 (15.5) 21 (13.2) Urogenital System Urinary Tract Infection 10 (6.5) 7

Frequently Asked Questions

What is Ursodiol 400 mg used for?

Ursodiol is a bile acid medication taken by mouth as a capsule to treat gallstones and certain liver conditions. It works by reducing cholesterol levels in bile to help dissolve gallstones and improve bile flow.

Is Ursodiol 400 mg a controlled substance?

Ursodiol 400 mg is not classified as a controlled substance by the DEA.

What is the generic name for Ursodiol 400 mg?

The generic name for Ursodiol 400 mg is Usodiol. There are 1 other brand versions of Usodiol.

What is the NDC code for Ursodiol 400 mg 400 mg/1?

The NDC (National Drug Code) for Ursodiol 400 mg 400 mg/1 is 79739-7144, listed by LGM PHARMA SOLUTIONS, LLC.

Product NDC

79739-7144

Package NDC

79739-7144-1

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

Data from openFDA · Public domain (CC0 1.0)