Obeticholic Acid is primarily used to manage primary biliary cholangitis (PBC), a chronic liver disease. It is a part of the farnesoid X receptor (FXR) agonists group of medications.
Itching (pruritus)
Fatigue
Abdominal pain and discomfort
Skin rash
Throat pain (oropharyngeal pain)
Obeticholic Acid is a farnesoid X receptor (FXR) agonist.
It works by activating the farnesoid X receptor (FXR), a nuclear receptor that regulates bile acid synthesis and metabolism. This activation helps reduce bile acid synthesis in the liver and increases bile acid excretion. Additionally, it has anti-inflammatory and antifibrotic effects, which can help in managing liver diseases.
Doctor of Medicine
BMS, FMC, MD Resident
Obeticholic Acid is available for use via the oral route in the form of tablets.
This medicine is intended for use in adults. Its safety and efficacy have not been established in paediatric patients.
Obeticholic Acid is contraindicated in patients with complete biliary obstruction.
It should also not be used by patients with a history of chronic liver disease or prior decompensation.
Obeticholic acid can interact with medications affecting liver enzymes (such as rifampin, ketoconazole), anticoagulants (such as warfarin, dabigatran), and medications affecting bile acid levels (such as cholestyramine, colesevelam).
An overdose of Obeticholic Acid may lead to liver injury, jaundice, worsening ascites, and primary biliary cholangitis flares. If you suspect an overdose, inform your doctor immediately.
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of fluids can help manage constipation.
Resting or reducing activity can help manage fatigue.
For itching, over-the-counter creams or lotions can provide temporary relief.
Obeticholic Acid may cause dizziness. If you experience this side effect, avoid driving or operating heavy machinery until you feel well enough.
The use of this medicine during pregnancy or breastfeeding is not recommended without a doctor's advice. It is best to consult your doctor before taking this medication if you are pregnant or nursing.
Patients with moderate or severe liver impairment (Child-Pugh B or C) should exercise caution when taking Obeticholic Acid.
Regular monitoring of liver function is recommended for patients taking Obeticholic Acid.
Patients should maintain a balanced diet with a sufficient intake of proteins, vitamins, and minerals to support liver health.
It is advised to avoid activities that may lead to further liver damage, such as excessive alcohol consumption.
Regular physical activity can help maintain general health and well-being.
Frequently asked questions
No, Obeticholic Acid does not contain any steroids. It is a farnesoid X receptor (FXR) agonist used for managing primary biliary cholangitis (PBC), which is a chronic liver disease.
Obeticholic Acid can be taken at any time of the day, with or without food. However, if you are also taking a bile acid sequestrant, ensure to separate the doses by at least 4 hours.
The time taken for Obeticholic Acid to start working can vary from person to person. However, it is important to note that it is not a fast-acting medicine and it might take several weeks or even months before you start noticing its effects.
There is currently no scientific evidence to suggest that Obeticholic Acid affects fertility. However, if you have concerns about fertility and are using this medication, you should consult your doctor for advice.
Yes, it is often used long-term to manage chronic liver conditions, but regular monitoring by your doctor is necessary to assess effectiveness and side effects.
Obeticholic Acid may cause gastrointestinal side effects like nausea or abdominal pain, which could indirectly affect appetite in some individuals.
Yes, a prescription is required to buy Obeticholic Acid as it is a prescription medicine.
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