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Tablet

Liveric 150 150 mg Tablet

Generic: Ursodeoxycholic Acid

Manufacturer: Beximco Pharmaceuticals Ltd.

Therapeutic class: Bile acid — gallstone dissolution and cholestatic liver disease therapy

What is Liveric 150?

Liveric 150 150 mg tablet is manufactured by Beximco Pharmaceuticals Ltd. and contains Ursodeoxycholic Acid (UDCA), a naturally occurring bile acid. It is used to dissolve certain cholesterol gallstones without surgery and to treat long-term liver conditions in which bile flow is reduced, such as primary biliary cholangitis.

Ursodeoxycholic Acid works in two main ways. In the gallbladder, it lowers the amount of cholesterol the liver releases into bile, so bile becomes less saturated and small cholesterol stones slowly dissolve over months. In liver disease, it replaces harsher natural bile acids with a gentler one, improves bile flow and protects liver cells from bile-related damage — which is why liver test results often improve during treatment.

Indications

Doctors prescribe Liveric 150 for:

  • Dissolving gallstones — small, non-calcified (radiolucent) cholesterol stones in a gallbladder that still works, in patients who cannot or prefer not to have surgery
  • Primary biliary cholangitis (PBC) — the standard long-term treatment to slow disease progression
  • Other cholestatic conditions under specialist care, such as intrahepatic cholestasis of pregnancy or biliary sludge

It does not work on calcified or pigment stones, and it is not a treatment for an acutely inflamed gallbladder, which usually needs urgent surgical care. Ultrasound and liver tests guide whether Liveric 150 is the right choice for you.

Dosage & Administration

The dose of Liveric 150 is calculated from body weight — commonly around 8–12 mg/kg per day for gallstones and 13–15 mg/kg per day for PBC — given as a single evening dose or divided doses. Your doctor decides the exact dose, schedule and duration.

  • Take it with food or milk; meals trigger bile flow and improve the medicine's effect, and the evening dose matters most for gallstones.
  • Gallstone treatment is a long course — usually 6 to 24 months, with ultrasound about every 6 months, and often continued for around 3 months after stones disappear.
  • Take it every day without gaps; if you miss a dose, take the next one normally — never double up.

Side Effects

Liveric 150 is usually well tolerated. Possible side effects include:

  • Pasty or loose stools and diarrhoea — the most common effect; often settles after the dose is adjusted
  • Nausea, mild stomach discomfort or wind
  • Itching or skin rash
  • Rarely, gallstones can develop a calcified shell during treatment, which stops them dissolving
  • In advanced liver cirrhosis, worsening of the condition has rarely been reported — such patients need specialist monitoring

Seek medical attention promptly if you develop severe right-upper abdominal pain, fever with chills, vomiting or yellowing of the eyes or skin during treatment — these suggest a blocked duct or gallbladder inflammation rather than a side effect.

Precautions & Warnings

For safe and effective treatment with Liveric 150:

  • Complete the full course — stones that have only partly dissolved regrow quickly if treatment stops early.
  • Attend the scheduled ultrasound scans and liver function tests; they show whether the stones are shrinking and the liver is responding.
  • Remember that stones can recur after successful treatment — keeping a healthy weight, avoiding rapid crash dieting and eating a balanced, lower-fat diet reduce that risk.
  • Tell your doctor about cirrhosis, peptic ulcer or any change in symptoms such as repeated biliary pain.
  • Keep your doctor informed of all other medicines, since several reduce the absorption or effect of UDCA.

Drug Interactions

Some medicines stop Liveric 150 from working properly:

  • Cholestyramine, colestipol and antacids containing aluminium bind UDCA in the gut. Keep a gap of at least 2 hours (longer for cholestyramine, ideally 4 hours) between them and Liveric 150.
  • Oestrogens (including some birth control pills) and lipid-lowering medicines such as clofibrate increase cholesterol in bile and can work against stone dissolution.
  • Ursodeoxycholic Acid can increase ciclosporin absorption — transplant patients need level monitoring — and may reduce absorption of ciprofloxacin.
  • It may enhance the glucose-lowering effect of some diabetes medicines; monitor as advised.

Share your full medicine list, including antacids and herbal products, with your doctor and pharmacist.

Contraindications

Do not take Liveric 150 if you have:

  • Allergy to Ursodeoxycholic Acid, other bile acids or any ingredient of the product
  • Acute inflammation of the gallbladder or bile ducts (cholecystitis, cholangitis)
  • Blockage of the common bile duct or cystic duct
  • Frequent episodes of severe biliary colic
  • Calcified gallstones or a gallbladder that no longer functions or cannot be seen on imaging
  • Severe liver or pancreatic disease, unless a specialist decides otherwise

In these situations the medicine either cannot work or may delay surgery that is genuinely needed — your doctor will confirm suitability with an ultrasound first.

Pregnancy & Lactation

For gallstone treatment, Liveric 150 is generally avoided during pregnancy, and women of child-bearing age are usually advised to use effective non-hormonal contraception during long courses, since hormonal pills can also work against stone dissolution. However, specialists do use UDCA during pregnancy for intrahepatic cholestasis of pregnancy — a liver condition causing severe itching — where experience suggests it is reasonably safe under supervision.

Only tiny amounts pass into breast milk, and no harm to breastfed babies has been reported at usual doses; even so, breastfeeding while on Liveric 150 should be discussed with and approved by your doctor.

Storage Conditions

Store Liveric 150 below 30°C in a cool, dry place, protected from direct sunlight and moisture. Keep the tablet in its original blister or container until use, and avoid humid places such as the bathroom or kitchen — remember that gallstone courses last many months, so proper storage of the whole supply matters.

  • Keep all medicines out of the reach and sight of children.
  • Do not use the medicine after the expiry date printed on the pack.
  • Do not throw unused medicine into household waste or drains; ask your pharmacist about safe disposal.

Frequently Asked Questions

How long do I need to take Liveric 150 for gallstones?

<p>Be prepared for a long course. Cholesterol stones dissolve very slowly — usually <strong>6 to 24 months</strong> depending on their size — so Liveric 150 must be taken every day for months, with an ultrasound roughly every 6 months to track progress. Doctors usually continue treatment for about 3 more months after the stones disappear, to clear invisible fragments. Stopping early is the commonest reason for failure: partly dissolved stones simply regrow. If there is no improvement after about a year, your doctor may recommend surgery instead.</p>

Should I take Liveric 150 with food?

<p>Yes. Liveric 150 works best when taken <strong>with or just after food, or with milk</strong>. Eating makes the gallbladder contract and bile flow, which carries the medicine to where it acts, and food also reduces stomach upset. For gallstone dissolution the <strong>evening or bedtime dose</strong> is especially important, because bile becomes most concentrated with cholesterol overnight during the long gap between meals — the medicine counteracts exactly that. Follow the schedule your doctor sets, and keep the same routine daily so doses are not missed.</p>

Can Liveric 150 dissolve every type of gallstone?

<p>No. Liveric 150 dissolves only <strong>cholesterol stones</strong> that are small (ideally under about 15 mm), non-calcified and sitting in a gallbladder that still functions. Pigment stones and stones with a calcium shell do not respond, and a blocked or non-working gallbladder prevents the medicine from reaching the stones at all. That is why an ultrasound — and sometimes other imaging — is done before starting, and repeated during treatment. If your stones are unsuitable, repeatedly painful or complicated by infection or jaundice, surgery (usually laparoscopic gallbladder removal) is the more reliable option, and your doctor will guide that decision.</p>

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