Duoliv 10 mg (Tablet)

Unit Price: ৳ 55.00 (1 x 10: ৳ 550.00)
Strip Price: ৳ 550.00

Medicine Details

Category Details
Generic Obeticholic acid
Company Eskayef pharmaceuticals ltd
Also available as

Indications

  • Treatment of primary biliary cholangitis in adult patients
  • Indicated with or without compensated cirrhosis
  • Indicated for patients intolerant to UDCA

Pharmacology

  • Mechanism of action as FXR agonist
  • Regulator of bile acid, inflammatory, and metabolic pathways
  • Reduction in intracellular hepatocyte concentrations of bile acids

Dosage & Administration

  • First 3 months dosage of 5 mg daily
  • Maximum dosage of 10 mg daily
  • Monitoring for biochemical response and tolerability

Interactions

  • Interaction with bile acid binding resins
  • Potential interaction with warfarin
  • Recommendation for therapeutic monitoring of CYP1A2 substrates

Contraindications

  • Contraindicated in decompensated cirrhosis patients
  • Contraindicated in patients with evidence of portal hypertension
  • Contraindicated in patients with complete biliary obstruction

Side Effects

  • Common side effects include pruritus, fatigue, and stomach pain
  • Other common side effects include rash, joint pain, and dizziness
  • Potential adverse effects on thyroid function and lipid levels

Pregnancy & Lactation

  • Limited available human data on use during pregnancy
  • No information on the effects on the breastfed infant
  • Consideration of clinical need for lactating mothers

Precautions & Warnings

  • Risks of hepatic decompensation and failure in cirrhosis patients
  • Management strategies for severe pruritus
  • Monitoring for reduction in HDL-C levels

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients
  • Consideration for geriatric use
  • Risks of hepatic decompensation in patients with hepatic impairment

Overdose Effects

  • Dose-dependent increase in hepatic adverse reactions
  • Serious adverse reactions in patients with decompensated cirrhosis
  • Recommendation for careful observation and supportive care

Therapeutic Class

  • Farnesoid X Receptor Agonists

Storage Conditions

  • Storage below 30°C in a dry place
  • Protection from light
  • Keep out of children’s reach

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