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[7] [8] Medical therapy with oral bile acids has been used in patients who have small cholesterol stones, and for patients with larger cholesterol gallstones who are unable or reluctant to have surgery. CDCA treatment can cause diarrhea, mild reversible hepatic injury, and a small increase in the plasma cholesterol level. [8]
Ursodeoxycholic acid (UDCA), also known as ursodiol, is a secondary bile acid, produced in humans and most other species from metabolism by intestinal bacteria.It is synthesized in the liver in some species, and was first identified in bile of bears of genus Ursus, from which its name derived. [8]
The medications ursodeoxycholic acid (UDCA) and chenodeoxycholic acid (CDCA) have been used in treatment to dissolve gallstones. [58] [59] A 2013 meta-analysis concluded that UDCA or higher dietary fat content appeared to prevent formation of gallstones during weight loss. [41]
In two cases, chemical analysis of supposed gallstones that were excreted in the course of a gallbladder flush showed that these were not real gallstones, but "soap stones", which are structures formed in the gut due to a reaction of the digestive juices with the ingested treatment. [3] [4]
Gallstones may result from increased saturation of cholesterol or bilirubin, or from bile stasis. Lower concentrations of bile acids or phospholipids in bile reduce cholesterol solubility and lead to microcrystal formation. Oral therapy with chenodeoxycholic acid and/or ursodeoxycholic acid has been used to dissolve cholesterol gallstones.
Outside the body it is used in experimental basis of cholagogues and is also in use to prevent and dissolve gallstones. [citation needed] In research deoxycholic acid is used as a mild detergent for the isolation of membrane associated proteins. The critical micelle concentration for deoxycholic acid is approximately 2.4–4 mM. [10]
A new medication developed in the 1970s, buprenorphine, was viewed as a safer alternative to methadone because it had a lower overdose risk. “Bupe,” as it’s become known, was originally approved for pain relief, but knowledgeable addicts began using it as a black market route to drug rehabilitation.
In some countries and in veterinary medicine, phloroglucinol is used as a treatment for gallstones, spasmodic pain and other related gastrointestinal disorders [17] A 2018 review found insufficient evidence that phloroglucinol was effective for treating abdominal pain [18] A 2020 review found insufficient evidence that phloroglucinol was ...
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