A 29-year-old female asked:
what meds are good for cholestasis of pregnancy?i had it once and don't want to experience it again.
2 doctor answers
Dr. Mike Moore answered
7 years experience Family Medicine
UCDA: Ursodeoxycholic acid (udca) is used in the treatment of intrahepatic cholestasis of pregnancy (icp). We don't know exactly how udca works, but we think it improves bile salt loss from the liver into the bile, which reduces serum bile acid, liver enzyme, and bilirubin levels. This reduces itching, and the risk to the fetus/mother, allowing deliver closer to term. Udca is safe to use in pregnancy.
Answered on Aug 13, 2012
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Dr. Peter Corrado commented
40 years experience Family Medicine
very interesting, I did not know this. Thanks P. Corrado
Feb 12, 2012
Dr. Byron Hapner answered
Specializes in Obstetrics and Gynecology
Cholestyramine: Urso (udca) is one medication; another is cholestyramine. To summarize, you should suspect cholestasis of pregnancy when there is intense itching and no corresponding rash on the skin. Lab tests should be ordered to confirm abnormal liver function. Consequences of cholestasis include fetal death, premature labor and postpartum hemorrhage--all requiring close monitoring.
Answered on Apr 8, 2015
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A 29-year-old female asked:
Dr. Robert Patterson answered
42 years experience Family Medicine
Pregnant cholestasis: I just researched this for a patient. A good site that gives an excellent overview is from the american pregnancy association-
http://tinyurl.Com/7v6 ... Read More
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A 25-year-old female asked:
Dr. Jeff Livingston answered
21 years experience Obstetrics and Gynecology
Cholestasis: If someone developed cholestasis in pregnancy then they are at risk to get it again in future pregnancies. If they are having issues while not pregnan ... Read More
A 37-year-old member asked:
Dr. Ahmad M Hadied answered
48 years experience Orthopedic Surgery
In bad way: Upon diagnosis, most providers will prescribe ursodeoxycholic acid. While there is no cure for for it, and no way to guarantee a successful outcome, s ... Read More
A 32-year-old female asked:
Dr. Jason Hemming answered
16 years experience Gastroenterology
Yes: Bloodwork will show cholestatic changes. Pruritis (itching) is common but not always present.
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