What medicine does multiple gallstones take

summary

We usually want to use drugs when we are sick, because it is simple and convenient. When it comes to kidney stones, we are not unfamiliar with, now many people will suffer from kidney stones, and the treatment of kidney stones will use drugs. In order to avoid this situation, let's talk about what medicine to take for multiple gallstones.

What medicine does multiple gallstones take

Drug 1: chenodeoxycholic acid (CDCA) is 12-15mg / (kg? D) for non obese patients. For obese patients, it is 18-20mg / (kg? D) due to increased cholesterol content in biliary tract. If there are side effects such as diarrhea, the dose is 500mg per day. In addition, the serum transaminase can be increased. Therefore, it is rarely used at present. If it is used, the transaminase should be followed up daily for at least three months.

Drug 2: ursodeoxycholic acid (UDCA) dose is 8-10mg / (kg? D), if the patient is significantly obese, the dose should be increased. About 20% ～ 30% of X-ray stones can be completely dissolved, faster than chenodeoxycholic acid, without side effects.

Drug 3: combination therapy of CDCA 6-8 mg / (kg? D) and UDCA 5 mg / (kg? D). The success rate of oral cholic acid is about 40%.

matters needing attention

The recurrence rate is about 2-7% after the removal of cystolithiasis and polyp. After the removal of cystolithiasis and polyp, it is suggested that patients should reexamine B-ultrasound every six months. If there is recurrence, timely treatment is needed.