{"id":59683,"date":"2024-02-28T06:10:41","date_gmt":"2024-02-28T06:10:41","guid":{"rendered":"https:\/\/medsname.com\/udimax-300\/"},"modified":"2026-04-30T10:23:56","modified_gmt":"2026-04-30T10:23:56","slug":"udimax-300","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/udimax-300\/","title":{"rendered":"Udimax 300"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Udimax 300?<\/h3>\n<p style=\"margin:0;\"><strong>Udimax 300<\/strong> je <strong>ursodeoxycholic acid (UDCA) 300 mg<\/strong> &mdash; a hydrophilic bile acid that is the standard of care for <strong>primary biliary cholangitis (PBC), cholesterol gallstones in patients unfit for surgery, intrahepatic cholestasis of pregnancy (ICP), bile-acid diarrhoea, and pruritus of cholestatic liver disease<\/strong>. UDCA reduces cholesterol saturation in bile, replaces toxic hydrophobic bile acids in the bile-acid pool, exerts cytoprotective and anti-apoptotic effects on hepatocytes and cholangiocytes, and stimulates bicarbonate-rich choleresis. Standard adult doses range from <strong>10&ndash;15 mg\/kg\/day for PBC and gallstones to 14&ndash;30 mg\/kg\/day for cholestasis of pregnancy<\/strong>. V\u00fdrobce certifikovan\u00fd WHO-GMP.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>Pro\u010d objedn\u00e1vat z MedsBase:<\/strong> \u2714 <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2714 Diskr\u00e9tn\u00ed balen\u00ed \u2714 Celosv\u011btov\u00e1 doprava \u2714 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">Ov\u011b\u0159en\u00e9 recenze z\u00e1kazn\u00edk\u016f (1 400+ z\u00e1kazn\u00edk\u016f)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>&#128161; First-line for PBC since 1994.<\/strong> UDCA is the only therapy proven to extend transplant-free survival in primary biliary cholangitis. In 30&ndash;40 percent of PBC patients ALP does not normalise on UDCA alone and obeticholic acid or a fibrate is added (specialist hepatology decision).<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Udimax 300 is supplied from a <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Ka\u017ed\u00e1 objedn\u00e1vka je diskr\u00e9tn\u011b zas\u00edl\u00e1na po cel\u00e9m sv\u011bt\u011b a je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> &mdash; if it does not arrive within 20 business days, we reship at no cost. UDCA has been on the WHO Essential Medicines List for decades and is the cornerstone of medical therapy for cholestatic liver disease.<\/p>\n<h2 class=\"wp-block-heading\">Mechanismus \u00fa\u010dinku<\/h2>\n<p>UDCA is a naturally occurring hydrophilic 7&beta;-hydroxy bile acid (&#8220;the bear bile acid&#8221;). When taken orally it enriches the bile-acid pool, replacing toxic hydrophobic acids (chenodeoxycholic, lithocholic) that damage cholangiocytes and hepatocytes in cholestasis. Three actions matter clinically: (1) it reduces biliary cholesterol saturation, dissolving cholesterol gallstones over months; (2) it exerts direct cytoprotective and anti-apoptotic effects on liver cells, reducing immune-mediated damage in PBC; (3) it stimulates a bicarbonate-rich &#8220;alkaline tide&#8221; choleresis, which protects cholangiocytes from the detergent action of hydrophobic bile acids. Onset of biochemical improvement in PBC is typically 2&ndash;6 months.<\/p>\n<h2 class=\"wp-block-heading\">Indications &amp; doses<\/h2>\n<table border=\"1\" cellpadding=\"6\" style=\"border-collapse:collapse;width:100%;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th>Indikace<\/th>\n<th>D\u00e1vka<\/th>\n<th>Pozn\u00e1mky<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Primary biliary cholangitis (PBC)<\/td>\n<td>13&ndash;15 mg\/kg\/day in 1&ndash;2 divided doses<\/td>\n<td>Do\u017eivotn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Cholesterol gallstones (radiolucent, non-calcified, &lt; 15 mm, functioning gallbladder)<\/td>\n<td>8&ndash;10 mg\/kg\/day<\/td>\n<td>6&ndash;24 months; recurrence common after stopping<\/td>\n<\/tr>\n<tr>\n<td>Intrahepatic cholestasis of pregnancy<\/td>\n<td>10&ndash;15 mg\/kg\/day, may rise to 25 mg\/kg\/day<\/td>\n<td>Reduces pruritus, normalises bile acids; PITCHES trial showed mixed effect on stillbirth<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Bile-acid diarrhoea<\/td>\n<td>250&ndash;500 mg twice daily (off-label)<\/td>\n<td>Combine with bile-acid binders (cholestyramine)<\/td>\n<\/tr>\n<tr>\n<td>PSC, cystic fibrosis liver disease, paediatric biliary atresia<\/td>\n<td>20&ndash;30 mg\/kg\/day<\/td>\n<td>Specialist supervision; high-dose in PSC limited to 20 mg\/kg\/day after a 30 mg\/kg trial showed harm<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>Common: diarrhoea (dose-related), abdominal cramps, nausea<\/li>\n<li>Skin reactions (rash, pruritus &mdash; transient, opposite to its therapeutic effect on cholestatic itch)<\/li>\n<li>Calcified gallstones (rare; on long courses)<\/li>\n<li>Worsening ascites in advanced cirrhosis (rare)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Cholestyramine, colestipol, antacids (aluminium):<\/strong> bind UDCA and reduce absorption &mdash; separate by 2 hours.<\/li>\n<li><strong>Combined OC pill, oestrogens, clofibrate:<\/strong> increase biliary cholesterol saturation and oppose the gallstone-dissolution effect.<\/li>\n<li><strong>Ciclosporin:<\/strong> UDCA may improve ciclosporin absorption; monitor levels.<\/li>\n<li><strong>Nitrendipine, dapsone:<\/strong> levels may fall on UDCA &mdash; monitor.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Za jak dlouho se projev\u00ed zlep\u0161en\u00ed?<\/h3>\n<p>In PBC, ALP and ALT begin to fall within 4&ndash;8 weeks; full biochemical response is judged at 12 months. Pruritus often improves within weeks. Gallstone dissolution takes 6&ndash;24 months and only works for cholesterol stones.<\/p>\n<h3 class=\"wp-block-heading\">Will it dissolve all gallstones?<\/h3>\n<p>No. Only radiolucent, non-calcified, cholesterol stones &lt; 15 mm in a functioning gallbladder will dissolve. Pigment stones, calcified stones, and cholecystitis will not respond. Recurrence after stopping is common (~50 percent in 5 years) so cholecystectomy remains preferred when feasible.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Yes. UDCA is the recognised therapy for intrahepatic cholestasis of pregnancy (ICP), reducing maternal pruritus and bile-acid levels. Discuss with obstetric prescriber.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u00edt alkohol?<\/h3>\n<p>Avoid heavy alcohol &mdash; it worsens any underlying liver disease. Light intake is acceptable in PBC at the prescriber&#8217;s discretion.<\/p>\n<h3 class=\"wp-block-heading\">Why do I have diarrhoea?<\/h3>\n<p>Excess UDCA reaches the colon and acts as an osmotic \/ secretory laxative. Splitting the dose (e.g. 300 mg morning and evening rather than 600 mg once) usually helps. If persistent, dose reduction is reasonable in stone-dissolution use; in PBC, prioritise the dose for biochemical response.<\/p>\n<h3 class=\"wp-block-heading\">Will I need it for life?<\/h3>\n<p>In PBC: yes. In gallstones: only until they dissolve (then stop, accept recurrence risk). In ICP: until delivery and normalisation of bile acids.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m ho u\u017e\u00edvat s j\u00eddlem?<\/h3>\n<p>Take with meals. Bile-acid recycling during the postprandial period maximises enterohepatic circulation and the therapeutic effect.<\/p>\n<h3 class=\"wp-block-heading\">Can I take it with cholestyramine?<\/h3>\n<p>Yes, but separate by 2 hours &mdash; cholestyramine binds bile acids and would inactivate the dose if taken simultaneously.<\/p>\n<h3 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h3>\n<p>Below 25&deg;C, dry place. Keep tablets in the original blister.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si l\u00e9k, jakmile si vzpomenete. Pokud je bl\u00edzko dal\u0161\u00ed d\u00e1vka, vynechejte ji. Neduplikujte d\u00e1vky.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/maxiliv-injection\/\">Maxiliv Injection &mdash; Glutathione (antioxidant)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/liv-52-ds\/\">Liv 52 DS \u2014 \u00c1jurv\u00e9dsk\u00fd hepatoprotektivn\u00ed p\u0159\u00edpravek<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asacol\/\">Asacol &mdash; Mesalamine 400 mg (UC)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/saaz\/\">Saaz &mdash; Sulfasalazine<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budez-cr\/\">Budez CR &mdash; Budesonide CR (autoimmune hepatitis off-label)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gastro-health\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. PBC, PSC, ICP, and cholestatic liver disease all need specialist hepatology supervision. Acute right-upper-quadrant pain, jaundice, fever, or pale stools needs urgent assessment.<\/div>","protected":false},"excerpt":{"rendered":"<p>Udimax 300 (Ursodeoxycholic Acid 300 mg) \u2014 hydrophilic bile acid for primary biliary cholangitis, cholesterol gallstones, intrahepatic cholestasis of pregnancy, and bile-acid diarrhoea. WHO Essential Medicine for PBC. Worldwide shipping from MedsBase.<\/p>","protected":false},"featured_media":59684,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[4727,4728],"class_list":{"0":"post-59683","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","9":"product_tag-udimax-300","10":"product_tag-ursodeoxycholic-acid","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/59683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=59683"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59684"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59683"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59683"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59683"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}