{"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\/ro\/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;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Udimax 300?<\/h3>\n<p style=\"margin:0;\"><strong>Udimax 300<\/strong> este <strong>acid ursodeoxicholic (UDCA) 300 mg<\/strong> \u2014 un acid biliar hidrofil care reprezint\u0103 standardul de \u00eengrijire pentru <strong>colangita biliar\u0103 primar\u0103 (CBP), pietre biliare de colesterol la pacien\u021bii nepotrivi\u021bi pentru interven\u021bie chirurgical\u0103, colestaz\u0103 intrahepatic\u0103 a sarcinii (CIS), diaree cu acizi biliari \u0219i prurit \u00een boala hepatic\u0103 colestatic\u0103<\/strong>. UDCA reduce satura\u021bia de colesterol din bil\u0103, \u00eenlocuie\u0219te acizii biliari toxici hidrofobi din pool-ul de acizi biliari, exercit\u0103 efecte citoprotectoare \u0219i anti-apoptotice asupra hepatocitelor \u0219i colangiocitelor \u0219i stimuleaz\u0103 colereza bogat\u0103 \u00een bicarbonat. Dozele standard pentru adul\u021bi variaz\u0103 de la <strong>10\u201315 mg\/kg\/zi pentru CBP \u0219i pietre biliare la 14\u201330 mg\/kg\/zi pentru colestaza sarcinii<\/strong>. Produc\u0103tor certificat 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>De ce s\u0103 comanzi de la MedsBase:<\/strong> \u2714 <strong>produc\u0103tor certificat WHO-GMP<\/strong> \u2714 Ambalaj discret \u2714 Livrare worldwide \u2714 <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">Recenzii verificate ale clien\u021bilor (peste 1.400 de clien\u021bi)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\ud83d\udca1 Linia \u00eent\u00e2i pentru CBP din 1994.<\/strong> UDCA este singura terapie dovedit\u0103 a prelungi supravie\u021buirea f\u0103r\u0103 transplant \u00een colangita biliar\u0103 primar\u0103. La 30\u201340 la sut\u0103 dintre pacien\u021bii cu CBP, ALP nu se normalizeaz\u0103 doar cu UDCA \u0219i se adaug\u0103 acid obeticholic sau un fibrat (decizie de hepatologie specializat\u0103).<\/div>\n<h3 class=\"wp-block-heading\">De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Udimax 300 este furnizat de la o <strong>produc\u0103tor certificat WHO-GMP<\/strong>. Fiecare comand\u0103 este expediat\u0103 discret \u00een \u00eentreaga lume \u0219i este acoperit\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 dac\u0103 nu ajunge \u00een 20 de zile lucr\u0103toare, retrimitem f\u0103r\u0103 costuri suplimentare. UDCA este inclus\u0103 pe Lista Medicamentelor Esen\u021biale WHO de zeci de ani \u0219i reprezint\u0103 piatra de temelie a terapiei medicale pentru afec\u021biunile hepatice colestatice.<\/p>\n<h2 class=\"wp-block-heading\">Mecanism de ac\u021biune<\/h2>\n<p>UDCA este un acid biliar hidrofil natural, 7\u03b2-hidroxi (\u201cacidul biliar de urs\u201d). Atunci c\u00e2nd este administrat oral, \u00eembog\u0103\u021be\u0219te rezerva de acizi biliari, \u00eenlocuind acizii hidrofobi toxici (chenodeoxicolic, litocolic) care afecteaz\u0103 colangiocitele \u0219i hepatocitele \u00een colestaz\u0103. Trei ac\u021biuni au relevan\u021b\u0103 clinic\u0103: (1) reduce satura\u021bia biliar\u0103 cu colesterol, dizolv\u00e2nd pietrele de colesterol \u00een c\u00e2teva luni; (2) exercit\u0103 efecte citoprotectoare \u0219i anti-apoptotice directe asupra celulelor hepatice, reduc\u00e2nd deteriorarea imunomediat\u0103 \u00een CBP; (3) stimuleaz\u0103 o colerez\u0103 bogat\u0103 \u00een bicarbonat (\u201cflux alcalin\u201d), protej\u00e2nd colangiocitele de ac\u021biunea detergent\u0103 a acizilor biliari hidrofobi. \u00cembun\u0103t\u0103\u021birea biochimic\u0103 \u00een CBP apare de obicei \u00een 2\u20136 luni.<\/p>\n<h2 class=\"wp-block-heading\">Indica\u021bii &amp; doze<\/h2>\n<table border=\"1\" cellpadding=\"6\" style=\"border-collapse:collapse;width:100%;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th>Indica\u021bie<\/th>\n<th>Doza<\/th>\n<th>Note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Colangita biliar\u0103 primar\u0103 (PBC)<\/td>\n<td>13\u201315 mg\/kg\/zi \u00een 1\u20132 doze divizate<\/td>\n<td>Pe via\u021b\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Pietre biliare de colesterol (radiolucente, necalcificate, &lt; 15 mm, vezic\u0103 biliar\u0103 func\u021bional\u0103)<\/td>\n<td>8\u201310 mg\/kg\/zi<\/td>\n<td>6\u201324 luni; recuren\u021b\u0103 frecvent\u0103 dup\u0103 \u00eentrerupere<\/td>\n<\/tr>\n<tr>\n<td>Colestaz\u0103 intrahepatic\u0103 a sarcinii<\/td>\n<td>10\u201315 mg\/kg\/zi, poate cre\u0219te p\u00e2n\u0103 la 25 mg\/kg\/zi<\/td>\n<td>Reduce pruritul, normalizeaz\u0103 acizii biliari; studiul PITCHES a ar\u0103tat efecte mixte asupra mortii fetale<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Diaree cu acizi biliari<\/td>\n<td>250\u2013500 mg de dou\u0103 ori pe zi (off-label)<\/td>\n<td>Combinat cu leg\u0103tori de acizi biliari (colestiramin\u0103)<\/td>\n<\/tr>\n<tr>\n<td>PSC, boal\u0103 hepatic\u0103 fibrochistic\u0103, atresie biliar\u0103 pediatric\u0103<\/td>\n<td>20\u201330 mg\/kg\/zi<\/td>\n<td>Supraveghere specializat\u0103; doze mari \u00een PSC limitate la 20 mg\/kg\/zi dup\u0103 ce un studiu cu 30 mg\/kg a ar\u0103tat efecte adverse<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Efecte secundare<\/h2>\n<ul>\n<li>Efecte frecvente: diaree (dependent\u0103 de doz\u0103), crampe abdominale, grea\u021b\u0103<\/li>\n<li>Reac\u021bii cutanate (erup\u021bie, prurit \u2014 tranzitorii, opuse efectului terapeutic asupra m\u00e2nc\u0103rimii colestatice)<\/li>\n<li>Pietre biliare calcificate (rare; la tratamente \u00eendelungate)<\/li>\n<li>Aggravarea ascitei \u00een ciroza avansat\u0103 (rar)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Colestiramin\u0103, colestipol, antiacide (aluminiu):<\/strong> leag\u0103 UDCA \u0219i reduc absorb\u021bia \u2014 administrare la interval de 2 ore.<\/li>\n<li><strong>Contraceptive orale combinate, estrogeni, clofibrat:<\/strong> cre\u0219te satura\u021bia de colesterol biliar \u0219i contracareaz\u0103 efectul de dizolvare a pietrelor biliare.<\/li>\n<li><strong>Ciclosporin:<\/strong> UDCA poate \u00eembun\u0103t\u0103\u021bi absorb\u021bia ciclosporinei; monitoriza\u021bi nivelurile.<\/li>\n<li><strong>Nitrendipin\u0103, dapson\u0103:<\/strong> nivelurile pot sc\u0103dea sub UDCA \u2014 monitoriza\u021bi.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 p\u00e2n\u0103 se observ\u0103 \u00eembun\u0103t\u0103\u021birea?<\/h3>\n<p>\u00cen PBC, ALP \u0219i ALT \u00eencep s\u0103 scad\u0103 \u00een 4\u20138 s\u0103pt\u0103m\u00e2ni; r\u0103spunsul biochimic complet se evalueaz\u0103 la 12 luni. Pruritul se ameliorizeaz\u0103 adesea \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni. Disolubilitatea calculilor biliari dureaz\u0103 6\u201324 de luni \u0219i func\u021bioneaz\u0103 doar pentru calculii de colesterol.<\/p>\n<h3 class=\"wp-block-heading\">Va dizolva to\u021bi calculii biliari?<\/h3>\n<p>Nu. Doar calculii radiotransparen\u021bi, necalcifica\u021bi, de colesterol &lt; 15 mm \u00eentr-o vezic\u0103 biliar\u0103 func\u021bional\u0103 se vor dizolva. Calculii pigmenta\u021bi, calcifica\u021bi \u0219i colecistita nu r\u0103spund. Recuren\u021ba dup\u0103 \u00eentrerupere este frecvent\u0103 (~50% \u00een 5 ani), deci colecistectomia r\u0103m\u00e2ne preferat\u0103 atunci c\u00e2nd este fezabil\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Este sigur \u00een sarcin\u0103?<\/h3>\n<p>Da. UDCA este terapia recunoscut\u0103 pentru colestaza intrahepatic\u0103 a sarcinii (CIS), reduc\u00e2nd pruritul matern \u0219i nivelurile de acizi biliari. Discuta\u021bi cu medicul obstetrician.<\/p>\n<h3 class=\"wp-block-heading\">Pot consuma alcool \u00een timpul tratamentului?<\/h3>\n<p>Evita\u021bi consumul excesiv de alcool \u2014 agraveaz\u0103 orice afec\u021biune hepatic\u0103 subiacent\u0103. Consumul moderat este acceptabil \u00een PBC la discre\u021bia medicului prescriptor.<\/p>\n<h3 class=\"wp-block-heading\">De ce am diaree?<\/h3>\n<p>Excesul de UDCA ajunge \u00een colon \u0219i ac\u021bioneaz\u0103 ca laxativ osmotic\/secretor. \u00cemp\u0103r\u021birea dozei (de ex. 300 mg diminea\u021ba \u0219i seara \u00een loc de 600 mg o dat\u0103) ajut\u0103 de obicei. Dac\u0103 persist\u0103, reducerea dozei este rezonabil\u0103 \u00een utilizarea pentru dizolvarea calculilor; \u00een PBC, prioriza\u021bi doza pentru r\u0103spunsul biochimic.<\/p>\n<h3 class=\"wp-block-heading\">Voi avea nevoie de el pe via\u021b\u0103?<\/h3>\n<p>\u00cen PBC: da. \u00cen calculi biliari: doar p\u00e2n\u0103 c\u00e2nd se dizolv\u0103 (apoi opri\u021bi, accept\u00e2nd riscul de recuren\u021b\u0103). \u00cen CIS: p\u00e2n\u0103 la na\u0219tere \u0219i normalizarea acizilor biliari.<\/p>\n<h3 class=\"wp-block-heading\">Trebuie s\u0103 o iau \u00eenainte sau dup\u0103 mese?<\/h3>\n<p>Lua\u021bi cu mesele. Reciclarea acizilor biliari \u00een perioada postprandial\u0103 maximizeaz\u0103 circula\u021bia enterohepatic\u0103 \u0219i efectul terapeutic.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 o iau cu colestiramin\u0103?<\/h3>\n<p>Da, dar lua\u021bi cu 2 ore diferen\u021b\u0103 \u2014 colestiramina se leag\u0103 de acizii biliari \u0219i ar inactiva doza dac\u0103 este luat\u0103 simultan.<\/p>\n<h3 class=\"wp-block-heading\">Depozitare<\/h3>\n<p>Sub 25\u00b0C, loc uscat. P\u0103stra\u021bi comprimatele \u00een blisterul original.<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Lua\u021bi-l c\u00e2nd v\u0103 aminti\u021bi. Dac\u0103 este aproape de urm\u0103toarea doz\u0103, omite\u021bi-o. Nu lua\u021bi o doz\u0103 dubl\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alte Medicamente pentru S\u0103n\u0103tatea Gastrointestinal\u0103<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/maxiliv-injection\/\">Maxiliv Injectie \u2014 Glutation (antioxidant)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/liv-52-ds\/\">Liv 52 DS \u2014 hepatoprotector ayurvedic<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/asacol\/\">Asacol \u2014 Mesalamin\u0103 400 mg (colit\u0103 ulceroas\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/saaz\/\">Saaz \u2014 Sulfasalazin\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/budez-cr\/\">Budez CR \u2014 Budesonid CR (hepatit\u0103 autoimun\u0103 off-label)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/gastro-health\/\"><strong>Vede\u021bi toate Medicamentele pentru S\u0103n\u0103tatea Gastrointestinal\u0103<\/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 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui profesionist calificat din domeniul s\u0103n\u0103t\u0103\u021bii. PBC, PSC, ICP \u0219i boli hepatice colestatice necesit\u0103 supraveghere specializat\u0103 de hepatologie. Durere acut\u0103 \u00een cadranul drept superior, icter, febr\u0103 sau scaune decolorate necesit\u0103 evaluare urgent\u0103.<\/div>","protected":false},"excerpt":{"rendered":"<p>Udimax 300 (Acid Ursodeoxicholic 300 mg) \u2014 acid biliar hidrofil pentru colangita biliar\u0103 primar\u0103, pietre biliare de colesterol, colestaz\u0103 intrahepatic\u0103 a sarcinii \u0219i diaree cu acizi biliari. Medicament Esen\u021bial WHO pentru CBP. Livrare worldwide de la 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\/ro\/wp-json\/wp\/v2\/product\/59683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=59683"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/59684"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=59683"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=59683"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=59683"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=59683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}