Ursodeoxycholic acid (UDCA) is widely used for the treatment of chronic cholestatic liver diseases. However, a recent randomized, controlled trial has surprisingly shown that the use of high-dose UDCA in patients with primary sclerosing cholangitis (PSC) may be harmful; adverse events, such as death and liver transplantation, were significantly higher in patients who received UDCA compared with placebo.
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Chapman, R. What is the role of ursodeoxycholic acid in therapy for PSC?. Nat Rev Gastroenterol Hepatol 7, 74–75 (2010). https://doi.org/10.1038/nrgastro.2009.235
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DOI: https://doi.org/10.1038/nrgastro.2009.235