MedPath

URSODIOL

Ursodiol Capsules, USP (300 mg) Rx only

Approved
Approval ID

fb317988-a4e3-9c9a-e053-6294a90a5990

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Sep 25, 2023

Manufacturers
FDA

Golden State Medical Supply, Inc.

DUNS: 603184490

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

ursodiol

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code51407-754
Application NumberANDA210344
Product Classification
M
Marketing Category
C73584
G
Generic Name
ursodiol
Product Specifications
Route of AdministrationORAL
Effective DateSeptember 25, 2023
FDA Product Classification

INGREDIENTS (11)

STARCH, CORNInactive
Code: O8232NY3SJ
Classification: IACT
MAGNESIUM STEARATEInactive
Code: 70097M6I30
Classification: IACT
SILICON DIOXIDEInactive
Code: ETJ7Z6XBU4
Classification: IACT
TITANIUM DIOXIDEInactive
Code: 15FIX9V2JP
Classification: IACT
SHELLACInactive
Code: 46N107B71O
Classification: IACT
GELATINInactive
Code: 2G86QN327L
Classification: IACT
FERROSOFERRIC OXIDEInactive
Code: XM0M87F357
Classification: IACT
POTASSIUM HYDROXIDEInactive
Code: WZH3C48M4T
Classification: IACT
URSODIOLActive
Quantity: 300 mg in 1 1
Code: 724L30Y2QR
Classification: ACTIB
TALCInactive
Code: 7SEV7J4R1U
Classification: IACT
FERRIC OXIDE REDInactive
Code: 1K09F3G675
Classification: IACT

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 5/25/2023

PRINCIPAL DISPLAY PANEL

NDC 51407-754-01

Ursodiol Capsules, USP 300 mg

100 Capsules

Rxonly

51407-754-01 Rev. 04-23.jpg

ADVERSE REACTIONS SECTION

LOINC: 34084-4Updated: 8/17/2023

ADVERSE REACTIONS

The nature and frequency of adverse experiences were similar across all groups.

The following tables provide comprehensive listings of the adverse experiences reported that occurred with a 5% incidence level:

GALLSTONE DISSOLUTION

Ursodiol

Placebo

8 - 10 mg/kg/day
(N = 155)

(N = 159)

N

(%)

N

(%)

Body as a Whole

Allergy

8

(5.2)

7

(4.4)

Chest Pain

5

(3.2)

10

(6.3)

Fatigue

7

(4.5)

8

(5.0)

Infection Viral

30

(19.4)

41

(25.8)

Digestive System

Abdominal Pain

67

(43.2)

70

(44.0)

Cholecystitis

8

(5.2)

7

(4.4)

Constipation

15

(9.7)

14

(8.8)

Diarrhea

42

(27.1)

34

(21.4)

Dyspepsia

26

(16.8)

18

(11.3)

Flatulence

12

(7.7)

12

(7.5)

Gastrointestinal Disorder

6

(3.9)

8

(5.0)

Nausea

22

(14.2)

27

(17.0)

Vomiting

15

(9.7)

11

(6.9)

Musculoskeletal System

Arthralgia

12

(7.7)

24

(15.1)

Arthritis

9

(5.8)

4

(2.5)

Back Pain

11

(7.1)

18

(11.3)

Myalgia

9

(5.8)

9

(5.7)

Nervous System

Headache

28

(18.1)

34

(21.4)

Insomnia

3

(1.9)

8

(5.0)

Respiratory System

Bronchitis

10

(6.5)

6

(3.8)

Coughing

11

(7.1)

7

(4.4)

Pharyngitis

13

(8.4)

5

(3.1)

Rhinitis

8

(5.2)

11

(6.9)

Sinusitis

17

(11.0)

18

(11.3)

Upper Respiratory Tract Infection

24

(15.5)

21

(13.2)

Urogenital System

Urinary Tract Infection

10

(6.5)

7

(4.4)

GALLSTONE PREVENTION

Ursodiol

Placebo

600 mg
(N = 322)

(N = 325)

N

(%)

N

(%)

Body as a Whole

Fatigue

25

(7.8)

33

(10.2)

Infection Viral

29

(9.0)

29

(8.9)

Influenza-like Symptoms

21

(6.5)

19

(5.8)

Digestive System

Abdominal Pain

20

(6.2)

39

(12.0)

Constipation

85

(26.4)

72

(22.2)

Diarrhea

81

(25.2)

68

(20.9)

Flatulence

15

(4.7)

24

(7.4)

Nausea

56

(17.4)

43

(13.2)

Vomiting

44

(13.7)

44

(13.5)

Musculoskeletal System

Back Pain

38

(11.8)

21

(6.5)

Musculoskeletal Pain

19

(5.9)

15

(4.6)

Nervous System

Dizziness

53

(16.5)

42

(12.9)

Headache

80

(24.8)

78

(24.0)

Respiratory System

Pharyngitis

10

(3.1)

19

(5.8)

Sinusitis

17

(5.3)

18

(5.5)

Upper Respiratory Tract Infection

40

(12.4)

35

(10.8)

Skin and Appendages

Alopecia

17

(5.3)

8

(2.5)

Urogenital System

Dysmenorrhea

18

(5.6)

19

(5.8)

Postmarketing Experience

The following adverse reactions, presented by system organ class in alphabetical order, have been identified during post-approval use of ursodiol. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

Gastrointestinal disorders: enteroliths (bezoars)

To report SUSPECTED ADVERSE REACTIONS, contact Strides Pharma Inc. at 1-877-244-9825 or go towww.strides.comor FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

SPL UNCLASSIFIED SECTION

LOINC: 42229-5Updated: 8/10/2023

ALTERNATIVE THERAPIES

Watchful Waiting

Watchful waiting has the advantage that no therapy may ever be required. For patients with silent or minimally symptomatic stones, the rate of development of moderate-to-severe symptoms or gallstone complications is estimated to be between 2% and 6% per year, leading to a cumulative rate of 7% to 27% in 5 years. Presumably the rate is higher for patients already having symptoms.

Cholecystectomy

For patients with symptomatic gallstones, surgery offers the advantage of immediate and permanent stone removal, but carries a high risk in some patients. About 5% of cholecystectomized patients have residual symptoms or retained common duct stones. The spectrum of surgical risk varies as a function of age and the presence of disease other than cholelithiasis.

  • In good health or with moderate systemic disease.

** With severe or extreme systemic disease.

*** Includes both elective and emergency surgery.

Mortality Rates for Cholecystectomy in the U.S. (National Halothane Study, JAMA 1966; 197:775-8) 27,600 Cholecystectomies (Smoothed Rates) Deaths/1000 Operations***

Age (Yrs)


Cholecystectomy

Cholecystectomy
+ Common Duct Exploration

Low Risk Patients*

Women

0 - 49

0.54

2.13

50 - 69

2.80

10.10

Men

0 - 49

1.04

4.12

50 - 69

5.41

19.23

High Risk Patients**

Women

0 - 49

12.66

47.62


50 - 69

17.24

58.82

Men

0 - 49

24.39

90.91


50 - 69

33.33

111.11

Women in good health or who have only moderate systemic disease and are under 49 years of age have the lowest surgical mortality rate (0.054); men in all categories have a surgical mortality rate twice that of women. Common duct exploration quadruples the rates in all categories. The rates rise with each decade of life and increase tenfold or more in all categories with severe or extreme systemic disease.

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