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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

About Urso

August 1, 2025
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A myPBCteam Member

My Urso is by Epic Pharmacy. I take 300 in morning and 500 at night. When I run out of 300’s I will take 500 each time. I don’t remember if you are gluten free. If you are you may need to check if your medication is. If you are not you might consider going gluten free for a couple of months to see if that helps. I use to get diarrhea constantly and then went to Europe and had no problems. I came back and went gf for a couple of months and haven’t had that problem since. I’m not gluten intolerant there’s something that they add to our flour in USA that starts with bi. It’s what I have problems with. If I’m eating noodles or pasta I make sure it’s from Italy. Good luck and I really hope you find a solution.

September 28, 2025
A myPBCteam Member

Hi Sheila, the manufacturer of the URSO that I take is Glenmark Pharma. I also take 2 500mg daily but I spread them apart. One in the morning and one in the evening. Maybe that is why Linda is getting indigestion and poor appetite. I always take it after eating so that it does not hit and empty stomach.

September 28, 2025
A myPBCteam Member

Hi Sheila, I’m not sure that my info will help you as I’m on a low dose of Urso-250 mg. twice a day. The manufacturer of mine is listed as Strides. I’m hoping you get some relief soon.

August 2, 2025
A myPBCteam Member

Sheila I too have diarrhea practically every morning! I thought it was from taking Ursodiol so I went off the med for a month but still was having diarrhea. So I guess it is not the med. I only have diarrhea in the morning!!! There’s days I’ll take Imodium. No other stomach issues. Hope this helps!

August 1, 2025
myPBCteam

Many myPBCteam members have experienced digestive issues with ursodiol (Urso). While the brand/manufacturer may not be the main factor, there are several strategies that have helped others manage these side effects:

• Taking the medication at night instead of during the day
• Working with your doctor to adjust to a lower Show Full Answer

Many myPBCteam members have experienced digestive issues with ursodiol (Urso). While the brand/manufacturer may not be the main factor, there are several strategies that have helped others manage these side effects:

• Taking the medication at night instead of during the day
• Working with your doctor to adjust to a lower dose taken twice daily
• Avoiding high-fat foods when taking the medication Common digestive side effects of ursodiol can include:
• Changes in stool
• Loss of appetite
• Indigestion
• Nausea and vomiting
• Stomach pain

It's important to discuss any severe side effects with your healthcare provider, as they may need to adjust your treatment plan or explore other options if the side effects are too difficult to manage.

August 1, 2025

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