I am newly diagnosed by Kings with PBC, I don't know what stage I am, my ALP is 527, GGT 521, Fibroscan 14.9kpa. I am now taking URSO. I have Arthritis and joint pain in my hands, feet and knees. Prior to diagnosis I was taking Naprosyn every day. I have been advised I can never take Naprosyn again, I cannot tolerate codeine. I now have Paracetamol during the day which does not touch the pain. I can now barely move due to the severe pain. I have Tramadol which I take at night which does help a bit but makes me drowsy. Can anyone advise on a painkiller that would be safe for my liver and help with the joint pain please?