OCALIVA: Hello! Anyone is taking OCALIVA in... - PBC Foundation

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OCALIVA

iagra profile image
25 Replies

Hello!

Anyone is taking OCALIVA in addition to Ursodiol to lower ALP?

Does it work? Do you have any side-effects? How long have you been taking it?

My ALP jump quite a bit and my doctor mentioned OCALIVA.

I don't like what I read about the side-effects.

I'd appreciate your input.

Thanks!

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iagra
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25 Replies
gwillistexas profile image
gwillistexas

When I was diagnosed in 2017 I was put on URSO and had an allergic reaction so I was taken off and put on ocaliva 5 mg. I’ve been on it since then and never had a side effect. It worked wonders for my Alk phos which was the only number that was high. I would say it’s worth a try. I send you the best. 😊

Giraffe44 profile image
Giraffe44

My response to Urso was not as good as hoped so I was offered Ocaliva as a second line therapy, 5 mg daily. I have not noticed any side effects and more importantly my alk phos reduced significantly. I have been taking it for about 3 years. Best wishes.

SuziS profile image
SuziS

I couldn’t get in with it so was switched to Bezafibrate which is great

Katienharley profile image
Katienharley

I have been on URSO since June 2019 and my levels were good for a bit and then continued to climb so I was put on Ocaliva and have been on it for 3 years now. I started the 5mg dose and it worked quite well for a while but was recently increased to the max 10mg as my levels started climbing again. I have a lot of side effects but I’m sure it’s a combination of the disease, URSO and Ocaliva. You get used to it. The only thing with Ocaliva was a bit of itch at the beginning of each dosage but it went away as I got used to it. You just have to stick with it.

Ocaliva is very expensive ($3200 a month in Canada) but my benefits cover it all.

nickey8 profile image
nickey8 in reply toKatienharley

Hi Katienharley, may I ask you how long did it take for the itch to go away since you started the 10 mg dose? My dose was increased to 10 mg 4 months ago and I still have the itch. Thank you in advance!

Katienharley profile image
Katienharley in reply tonickey8

It took about a month for the itch to go away once the dosage was increased. I have been quite itchy again though for the last couple of weeks!! I’m hoping it’s just the change in weather. Humidifier has helped, not so hot showers and lotion up afterwards. I just had my blood work done again and everything looks good - I was wondering if levels were increasing again to cause the itch but that wouldn’t be the case now.

nickey8 profile image
nickey8 in reply toKatienharley

Thanks for your help and 💪🏻

iagra profile image
iagra in reply toKatienharley

Thank you so much for your input!

islandanonymous profile image
islandanonymous in reply toKatienharley

$3200 a month in Canada, seriously?! My gastroenterologist just mentioned that I could go on Ocaliva if Urso stops working. My ALP has been rising after over 10 years of it being normal. I'm also in Canada. Who can afford $3200 a month though? That's insane!

gwillistexas profile image
gwillistexas in reply toislandanonymous

It’s over $10,000 in the US for 30 day 5 mg.

islandanonymous profile image
islandanonymous in reply togwillistexas

What?? How is that possible? How are people expected to be able to afford something like that? I'm self-employed. There's no way I could afford what they charge in Canada.

gwillistexas profile image
gwillistexas in reply toislandanonymous

I know. When I started ocaliva in 2017, it was over $6,000 and has steadily increased. Ridiculous.

islandanonymous profile image
islandanonymous in reply togwillistexas

It's unbelievable, it really is.

gwillistexas profile image
gwillistexas in reply toislandanonymous

Are there Patient Assistance Programs where you are? We have them here.

islandanonymous profile image
islandanonymous in reply togwillistexas

Not that I've ever heard of. When I earned less money, a small part of my prescriptions were covered by our provincial health program but now I'm paying full price. I'll look into it, thanks.

islandanonymous profile image
islandanonymous in reply togwillistexas

A friend in the US just told me about a drug company that Mark Cuban set up. The prices are a fraction of the cost because they cut out the middleman. I don't see Ocaliva on their current list of meds but Urso is there. You can apparently request they stock specific drugs. Here it is - costplusdrugs.com/

gwillistexas profile image
gwillistexas in reply toislandanonymous

Thank you. I get ocaliva through my patient assistance program. It comes from their pharmacy.

BRT15 profile image
BRT15

I tried Ocaliva but was taken off when I experienced side effects. I continued on Ursodiol and this year started taking fenofibrate as well. Since starting the fenofibrate my liver function results have come down to normal or very close to normal.

iagra profile image
iagra in reply toBRT15

Thank you so much for your input!

Turquoise2075 profile image
Turquoise2075

Hi, I started Ocaliva in June this year. There was a bit of an increase in itching for a couple of weeks but that has gone now. Otherwise no side effects. The specialist took me off Urso when he prescribed Ocaliva, but I did read somewhere they can be used together which was thought to be beneficial from a study.

I was not responding to Urso after a year of using it. I tried Fenofibrate prescribed by my previous specialist but that had strong side effects for me while the Ocaliva is fine. Some people are the other way round. So I think you can only try and see what happens.

Before Ocaliva my liver readings had actually stabilised through supplements when Urso wasn’t working. My liver specialist went for Ocaliva because although my liver readings had normalised with supplements I had a return of fatigue and cognitive symptoms. Some people don’t seem to get the cognitive issues in PBC but for me they were significant. Ocaliva has recently been found to restore cognitive function in mice with PBC which is thought to occur through the restoration of the blood-brain barrier. So it was a bit experimental to see how it went with me, but 3 weeks in I began to have a huge improvement in cognitive function and fatigue levels which has sustained since then. So for me it seems to have definitely been beneficial.

iagra profile image
iagra in reply toTurquoise2075

Thank you so much for your input!

Lowestoft1956 profile image
Lowestoft1956

hello Iagra, when Urso stopped working I was out on Bezofibrate as well. This seems to be working. Not everyone gets bad side effects with Ocaliva. Good luck with it.

iagra profile image
iagra in reply toLowestoft1956

Thank you so much for your input!

Rozzie52 profile image
Rozzie52

I have been Ocaliva for 3 years now as well as ursodeoxycholic my liver enzymes went from 400 to a 100, I have few minor side effects mainly gastrointestinal and a bit of weight gain but nothing too serious . It worked for me.

Good luck with it 😊

meandmypbc60 profile image
meandmypbc60

Been taking 5mg Ovaliva here in Spain, fantastic results for me and no side effects at all.

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