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Drug reference

chenodiol

Bile acid

Bile acid
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

It decreases cholesterol content of bile. Acts primarily by inhibiting cholesterol synthesis in liver. Reduces cholesterol secretion in bile after prolonged administration. Generates a more litholytic bile acid pool and promotes micellar solubilization of cholesterol.

Indications

dissolve cholesterol gallstones

Side effects

Common
diarrhoea
Serious
  • aminotransferase level may rise
  • overt liver damage (in 3% patients)
  • gastric and esophageal mucosal resistance to acid is impaired favouring ulceration

Related guidelines

Other Bile acid drugs

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team