First-Line Treatment of Primary Biliary Cholangitis
Primary biliary cholangitis (PBC) is a chronic cholestatic liver disease requiring structured, evidence-based first-line pharmacological management to slow progression and preserve hepatic function.
Treatment Approach
First-line therapy for PBC centres on a bile acid agent โ ursodeoxycholic acid. The complete dosing schedule, monitoring parameters, and response criteria are detailed in the full protocol.
References
DOI: 10.1002/hep.32117
Fibrates can be considered as off-label alternatives for patients with PBC and inadequate response to ursodeoxycholic acid, although fibrates are discouraged in patients with decompensated liver disease.
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