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Starting and staying on OCALIVA

Don't forget your primary biliary cholangitis (PBC) treatment goals—staying on your treatment as prescribed is important for your liver health.

Rosalía, 56 Joined #TeamOCALIVA in 2016Photograph of an actual patient.

How to take OCALIVA

OCALIVA® (obeticholic acid) is a once-daily pill available in 2 dosage strengths: 5 mg and 10 mg. Your doctor will work with you to determine the best dose for you.

Your doctor will start you on a dose of OCALIVA 5 mg. After 3 months, your doctor may increase your dose to 10 mg, based on your lab results.

What to know about taking OCALIVA

OCALIVA is a pill that’s prescribed to you by your healthcare provider. Take it exactly as prescribed.
If you are taking a bile acid resin, take OCALIVA at least 4 hours before or 4 hours after.
OCALIVA can be taken with ursodeoxycholic acid (UDCA) or, for people who cannot tolerate UDCA, it can be taken alone.
Tell your healthcare provider about any other prescription or over-the-counter medicines, herbal remedies, vitamins, or other supplements you are taking or plan to take.
OCALIVA can be taken with or without food.
You’ll get your OCALIVA prescription shipped directly to you from a specialty pharmacy.

Make the commitment to yourself

OCALIVA is working, even if you don’t see the signs. It’s very important to keep taking OCALIVA exactly as prescribed by your healthcare provider, even if you feel well, your tests show improved liver health, including a lowered ALP level, or if your symptoms improve.

Photograph of an actual patient.

Have questions about OCALIVA?

The OCALIVA Connect Mentor Program helps you get the answers you need about treatment with OCALIVA, as well as tips for managing and living with PBC.

Schedule your session with an OCALIVA Connect Mentor today!

Call 1-833-508-9362

OCALIVA is here for you

Sign up for helpful tips, tools, and other materials to learn more about PBC and OCALIVA.

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Actual patients featured on this website are paid spokespeople for Intercept Pharmaceuticals.

Indication and Important Safety Information

What is OCALIVA?

OCALIVA is a prescription medicine used to treat primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid (UDCA) in adults who have not responded well enough to UDCA, or alone for adults who cannot tolerate UDCA. It is not known if taking OCALIVA will improve your chance of survival or improve your symptoms of PBC. It is not known if OCALIVA is safe and effective in children.

What is the most important information I should know about OCALIVA?

OCALIVA may cause serious side effects including:

Worsening of liver problems or liver failure, in some cases leading to liver transplant or death, has happened in people with primary biliary cholangitis (PBC) with liver cirrhosis when taking OCALIVA.

Before you start OCALIVA, and during your treatment with OCALIVA, your healthcare provider will do tests to check your liver. These tests will help your healthcare provider decide if it is safe for you to start taking OCALIVA and safe for you to continue taking OCALIVA.

Tell your healthcare provider right away if you have any of the following symptoms of worsening liver problems during treatment with OCALIVA:

  • Swelling of your stomach‑area from a build‑up of fluid; yellowing of your skin or the whites of your eyes; black, tarry, or bloody stools; coughing up or vomiting blood, or your vomit looks like “coffee grounds”; mental changes such as confusion, sleepier than usual or harder to wake up, slurred speech, mood swings, or changes in personality.

Tell your healthcare provider right away if you have any of the following symptoms during treatment with OCALIVA and they are severe or do not go away:

  • Stomach‑area pain; nausea, vomiting, or diarrhea; loss of appetite or weight loss; new or worsening fatigue; weakness; fever and chills; light‑headedness; less frequent urination

Who should not take OCALIVA?

Do not take OCALIVA if you:

  • have PBC with liver cirrhosis with symptoms such as fluid in the stomach‑area or confusion (decompensated liver cirrhosis) or with abnormalities in certain tests that check your liver.
  • have a complete blockage of the bile ducts in your liver or gallbladder.

What are the possible side effects of OCALIVA?

OCALIVA may cause serious side effects, including:

  • See “What is the most important information I should know about OCALIVA?”
  • Severe Itching (pruritus). Itching is a common side effect and can sometimes become severe (intense itching or itching over much of your body). Severe itching can cause discomfort, problems sleeping, and problems doing daily activities and usually needs to be treated. Tell your healthcare provider if you get severe itching or if your itching gets worse.
  • Lower HDL‑C (“good” cholesterol). OCALIVA can lower high levels of HDL‑C. Your healthcare provider will check your cholesterol levels during treatment with OCALIVA.

The most common side effects of OCALIVA include: tiredness; stomach pain and discomfort; rash; joint pain; mouth and throat pain; dizziness; constipation; swelling in your hands, ankles, or feet; fast or irregular heartbeat; fever; changes in how your thyroid gland works; dryness, irritation, redness, crusting or drainage of the skin (eczema).

These are not all the possible side effects of OCALIVA. Call your doctor for medical advice about side effects.

What should I tell my healthcare provider before taking OCALIVA?

Before taking OCALIVA, tell your healthcare provider about all of your medical conditions, including if you:

  • are pregnant or plan to become pregnant. It is not known if OCALIVA will harm your unborn baby.
  • are breastfeeding or plan to breastfeed. It is not known if OCALIVA passes into your breastmilk. Talk with your healthcare provider about the best way to feed your baby if you take OCALIVA.

Tell your healthcare provider about all the medicines you take, including prescription and over‑the‑counter medicines, vitamins, and herbal supplements. OCALIVA can affect the way certain medicines work. Certain other medicines may affect the way OCALIVA works.

The risk information provided here is not complete. To learn more, please talk to your healthcare provider.

Please click here for Full Prescribing Information and Medication Guide for OCALIVA.

Available by prescription only.

To report negative side effects of OCALIVA, please contact Intercept Pharmaceuticals, Inc. at 1-844-782-ICPT or you may report to FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.