Liconor

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Liconor

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Liconor

Liconor is a medication primarily used to manage conditions related to the liver and bile ducts. It works by altering the chemical composition of bile, which is vital for digestion and liver protection.

Quick Facts

Property Description
Active ingredient Ursodeoxycholic Acid (UDCA)
Form Oral tablet, Oral suspension (liquid)
Pharmacological class Bile Acid (Hepatoprotective agent)
Common use Correcting bile chemical imbalance
Origin Biological/Natural Origin (a secondary bile acid)

What Type of Medicine is Liconor?

Liconor belongs to the bile acid pharmacological class, with its sole active ingredient being Ursodeoxycholic Acid (UDCA), also known generically as ursodiol. UDCA is considered a naturally occurring substance because it is a bile acid found in the human body.

The drug's unique chemical structure, distinct from the body's more common bile acids, allows it to effectively protect the cells of the liver and bile ducts. UDCA is a clinically recognized standard treatment for primary biliary cholangitis, playing a role in supporting liver function and bile flow.

Liconor's Form and Composition

Liconor is a single-ingredient medication, focused entirely on the action of Ursodeoxycholic Acid. It is supplied for oral use in two primary forms: a film-coated tablet and an oral suspension (liquid). This dual availability is an important differentiator, allowing prescribers to tailor the form based on a patient's need for flexible dosing or difficulty swallowing.

Its composition includes the UDCA active ingredient plus the necessary inactive components to create the final product structure.


What is Liconor's General Purpose?

The high-level therapeutic purpose of Liconor is achieved by changing the chemical profile of bile. Liconor actively works to reduce the amount of cholesterol secreted into the bile. This action helps prevent and dissolve cholesterol stones by keeping the bile from becoming oversaturated.

This chemical alteration also ensures Liconor has a cytoprotective (cell-protecting) effect. By increasing the non-toxic UDCA in the bile, it helps shield the liver and bile duct cells from damage that can occur when bile flow is impaired, ultimately supporting overall liver health.

Regulatory References

  1. MedlinePlus: Ursodiol
  2. NIH StatPearls

What side effects are possible with Liconor?

Official Adverse Reactions and Safety Profile

The safety profile of Liconor, which contains Ursodeoxycholic Acid (UDCA), is classified by regulatory authorities based on the frequency and the physiological systems affected. The most frequently documented adverse events relate to the Gastrointestinal Disorders category.

Frequency Classification Documented Side Effects
Common (1% to 10%) Diarrhea, pasty stools, and abdominal discomfort or pain are the most commonly reported reactions. Other common effects include nausea, rash, pruritus (itching), and alopecia.
Very Rare (< 0.01%) Serious adverse events listed include the decompensation of hepatic cirrhosis, observed in patients with advanced primary biliary cirrhosis (PBC), which may regress upon discontinuation. The calcification of gallstones is also noted.

Key Safety Constraints and Population Notes

The official labeling notes specific restrictions (contraindications) against the use of Liconor in individuals with a known hypersensitivity to bile acids, complete biliary obstruction, acute inflammation of the gallbladder, or radiopaque calcified gallstones.

For certain groups, specific instructions are noted: Liconor must generally not be used during pregnancy, and women of childbearing potential are required to use reliable contraception. Furthermore, for those treating PBC, the label notes that severe upper abdominal pain may occur at the beginning of treatment.

Overdose and Emergency Response

Overdose and when to seek help

Official regulatory documents define the overdose profile for Liconor (Ursodeoxycholic Acid) based strictly on observed clinical manifestations and required emergency procedures. Overdosage is primarily characterized by effects on the gastrointestinal tract.


Overdose Manifestations and Actions

Feature Official Regulatory Statement
Documented Overdose Presentation The major manifestation of overdosage is diarrhea [Source: Official Regulatory Labeling].
Severe Outcomes The potential for severe dehydration and subsequent electrolyte imbalance is the most significant complication.
Antidote Information No specific antidote is known or documented for Liconor overdosage.

Required Emergency Response

The regulatory guidance mandates that immediate medical attention must be sought in the event of an overdosage, particularly if the main symptom of diarrhea is severe or persistent. This is crucial because the resulting fluid loss can necessitate intervention to correct the body’s fluid and electrolyte balance, which is defined as a required management step in the official labeling. The standard approach prescribed is symptomatic and supportive treatment. Hospital monitoring may be required to facilitate these supportive measures when fluid deficits are significant.


The regulatory profile directs all management towards addressing the symptoms and physiological deficits, emphasizing the need to contact emergency services promptly when the documented symptoms of fluid disruption are present.

Therapeutic Uses of Liconor

What Liconor Treats: Main Uses and Benefits

Liconor is used in situations involving certain distressing symptoms that may appear suddenly or fluctuate, providing support during phases when the patient experiences increased discomfort or tension. The need for supportive symptom management is relevant in contexts involving heightened systemic burden and follows general principles for symptomatic relief. This medication contributes to easing the overall symptom load and supports the patient during difficult episodes.

Liconor is generally applied across domains where additional symptomatic support is needed, particularly for conditions associated with acute or disruptive episodes. It is relevant for managing symptoms that interfere with daily comfort when they cluster into patterns requiring supportive management, for instance, symptoms related to physical discomfort or heightened physiological activity.

Quick Fact: May assist with managing symptom clusters

The medicine is helpful in situations requiring temporary assistance in symptom stabilization. The goal is to offer symptomatic relief that provides support that helps ease the overall burden of symptoms. It contributes to improved day-to-day comfort during symptomatic periods.

Regulatory References

  1. MHRA Guidance on Permitted Traditional Uses

Eligibility and Restrictions for Use

Liconor (ursodeoxycholic acid) is a medication primarily indicated for the dissolution of certain types of gallstones and for the treatment of Primary Biliary Cirrhosis (PBC).

Who Can Use Liconor?

Liconor is typically prescribed for patients with small to medium-sized cholesterol gallstones where surgery is not an option, and for individuals with PBC. It is generally considered safe for use during the later stages of pregnancy to treat cholestasis, and problems have not been documented during breastfeeding. Close medical supervision is required for patients with pre-existing liver disease.


Who Should Not Use Liconor?

Liconor is contraindicated in patients with the following conditions:

  • Non-functioning gallbladder
  • Calcified or pigmented gallstones (which are not responsive to this treatment)
  • Acute inflammation of the gallbladder or biliary tract
  • Inflammatory bowel disease
  • Complete occlusion of the biliary tract (bile duct blockage)

Additionally, Liconor should not be taken concurrently with drugs that increase cholesterol in the bile, such as certain estrogenic hormones, or with bile-acid binding agents (like antacids containing aluminum hydroxide, charcoal, or cholestyramine) as these may reduce the medication's effectiveness.

What should I know about interactions with other medicines?

Interactions with Other Medicines and Products

Liconor (ursodeoxycholic acid) has documented interactions with other substances that may affect its absorption or counteract its intended therapeutic action. Patients should review all concomitant medications and products with a healthcare professional.

Contraindicated or Restricted Combinations

The regulatory profile mandates the avoidance of certain combinations due to the risk of therapeutic antagonism:

  • Oestrogenic Hormones and Oral Contraceptives: These substances increase the secretion of cholesterol into bile, which directly opposes the action of Liconor, potentially rendering it ineffective.
  • Clofibrate and Related Lipid-Lowering Drugs: Agents that increase the hepatic secretion of cholesterol should be avoided as they negate the effect of Liconor.

Clinically Significant Absorption Interactions

Substances that bind to Liconor in the digestive tract can significantly reduce its absorption, requiring strict separation of doses:

  • Bile Acid Sequestering Agents: Products such as cholestyramine and colestipol bind bile acids and require a minimum separation of Liconor administration.
  • Aluminum-Containing Antacids and Charcoal: These agents also adsorb Liconor in the gastrointestinal tract. Liconor should be taken at least one hour before or four to five hours after these products to maintain adequate absorption.

Mechanism of Action

Liconor, which is ursodeoxycholic acid (UDCA), primarily targets the enterohepatic circulation and the liver (hepatocytes and cholangiocytes). It functions through multiple cellular and molecular pathways.

At the systemic level, UDCA alters the relative hydrophobicity of the bile acid pool by competitively displacing more hydrophobic bile acids, making the pool more hydrophilic. This is achieved by increasing its own proportion to become a major fraction of the circulating bile acids. This displacement interaction contributes to cytoprotection within the liver.

Intracellularly, UDCA modulates cholesterol kinetics by inhibiting intestinal absorption of cholesterol and suppressing hepatic cholesterol synthesis and secretion into the bile. This dual inhibitory action results in a decrease in the cholesterol saturation index of the bile. Furthermore, it promotes the formation of non-crystalline liquid cholesterol crystal complexes that are readily expelled from the gallbladder into the intestine. In cholestatic states, UDCA stimulates hepatobiliary secretion and is associated with activation of anti-apoptotic pathways, protecting hepatocytes against bile acid-induced cell death. UDCA can also modulate membrane transport proteins like the Cl^-/ HCO3^- exchanger ( AE2), enhancing biliary fluid output.

Dosage and Administration Information

How to Use Liconor: Official Administration Guidelines

Liconor (Ursodeoxycholic Acid) is administered exclusively via the oral route using available forms such as film-coated tablets, capsules, or an oral suspension. The correct use of the medicine is guided by the patient's body weight and the specific condition being addressed.


Standard Dosing and Administration

Feature Official Instruction
Dose Calculation Based on body weight (mg/kg/day); typically 13–15 mg/kg/day for Primary Biliary Cholangitis (PBC).
Frequency The total daily dose is initially divided into 2 to 4 doses per day, taken at regular intervals.
Timing Should be taken with food or liquid to aid absorption; for gallstone dissolution, one portion of the dose is often taken after the evening meal.

Administration Requirements

Tablets and capsules must be swallowed whole with a drink of water. For tablets that are scored to facilitate dosing, the segments should be swallowed unchewed to maintain proper use of the product. Consistency is crucial, and the medicine must be taken regularly to adhere to the treatment protocol.

Duration of Use

Treatment duration is long-term and potentially indefinite for chronic conditions like PBC. Conversely, for gallstone dissolution, treatment is time-limited, typically lasting from six months up to two years, and requires continued use for several months after the stones have dissolved.

Population-Specific Use

No general dose adjustment is recommended for older adults. For pediatric patients (aged 6 to 18 years) with cystic fibrosis-associated hepatobiliary disorder, a specific weight-based regimen starting at 20 mg/kg/day is directed.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Liconor

The research evidence for the active ingredient, Ursodeoxycholic Acid (UDCA), is based on clinical evaluations including randomized controlled trials, long-term observational studies, and comprehensive analyses of multiple studies (meta-analyses). This research examines how the active ingredient was studied in conditions involving the liver and bile ducts.


Evidence for Primary Biliary Cholangitis (PBC)

Studies conducted for the management of Primary Biliary Cholangitis (PBC) primarily consist of Randomized Controlled Trials (RCTs) and extended observational studies. Research examined how Liconor was studied for changes in liver biochemistry (blood markers like Alkaline Phosphatase and Bilirubin) and monitored major clinical endpoints, including tracking patient survival outcomes and the need for liver transplantation. Studies monitored measurements of specific liver biochemical markers across the studied populations. Longer-term reports describe patterns of association related to transplantation and survival outcomes for certain groups.

What remains uncertain is the long-term impact on major clinical endpoints for all patient subgroups, particularly those who do not achieve specific biochemical goals. Comparative evidence against other therapeutic options is still emerging, and research is ongoing in this area.


Evidence for Dissolution of Cholesterol Gallstones

The evidence for using Liconor in the non-surgical management of gallstones comes from clinical trials, including RCTs, that primarily enrolled adults with specific kinds of stones. Research examined the physical resolution (dissolution) of the gallstones and explored changes in the chemical composition of bile. Studies monitored the physical resolution of stones, which was observed in some studies in patients who met the criteria (e.g., non-calcified, cholesterol-rich stones). Long-term follow-up has explored patterns of stone recurrence after treatment discontinuation.


Evidence Landscape for Primary Sclerosing Cholangitis (PSC)

The evidence base for PSC includes RCTs and analyses that have studied different dosing levels. Studies monitored changes in liver enzyme levels, but findings describing the association with major clinical outcomes were inconsistent across studies. High-quality, long-term research establishing an association with clinical outcomes at standard doses is still developing. Evidence quality varies across studies, and the heterogeneity of the disease makes it challenging to draw uniform conclusions.

Key Studies & References

  1. Ursodeoxycholic Acid - StatPearls (Source of regulatory status and general evidence context)

Frequently Asked Questions (FAQ)

Common questions about Liconor (FAQ)

Q: Is Liconor a prescription-only medicine?

Yes, Liconor, which contains Ursodeoxycholic Acid (ursodiol), is classified by regulatory agencies as a prescription-only medication. It is not available for purchase over the counter.

Q: Is Liconor considered a high-risk or controlled medication?

Liconor is classified as a Bile Acid / Gallstone Solubilizing Agent by regulatory agencies. It is not listed as a controlled substance and is not designated as a high-risk medication requiring specialized handling or scheduling.

Q: What is the official safety rating for Liconor from the FDA or similar agency?

Regarding use during pregnancy, the US FDA Pregnancy Category is Not Assigned (as the former letter-based system is being phased out). The Australian TGA classification for the active ingredient is B3, which indicates limited human data is available.

Q: What is the difference between Liconor and its generic version?

The active ingredient, Ursodeoxycholic Acid (UDCA), is identical in both Liconor and its generic version. Regulatory bodies allow differences only in inactive ingredients (like colors or coatings). These inactive components are part of the regulatory review process to ensure they do not affect the drug's performance, safety, or effectiveness.

Q: What is the typical shelf life and storage conditions for Liconor tablets?

Official regulatory requirements indicate Liconor tablets are typically stored at or below 30°C and protected from moisture. While the specific expiration duration (shelf life) for tablets varies by manufacturer, the expiration date is printed on the packaging.

Q: How long does Liconor typically stay in the body after stopping use?

The active ingredient, Ursodeoxycholic Acid, has a reported elimination half-life of approximately 3.5 to 5.8 days. The half-life refers to the time it takes for the amount of medicine in the body to be reduced by half.

Q: Are there specific lab tests or monitoring required before starting Liconor?

Regulatory guidance and clinical recommendations suggest regular monitoring of certain markers. Testing of liver enzymes (like Alkaline Phosphatase) is often done before starting Liconor and periodically throughout treatment to monitor the body’s response.

Q: Are there special warnings for people with kidney or liver issues using Liconor?

The official product information notes that the measuring of liver enzymes may be a part of the monitoring process before starting and during Liconor therapy. Monitoring is particularly noted for those with pre-existing liver disease. Information specifically regarding severe kidney impairment is not uniformly emphasized in primary patient labels.

Q: Does Liconor interact with blood pressure medication?

Regulatory information specifically notes an interaction with the blood pressure medication nitrendipine. Liconor may reduce the absorption of this agent from the intestine, potentially lowering its effectiveness. Reviewing the combination with a healthcare provider is generally advised.

Q: What happens if Liconor is taken close to another medication?

Regulatory guidance advises that certain medications that can bind Liconor in the stomach, such as aluminum-containing antacids, are typically taken at least one hour before or four to five hours after Liconor. This separation helps ensure Liconor is properly absorbed. Timing guidance for all other medications is available from a healthcare professional.

Q: Is there a list of common foods or supplements that interact with Liconor?

Official regulatory labels focus on specific classes of products that may interfere with Liconor’s action. This includes substances that increase cholesterol in the bile (like certain hormones) or substances that bind bile acids in the gut (like specific antacids). General food interactions are not typically detailed in the primary regulatory documentation.

Q: How should someone handle common, mild side effects of Liconor?

Common side effects such as mild diarrhea or nausea are generally manageable and may resolve over time. However, regulatory information states that if side effects are persistent, worsen, or cause significant concern, contacting a healthcare professional may be appropriate for guidance.

Q: Are headaches a commonly reported side effect of Liconor?

Regulatory data lists headache as a reported side effect of Liconor. In some clinical reports, headache has been noted as a frequent occurrence among those taking the medication.

Q: Does Liconor cause any mental or cognitive side effects?

Yes, according to official regulatory data, side effects affecting the nervous system or psychiatric state have been reported. These can include feelings of dizziness, headache, and reports of insomnia or sleep disturbance.

Q: Can Liconor affect sleep patterns?

Yes, official product information lists effects on sleep patterns as reported side effects. These specifically include insomnia (difficulty falling or staying asleep) and sleep disturbance.

Q: Is it common to experience dizziness or lightheadedness on Liconor?

Regulatory data lists dizziness as a reported side effect of Liconor. If experienced, these effects can be discussed with a healthcare professional.

Q: Can Liconor affect a person's weight?

Official regulatory documentation includes reports of unusual weight gain or loss in the list of adverse events. However, the exact frequency of this occurrence is not always known and is categorized among post-marketing reports.

Q: Are there any restrictions on driving or operating machinery while taking Liconor?

Official regulatory information advises caution regarding driving or operating machinery. This restriction applies if the drug causes side effects that impair your alertness or motor function, such as dizziness.

How should Liconor be stored and disposed of?

How to Store and Dispose of Liconor

Liconor (Ursodeoxycholic Acid) must be stored and disposed of according to official regulatory guidelines to maintain its stability and ensure public safety.


Storage Requirements

Temperature and Environment: The medicine must be stored at or below 30 C and protected from moisture.

Liquid Form: The oral suspension must not be frozen and any unused portion must be discarded within 28 days after first opening the bottle.

Protection: Liconor must be kept in its original container and stored out of the sight and reach of children.


Disposal Instructions

Official regulations require that Liconor not be disposed of in household trash or poured down the sink.

All unused or expired medicine must be disposed of in accordance with local pharmaceutical waste regulations.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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