Reply To: Ursodiol (Actigall)

  • Jill Shergold

    August 15, 2014 at 7:14 pm

    Hi we use ursine til 100 days post allo and 30 days post auto BMT. We have good compliance as we put nasogastric tubes in most patients to supplement their nutrition.

    Jill Shergold
    Bone Marrow Transplant Clinical Nurse Consultant

    Original Message:
    Sent: 06-18-2014 06:52 PM
    From: Lisa Pinner
    Subject: Ursodiol (Actigall)

    Our facility is looking at starting patient on Actigall as VOD prophylaxis. We had tried it in the past but had very poor compliance especially with the smaller patients that had to take the liquid. I am looking for any input on how your faciliiet have tackled the issues of mucositis and taste.

    Are you using Actigall for VOD prophylaxis? If yes, Allo, Auto or both populations

    Are you starting it prior to admission?

    Are you adding anything to the liquid to make it more palatable?

    Are you placing NG tubes to deliver meds?

    How are you handling patient s with grade 3 or 4 mucositis?

    Thanks for your assistance

    Lisa Pinner