Starting Livdelzi (seladelpar)Your first 90 days with primary biliary cholangitis (PBC): the steps, the dates and who to call

How you take it

One capsule once a day, with or without food. Your liver doctor decides whether you take it with ursodiol or on its own.

Before your first dose

• Blood tests of your liver, and a check by your doctor that your liver disease is not too advanced for Livdelzi.
• A full medicine check. Bring a list of every medicine, vitamin and herbal product you take.
• Some cholesterol medicines are bile acid binding resins. The label says to take Livdelzi at least 4 hours before or after one.
• Your insurance approves the medicine. Plans such as Cigna want to see that ursodiol did not work well enough or that you could not take it.
• A specialty pharmacy calls you to set up delivery. Answer calls from numbers you do not know that week.

The first 90 days

1. 2 weeks beforeLiver blood tests before your first dose
2. Days beforeInsurance check, then the pharmacy calls
3. Day 1First dose, 10mg once a day
4. Day 30One month in
5. Day 31, then every 30 daysRefill, then about every 30 days
6. Day 90Three months in
7. Month 5Your insurance approval may need renewing around month 6