Tiredness, mouth/throat pain, or fast/pounding heartbeat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Although this medication is used to treat primary biliary cholangitis (PBC), it may also cause worsening of some liver symptoms. Get medical help right away if you have symptoms such as new or worsening skin itching, nausea/vomiting that doesn't stop, loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark urine, muscle/joint pain, swelling legs/feet/abdomen, or mental/mood changes. Your doctor may prescribe other medications such as bile acid-binding resins or antihistamines, or temporarily stop/adjust your dose of medication to help manage some side effects. Talk with your doctor about the risks and benefits of taking this medication.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.