What medications are used to treat chronic cholecystitis?

Chronic cholecystitis is a persistent, recurrent inflammatory process of the gallbladder, typically caused by long-standing gallstones. In general, patients with chronic cholecystitis may take medications—including ursodeoxycholic acid tablets, dehydrocholic acid tablets, Xiaoyan Lidan tablets (a traditional Chinese medicine formulation), cefixime capsules, and diclofenac sodium sustained-release tablets—as prescribed by their physician. Prompt medical consultation and treatment under professional medical guidance are strongly recommended. A detailed analysis follows:

1. Ursodeoxycholic Acid Tablets

These tablets inhibit hepatic cholesterol synthesis, thereby reducing cholesterol concentration in bile. This facilitates dissolution of cholesterol-rich gallstones and diminishes stone-induced irritation to the gallbladder, making them suitable for patients with chronic cholecystitis accompanied by gallstones.

2. Dehydrocholic Acid Tablets

This medication promotes bile secretion and excretion, improving bile flow and thereby alleviating symptoms of chronic cholecystitis. It is indicated for patients with chronic cholecystitis associated with insufficient bile secretion or biliary stasis.

3. Xiaoyan Lidan Tablets

This traditional Chinese medicine formulation possesses heat-clearing, dampness-resolving, and bile-promoting properties. It helps ameliorate the inflammatory environment within the gallbladder and enhances bile excretion. It is appropriate for patients with chronic cholecystitis presenting inflammation and pain.

4. Cefixime Capsules

As an antibiotic, cefixime inhibits bacterial growth and replication, thereby reducing the inflammatory response in chronic cholecystitis. It is indicated for cases of chronic cholecystitis secondary to bacterial infection.

5. Diclofenac Sodium Sustained-Release Tablets

As a nonsteroidal anti-inflammatory drug (NSAID), diclofenac sodium suppresses the release of inflammatory mediators, thereby relieving pain and inflammation associated with chronic cholecystitis. It is suitable for patients experiencing pain and inflammatory symptoms.

During treatment, patients should also pay attention to dietary modifications—avoiding spicy and greasy foods—and maintain healthy lifestyle habits. Regular follow-up examinations are essential to monitor disease progression.