Please ensure JavaScript is enabled for purposes of website accessibility Talking With Your Partner About Your OTC Deficiency Diagnosis

You decide how and when to disclose

Opening up about your health to anyone, particularly to a potential partner, can be challenging. How or what you choose to share is entirely up to you. Pick a comfortable place and use information from this website to help talk through what OTC-D is and what it means.

Some topics to discuss:

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Going out to eat

The types of food you order may look a little different.

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Triggers

Things that might cause elevated ammonia levels and how your partner might be able to help identify your triggers.

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Family planning

How an inherited condition like OTC-D can impact family planning.

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My boyfriend has been so supportive, being able to take care of me when I’m sick, and being able to help remind me daily, ‘Have you taken your meds? Have you taken your RAVICTI?’ He has my back. And he’s been there for every single hospitalization, which has been really nice.”

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Have fun picking new date night spots. Check out menus beforehand to make sure there are yummy options you can both enjoy!

Molly’s Take on Dating and Relationships

See how Molly discloses OTC-D with others and why she thinks it’s important.

  • Transcript

    Dating with a UCD has been very similar to having friends who also know about my UCD. Just because I, right at the outset, tell people, because a lot of times, we do the first time is go and eat, or go and have a drink. It’s just a very socially normal thing to go and do. And I feel like if I’m trying to hide part of it, it, it just doesn’t make sense to hide anything. I will, I’m not afraid to talk about it. So, if people want to know, that’s fine.

    I find that in relationships and friendships or dating or personal life, I haven’t really had anybody absolutely opposed. Because, frankly, I don’t think anybody should oppose a disorder. That just seems wrong. So, I, thankfully, at least, haven’t experienced that.

    I think that having to feel like I looked different was more something to cope with, and growing up didn’t really start feeling different until gymnastics. It was when I started gymnastics and I had a feeding tube and my leo went over my feeding tube and my feeding tube stuck out. It was more, okay, now I look different. And that was something that I really struggled with. And I’m glad I was able to get over that because I continued doing gymnastics up until senior year of high school and competed and traveled.

    My boyfriend, Grant, has been so supportive in terms of being able to take care of me when I’m sick, specifically… He has my back. And he’s been there for every single hospitalization and all of those, which has been really nice to have like another support person in my life that cares enough to continue to show up.

    Grant makes me feel very safe. I think it’s just his personality and, like, knowing that he’s been by my side for so long that I don’t think—It’s just kind of almost like a loyalty thing. Like, I know that he’s here for me.

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Know what to look for

Not feeling well? Lean in on the support from your partner, who could be picking up on signs and symptoms you may experience, such as:

  • Not acting like yourself

  • Headaches or migraines

  • Trouble focusing or learning new things

  • More tired than usual

  • Avoiding protein (chicken, beef, fish, nuts, yogurt)
    or feeling ill after eating foods high in protein

  • Forgetfulness

Advocating in the Emergency Room

Hear from Juli and her husband Erin on how to advocate for yourself or your partner in tense situations, such as in the Emergency Room.

  • Transcript

    JULI: It’s so important to have someone to advocate for you when you can’t advocate for yourself, because that’s exactly what happens when I start experiencing these symptoms. Sometimes I know what’s going on, I just can’t get the words out. Other times I’m really not aware of my surroundings.

    It’s very important to have someone there for you that can explain to them what’s going on. That has that letter there for you. And that can talk to the staff.

    ERIN: It starts off, she’ll say she’s not feeling great. She’ll say she has a headache. She’s tired. Normally she’s just sweet, delight and everything, but when she starts to get a little “un-Juli”, then we know, okay, we should probably call the hospital.

    I find myself explaining to very highly educated people what this is, which is just funny for me to be doing that. But they just don’t run across it. It’s that rare.  And the biggest thing is we need to treat the symptoms as quick as possible.

    JULI: The scary thing is too a lot of ER staff don’t recognize these symptoms, they may think you look like a drunk person coming in, and they don’t know what signs or symptoms to look for. They don’t know that you need to go back and get your blood drawn, check your ammonia, check a few things, get you started on the medication that you need.

    It can be very frustrating when you’re trying to explain it to someone that’s supposed to be there to help you and take care of you and you’re telling them exactly what it is and what you need.

    ERIN: I have a letter from their genetics team says that they immediately need to contact them, and they will give them orders and what to follow.

    You want to advocate but keep calm because A. they don’t want to be told how to do their jobs even when they’re doing it incorrectly, and B. they don’t want anybody kind of dictating they’re protocol that they’re used to. Luckily the last couple times it’s happened, the genetics team has gotten over there quickly or at least communicated what needs to happen. And then they’re like “Okay well your team has told us this is what we’re going to do” and then I feel really good. They’ve got it under control.

    Her doctor can look at her and say, “oh, something’s not quite right today. Cause she’s not her bubbly self.” I think that’s as important as anything. Having some medical professionals know what you’re like normally.

    JULI: Yes, because I’m a completely different person. I am not the same person in the hospital that I am in real life. Sometimes they seem surprised that I hold a full-time job because like you said, I have zero decision-making skills. Even if I think I do, which is the hard part. Sometimes I think I’m fine, but Erin and people that know me, know that I’m not fine. Just knowing me in real life, knowing what I’m normally like. Having a good team that you can trust, because you really are trusting them with your life. It’s very important.

Navigate OTC-D together

Learn more about symptom management in your daily life with OTC-D.

OTC-D and family planning

Learn more about pregnancy expectations and what to talk to your doctor about when planning on growing your family.

USE and IMPORTANT SAFETY INFORMATION

What is the most important information I should know about RAVICTI?

RAVICTI may cause serious side effects, including:

Nervous system side effects (Neurotoxicity) Phenylacetate (PAA), a breakdown product of RAVICTI, may cause nervous system side effects. Call your doctor or get medical help right away if you have any of these symptoms while taking RAVICTI:

  • sleepiness
  • lightheadedness
  • change in taste
  • problems with hearing
  • confusion
  • problems with memory
  • worsening of numbness, tingling, or burning in your hands or feet
  • headache
  • feeling very tired (fatigue)
  • nausea
  • vomiting

Your doctor may do blood tests to measure the amount of PAA in your blood during your treatment with RAVICTI.

What is RAVICTI?

  • RAVICTI (glycerol phenylbutyrate) Oral Liquid is a prescription medicine used for long-term management of high blood levels of ammonia (hyperammonemia) caused by a condition called a urea cycle disorder (UCD). RAVICTI should be used if the UCD cannot be managed with a low-protein diet and dietary supplements alone. RAVICTI must be used along with a low-protein diet and in some cases dietary supplements.
  • RAVICTI is not used for the acute treatment of hyperammonemia in people with UCD.
  • It is not known if RAVICTI is safe and effective for the treatment of N-acetylglutamate synthase (NAGS) deficiency.

Do not take RAVICTI if you are allergic to phenylbutyrate. Call your doctor or go to the nearest hospital emergency room if you have wheezing, shortness of breath, cough, low blood pressure, flushing, nausea or a rash while taking RAVICTI.

Before taking RAVICTI, tell your doctor about all of your medical conditions, including if you:

  • have liver or kidney problems.
  • have pancreas or bowel (intestine) problems.
  • are pregnant or plan to become pregnant. It is not known if RAVICTI will harm your unborn baby. If you become pregnant during treatment with RAVICTI, call Horizon at 1-866-479-6742 to report the pregnancy.
  • are breastfeeding or plan to breastfeed. It is not known if RAVICTI passes into your breast milk. Breastfeeding is not recommended during treatment with RAVICTI. Talk to your doctor about the best way to feed your baby if you take RAVICTI.

What are possible side effects of RAVICTI?

RAVICTI may cause serious side effects, including:

  • See "What is the most important information I should know about RAVICTI?"

The most common side effects of RAVICTI in adults include:

  • diarrhea
  • gas
  • headache
  • abdomen (stomach) pain
  • vomiting
  • tiredness
  • decreased appetite
  • indigestion or heartburn

The most common side effects of RAVICTI in children 2 years to 17 years of age include:

  • upper abdomen (stomach) pain
  • rash
  • nausea
  • vomiting
  • diarrhea
  • decreased appetite
  • headache

The most common side effects of RAVICTI in children 2 months to less than 2 years of age include:

  • low white blood cell count (neutropenia)
  • vomiting
  • constipation
  • diarrhea
  • fever
  • reduced food intake
  • cough
  • stuffy nose
  • runny nose
  • skin rash
  • small round bumps on the skin

The most common side effects of RAVICTI in children less than 2 months of age include:

  • vomiting
  • rash
  • gastroesophageal reflux
  • increased levels of liver enzymes in the blood
  • decreased appetite and reduced food intake
  • low red blood cell count (anemia)
  • cough
  • loss of too much body fluid (dehydration)
  • too much acid in the blood (acidosis)
  • high blood platelet count (thrombocytosis)
  • low blood platelet count (thrombocytopenia)
  • low blood neutrophil count (type of white blood cell) (neutropenia)
  • high white blood cell count (lymphocytosis)
  • diarrhea
  • gas
  • constipation
  • fever
  • drowsiness (lethargy)
  • irritability
  • agitation

These are not all of the possible side effects of RAVICTI. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

For additional Important Safety Information, click here for the Medication Guide and discuss with your doctor.

USE and IMPORTANT SAFETY INFORMATION

What is the most important information I should know about RAVICTI?

RAVICTI may cause serious side effects, including:

Nervous system side effects (Neurotoxicity) Phenylacetate (PAA), a breakdown product of RAVICTI, may cause nervous system side effects.