Hepatic Encephalopathy Treatment

 • Lactulose:

    - Oral liquid, 30-45mL 2-4x/day, titrated to 2-4 BMs/day. (can be given via NG tube if patient unable to safely swallow)

    - Via enema if intolerant to oral route

 • Rifaximin 400mg tid (non-absorbable)

 • For refractory cases, can consider: Neomycin, Branched chain amino acids



- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/



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