What medications do patients with hepatic encephalopathy take?

Patient's question:

Since March, my mental state has been very poor, and I've been experiencing insomnia every night. My cognitive function has declined, and I often make unexpected actions. There's also a bloated pain in my right hypochondriac region. My vision has also deteriorated significantly. After checking into the hospital, I was diagnosed with hepatic encephalopathy.

Doctor's answer:

Hello, according to the situation you described, since ammonia poisoning is the main cause of hepatic encephalopathy, reducing ammonia absorption and enhancing ammonia excretion are the main approaches of drug therapy. Patients with cirrhosis often have a negative nitrogen balance, so sufficient protein should be supplemented. However, a high-protein diet can trigger hepatic encephalopathy, so protein intake should be limited for patients with hepatic encephalopathy, while ensuring adequate energy supply. In addition to medication prescribed by doctors, patients should take as few medications as possible to reduce the burden on the liver.

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