prevention of hepatic encephalopathy

Last reviewed 01/2018

Oesophageal bleeds may precipitate acute hepatic encephalopathy in patients with liver disease. The risk of encephalopathy is reduced by:

• neomycin:
• 250-1000 mg orally four time per day
• reduces the bacterial fauna of the gut

• lactulose:
• 30-90 ml three times per day