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I Have A Patient With Cirrhosis On Lactulose , Of

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Posted on Sun, 26 Jul 2020
Question: I have a patient with cirrhosis on lactulose, of course he experiences diarrhea. he is trying to stay at home. Can he use xifaxan 550 BID instead? (gfr is 23)
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Answered by Dr. Anders Mark Christensen (5 hours later)
Brief Answer:
No problem

Detailed Answer:
Hi Epmills,

Yes, you can try that, no problem. However, if the patient has remained adequately treated on lactulose with no evidence of encephalopathy, perhaps Imodium is better to counter the effect of lactulose. Also, it is important to investigate why the patient all of the sudden has loose bowels.

Best wishes.
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1553 Questions

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I Have A Patient With Cirrhosis On Lactulose , Of

Brief Answer: No problem Detailed Answer: Hi Epmills, Yes, you can try that, no problem. However, if the patient has remained adequately treated on lactulose with no evidence of encephalopathy, perhaps Imodium is better to counter the effect of lactulose. Also, it is important to investigate why the patient all of the sudden has loose bowels. Best wishes.