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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Cirrhosis. Prescribed Raberprazole, Diazepam. What Are The Effects If He Consumes Alcohol?

My dad was diagnosed with cirrhosis two years ago when his varices popped. The liver specialist gave him a few prescription drugs to help with symptoms and advised not to consume a single drop of alcohol. He was given 20 mg of raberprazole sodium to take once daily, 40 mg of nadolol to be taken once daily, 5 mg of diazepam to be taken two tablets at a time four times a day alone with B1 supplements. I just got home and noticed my dad had consumed alcohol. Should I be worried?
Mon, 23 Jul 2012
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Internal Medicine Specialist 's  Response
Your dad has end stage liver disease based on what you are saying. He should not be drinking alcohol, as this can worsen his cirrhosis, and precipitate another variceal bleed. Make sure he has appropriate f/u with an hepatologist: he needs liver imaging every 6 months to make sure he doesn't develop liver cancer, he needs an upper endoscopy to make sure his varices are gone... that and many other things. Diazepam is not good either in cirrhotics, as it can precipitate hepatic encephalopathy (confusion, coma).
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Endocrinologist Dr. Om Lakhani's  Response
Yes. cirrhosis is the final stage of alcoholic liver disease. If you father developed varices and bled from that.. it is serious.. if he continues to drink the liver disease would worsen. HE NEEDS TO QUIT ALCOHOL...PERIOD. You can take help of a psychiatrist for deaddiction... it is difficult in the initial stages but preservation of life is the best motivation.
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Diagnosed With Cirrhosis. Prescribed Raberprazole, Diazepam. What Are The Effects If He Consumes Alcohol?

Your dad has end stage liver disease based on what you are saying. He should not be drinking alcohol, as this can worsen his cirrhosis, and precipitate another variceal bleed. Make sure he has appropriate f/u with an hepatologist: he needs liver imaging every 6 months to make sure he doesn t develop liver cancer, he needs an upper endoscopy to make sure his varices are gone... that and many other things. Diazepam is not good either in cirrhotics, as it can precipitate hepatic encephalopathy (confusion, coma).