Dialysis, a procedure to remove waste products from the blood, may also be recommended for adults if ammonia levels too high. Lactulose is a first-line therapy often prescribed to decrease ammonia ...

This study shows that the incidence of hepatic encephalopathy was lower in cirrhotic patients with upper gastrointestinal bleed treated with lactulose as compared with patients not treated with ...

Treatment usually consists of purgative ammonia-lowering therapy, such as the disaccharide lactulose, and/or nonabsorbable antibiotics. Mariano Malaguarnera and colleagues from the University of ...

Lactulose 20 g orally twice daily and rifaximin 200 mg orally three times daily were started on day 5 for possible hepatic encephalopathy, even though the patient's ammonia levels were within ...