The Curbsiders Internal Medicine Podcast

#101: Cirrhosis: Medications, decompensation, complications

Jun 25, 2018
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ADVICE

Sodium Restriction in Cirrhosis

  • Avoid low sodium diets for cirrhosis patients unless they have ascites or volume overload.
  • These diets are unpalatable and don't improve outcomes until necessary.
ADVICE

Protein Intake in Cirrhosis

  • Never prescribe low protein diets for cirrhosis patients, especially those with hepatic encephalopathy.
  • Cirrhosis is catabolic; patients need high protein to prevent muscle loss and worsen outcomes.
ADVICE

NASH Medications

  • Use Vitamin E for NASH in non-cirrhotic, non-diabetic patients.
  • Avoid Vitamin E in cirrhotic or diabetic patients; consider pioglitazone but be mindful of weight gain and other side effects.
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