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https://read.qxmd.com/read/23877348/a-randomized-double-blind-controlled-trial-comparing-rifaximin-plus-lactulose-with-lactulose-alone-in-treatment-of-overt-hepatic-encephalopathy
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RANDOMIZED CONTROLLED TRIAL
Barjesh Chander Sharma, Praveen Sharma, Manish Kumar Lunia, Siddharth Srivastava, Rohit Goyal, S K Sarin
OBJECTIVES: Hepatic encephalopathy (HE) is associated with poor prognosis in cirrhosis. Drugs used in the treatment of HE are primarily directed at the reduction of the blood ammonia levels. Rifaximin and lactulose have shown to be effective in HE. We evaluated the efficacy and safety of rifaximin plus lactulose vs. lactulose alone for treatment of overt HE. METHODS: In this prospective double-blind randomized controlled trial, 120 patients with overt HE were randomized into two groups: (group A lactulose plus rifaximin 1,200 mg/day; n=63) and group B (lactulose (n=57) plus placebo)...
September 2013: American Journal of Gastroenterology
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