The drug atlas
Gastrointestinal/Hepatic & variceal drugs

Liver drugs (encephalopathy, varices, paracetamol)

also: lactulose · rifaximin · terlipressin · spironolactone ascites · N-acetylcysteine

Overview

The drug decisions in decompensated liver disease and paracetamol overdose — encephalopathy, variceal bleeding, ascites, SBP and the NAC antidote.

Mechanism

Lactulose acidifies the colon → traps ammonia as ammonium (↓absorption); rifaximin is a non-absorbed gut antibiotic (↓ammonia-producing bacteria). Terlipressin is a vasopressin analogue → splanchnic vasoconstriction (↓portal/variceal pressure). Non-selective β-blockers (propranolol/carvedilol) lower portal pressure (variceal prophylaxis). Spironolactone (± furosemide) treats ascites. N-acetylcysteine replenishes glutathione (paracetamol).

Indications

  • Hepatic encephalopathy
  • Variceal bleeding + prophylaxis
  • Ascites
  • Spontaneous bacterial peritonitis
  • Paracetamol overdose

The agents

Lactulose + rifaximinencephalopathy

Lactulose titrated to 2–3 soft stools/day; rifaximin for recurrence prevention.

Terlipressin + prophylactic antibioticsacute variceal bleed

IV

Plus endoscopic band ligation; antibiotics (e.g. ceftriaxone) reduce mortality.

Propranolol / carvedilolvariceal prophylaxis

Non-selective β-blocker lowers portal pressure.

Spironolactone (± furosemide)ascites

Aldosterone antagonist first-line for ascites (cross-ref CV MRA).

N-acetylcysteineparacetamol antidote

IV

Per nomogram / staggered-OD criteria; anaphylactoid reaction → slow infusion.

IV cefotaximeSBP

Spontaneous bacterial peritonitis (neutrophils >250); + norfloxacin prophylaxis.

Adverse effects

Lactulose: diarrhoea, crampscommon
Terlipressin: ischaemia (cardiac/peripheral), hyponatraemiaserious
NAC: anaphylactoid reaction (flushing, bronchospasm)common

Slow/stop infusion, antihistamine, restart slower.

Cautions & contraindications

Terlipressin in ischaemic heart/peripheral vascular diseaseall
Delaying NAC in significant/staggered paracetamol overdoseall

Hepatotoxicity is time-dependent.

Interactions

Monitoring & kinetics

Encephalopathy grade/stools; ascites: weight, U&E; paracetamol: INR/ALT/creatinine (King's College criteria)

Mixed oral/IV. See the antidote tool for the full overdose set.

Source: NICE — Cirrhosis / variceal bleeding · BNF — Liver