In a patient with Zieve's Syndrome and alcohol related cirrhosis which antibiotic regimen is safe to treat H. pylori?
Most antibiotics used to treat the H. pylori are contraindicated in cirrhosis.
2 Answers
Mednet MemberInvited Expert
Hepatology · UCLA
Answered on · Updated on
I am not concerned about a cirrhotic patient receiving a fluoroquinolone, macrolide, metronidazole, or doxycycline. The drug insert labels do not raise any particular concerns for these drugs’ use, even in Child Pugh class C cirrhosis.
Yes, there is a theoretical potential for overdosing patients on...
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Mednet Member
Gastroenterology · Beitman Robert G Office
Answered on
I completely agree with the above answer. The severity of spontaneous bacterial peritonitis, as well as the increased likelihood of patients with cirrhosis developing infection, including the above, while in the hospital, in my mind, overshadows any adverse effects associated with the antibiotics. N...
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