Antibiotic of choice in cirrhotic patient to prevent encephalopathy:
Correct Answer: Rifaximin
Description: Treatment of hepatic encephalopathy 1. Correct precipitating factors 2. Use lactulose- results in colonic acidification. 2. Poorly absorbed antibiotics- neomycin and metronidazole. More recently, rifaximin at 550 mg twice daily has been very effective in treating encephalopathy without the known side effects of neomycin or metronidazole.
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