Medical MCQ - The usual maximum dose of furosemide and spironolactone in patients with cirrhosis and poal hypeension is:

The usual maximum dose of furosemide and spironolactone in patients with cirrhosis and poal hypeension is:

Furosemide 160 mg and spironolactone 400 mg

Furosemide 80 mg and spironolactone 400 mg

Furosemide 160 mg and spironolactone 200 mg

Furosemide 80 mg and spironolactone 200 mg

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Correct Answer:

Furosemide 160 mg and spironolactone 400 mg

Description:

Usual maximum doses of diuretic for the treatment of ascites in decompensated cirrhosis are 400 mg/day of spironolactone and 160 mg/day of furosemide. Furosemide can be temporarily withheld in patients presenting with hypokalemia, which is very common in the setting of alcoholic hepatitis. Ref: HEPATOLOGY, June 2009.

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