Drugs that are used to treat hepatic encephalopathy include
a. antidepressants.
b. diuretics and steroids.
c. neomycin and lactulose.
d. laxatives and stool softeners.
C
Neomycin is an antibiotic used to sterilize the bowel to decrease the amount of urea that can be converted to ammonia. Lactulose is used to lower stool pH which traps ammonia in the colon. Antidepressants are ineffective because the mental problems associated with encephalopathy are related to metabolism rather than depression. Diuretics are used to treat ascites associated with cirrhosis, but are not used for encephalopathy. Steroids are not effective. Lactulose is used to lower stool pH, not for its laxative and stool softening effects.
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