Rifaximin Reduced Overt Hepatic Encephalopathy Recurrence Over Lactulose

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Rifaximin also reduced mortality, but its high cost may be a barrier

by
Tara Haelle, Contributing Writer, MedPage Today
November 1, 2024

Roughly half as many patients with cirrhosis in remission from overt hepatic encephalopathy (OHE) experienced a breakthrough episode with rifaximin monotherapy compared with lactulose monotherapy, a post-hoc analysis of two randomized trials showed.

Over 6 months, 23.2% of patients receiving rifaximin monotherapy experienced an OHE breakthrough episode compared with 49% of patients receiving lactulose monotherapy (P

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