Salt restriction
Effective in about 15% of patients
Diuretics
Spironolactone
Starting dose = 100mg/day PO (max 400mg/day)
40% of patients will respond
Furosemide
40mg/day PO (max 160mg/day)
Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
Water restriction
Paracentesis
Consider liver transplantation and shunting
Effective in about 15% of patients
Spironolactone
Starting dose = 100mg/day PO (max 400mg/day)
40% of patients will respond
Furosemide
40mg/day PO (max 160mg/day)
Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
Starting dose = 100mg/day PO (max 400mg/day)
40% of patients will respond
40mg/day PO (max 160mg/day)
Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
Ascites
Obesity
Hepatic abscess
Intestinal obstruction
Symptomatic cholelithiasis
Pregnancy
Acute hepatitis
Peritonitis