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What is hepatic encephalopathy?

Encephalopathy refers to a disturbance or decline in the brain functioning which causes mental confusion and memory loss. In hepatic encephalopathy, there is a decline in the function of the brain as a result of a chronic liver condition (long-term liver disease) or liver failure. Hepatic encephalopathy is most commonly observed in individuals with liver cirrhosis (long-term liver damage leading to irreversible liver scarring and a substantial decline in liver function).

What are its main signs and symptoms?

Common signs and symptoms of hepatic encephalopathy include:

  • Memory loss
  • Concentration problems
  • Increased irritability
  • Confusion
  • Coordination issues
  • Reduced alertness
  • Unexplained mood swings
  • Poor judgement of time and space

The above symptoms may also be accompanied by other neurological symptoms like:

Since the liver is severely damaged, the individual may also experience other symptoms associated with liver disease.

What are its main causes?

The primary cause of hepatic encephalopathy is chronic liver failure. This is mostly observed in individuals with liver cirrhosis or in people who have a history of long-term excessive alcohol consumption or hepatitis B or C infection. Due to these problems, liver is unable to carry out its function of removing the toxins from the body. The build-up of these toxins in the blood negatively affects the brain function leading to altered mental function and a host of neuropsychiatric symptoms.

Hepatic encephalopathy is not an inherited disease.

How is it diagnosed and treated?

In order to diagnose hepatic encephalopathy, the doctor will inquire about the symptoms and the medical history of the patient to rule out any other causes. Other diagnostic tests include:

  • Blood tests to detect the presence of toxins, and assess the health status of liver.
  • Spinal tap test (lumbar puncture) to detect any bacterial and viral infections in the cerebrospinal fluid (CSF).
  • Imaging studies like computed tomography (CT) scan and magnetic resonance imaging (MRI) scan to assess the brain anatomy.

Treatment of hepatic encephalopathy consists of medications, as well as, dietary changes.

Medications are prescribed to reduce the involuntary muscle movements and suppress the toxin levels in the blood. Hepatic encephalopathy is treatable and reversible with proper medical counselling. However, as hepatic encephalopathy is primarily observed in individuals with chronic liver damage, the condition may reoccur. To prevent reoccurrence, prophylactic treatment may be prescribed by the doctor.

  1. Medicines for Hepatic Encephalopathy

Medicines for Hepatic Encephalopathy

Medicines listed below are available for Hepatic Encephalopathy. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Analiv TabletsAnaliv 500 Mg Tablet134.0
FilolaFilola Injection250.0
HepatreatHepatreat 5 Gm Infusion238.0
HepawinHepawin 5 G Injection230.0
HepmendHepmend Tablet 150 Mg74.0
LornitLornit 0.5 Gm/Ml Infusion296.0
SatmaxSatmax Capsule114.0
HepacureHepacure 100 Mg/150 Mg Tablet116.0
Hepa MerzHepa Merz 1.5 Gm Granules202.5
DuphalacDuphalac 3.35 Gm/5 Ml Oral Solution463.0
EvictEvict Syrup92.0
LaxdayLaxday Syrup201.0
LaxilLaxil Solution108.0
LaxiwalLaxiwal Syrup205.0
LaxoseLaxose Solution201.0
LivolukLivoluk Kid Syrup61.0
LoozLooz 10 Gm Syrup Orange368.0
RapiduceRapiduce 3.35 G/5 Ml Suspension87.0
SmulaxSmulax Liquid102.0
BiomazeBiomaze Solution113.0
CadiloseCadilose 10 Gm Solution205.0
CremapilCremapil 10 Gm Syrup36.0
GerolacGerolac 10 Gm Syrup82.0
InluseInluse Syrup244.0
LacrestLacrest Syrup78.0
LactuloseLactulose Syrup121.0
LactusafeLactusafe Syrup198.0
LacxLacx Syrup65.0
LaxanLaxan Solution314.0
Laxat (Guj)Laxat Solution142.0
LaxolinLaxolin Solution57.0
LuxatinLuxatin Syrup129.0
MedilaxMedilax Syrup49.0
MtlacMtlac Syrup98.0
Nulax (Nulife)Nulax Solution149.0
RegutRegut Sachet23.0
RilizRiliz 10 Gm Solution155.0
StulaxStulax Syrup219.0
Bestoloos SyrupBestoloos Syrup166.0
Bowell SachetBowell Sachet15.0
BowleaseBowlease Solution84.0
BulkyBulky Syrup76.0
ConcureConcure Solution73.0
Con StopCon Stop Syrup190.0
DulaxDulax Syrup76.0
EldolucEldoluc 10 Gm Syrup56.0
EmtyEmty Oral Solution102.0
EsivacEsivac Oral Solution185.0
EvalexEvalex Syrup72.0
EzingEzing Solution119.0
FreelaxFreelax Liquid57.0
FreskyFresky Solution159.0
GentaloseGentalose Syrup349.0
Heptulac FiberHeptulac Fiber Solution102.0
KomfylacKomfylac Syrup137.0
LacsanLacsan Syrup54.0
LactolookLactolook Syrup102.0
LactomenLactomen Syrup76.0
LactopilLactopil Syrup79.0
LactudosLactudos Oral Solution306.0
LactulacLactulac 3.325 Gm Syrup220.0
Lactulax (Samarth)Lactulax 3.35 Ml Syrup65.0
LactulinLactulin Solution Orange60.0
LactunetLactunet Syrup105.0
LactusoftLactusoft Syrup158.0
LaxaidLaxaid Sachet8.0
LaxitoseLaxitose Syrup117.0
LaxiumLaxium Liquid178.0
LaxodocLaxodoc Solution83.0
Lose ItLose It 100 Ml Solution113.0
LuxolLuxol 10 Gm Powder140.0
NostipanNostipan Solution114.0
OalooseOaloose Oral Solution132.0
OsolacOsolac 3.32 Gm Syrup68.0
PurolacPurolac Syrup230.0
SacruloseSacrulose Syrup71.0
SafaxSafax Solution79.0
Safex (Zee)Safex Liquid81.0
SwiftolacSwiftolac Syrup155.0
SwilacSwilac Solution50.0
TotalaxTotalax Fiber Solution160.0
Tyulose SyrupTyulose Syrup115.0
CibozCiboz 200 Mg Tablet126.0
GifaxinGifaxin 100 Mg Syrup98.0
GutwinGutwin 400 Mg Tablet225.0
RafleRafle 200 Mg Tablet142.0
RcifaxRcifax 100 Mg/5 Ml Suspension107.5
RifadoxRifadox 400 Mg Tablet216.0
Rifagut TabletRifagut 200 Mg Tablet125.0
RifaximaxRifaximax 100 Mg/5 Ml Suspension107.0
RifidorRifidor 100 Mg Suspension107.0
RifnimRifnim 200 Mg Tablet114.0
RucamRucam 200 Mg Tablet130.0
SibofixSibofix 200 Mg Tablet137.0
DufaximinDufaximin 400 Mg Tablet215.0
FaxicadFaxicad 200 Mg Tablet125.0
MenarifMenarif Tablet 200 Mg131.0
RifabetRifabet 200 Mg Tablet118.0
RifarexRifarex 200 Mg Tablet119.0
RifasetRifaset 200 Mg Tablet120.0
RifastopRifastop 200 Mg Tablet125.0
RifidiaRifidia 200 Mg Tablet90.0
RiflectRiflect 200 Mg Tablet125.0
RixminRixmin 200 Mg Tablet130.0
TorfixTorfix 200 Mg Tablet129.0
XifapillXifapill 400 Mg Tablet215.0
ZimigutZimigut 200 Mg Tablet140.0
ConstezConstez 10 Gm Powder20.0
EncelaxEncelax 10 Gm Powder72.8
EvaqEvaq Syrup195.0
GutclearGutclear Syrup195.45
HapilacHapilac Syrup182.86
LacsyoLacsyo Syrup154.0
LacsypLacsyp Syrup169.0
LactironLactiron 10 Gm Syrup249.0
TorrelaxTorrelax Syrup180.0
Totalax NfTotalax Nf Syrup200.0
AqualacAqualac Syrup180.5
LaxitolLaxitol Powder179.05
OsmitolOsmitol Syrup235.0
ExitolExitol Granules29.5
LacrelaxLacrelax 1000 Mg Granules145.0
LactizipLactizip Syrup94.05
LivogardLivogard 5 Mg Infusion234.71
All KlearAll Klear Granules174.0
FiberlactFiberlact 10 Gm/3.5 Gm Syrup160.0
GushGush 10 Gm/3.5 Gm Powder219.5
GutfeelGutfeel 10 Gm/3.5 Gm Granules156.0
LactifiberLactifiber 10 Gm/3.5 Gm Granules294.0
LactihuskLactihusk 10 Gm/3.5 Gm Granules165.0
Laxovel LcLaxovel Lc Powder175.0
OptifiberOptifiber Powder178.0
CardiolaxCardiolax Powder177.5
Ezecor LxEzecor Lx Granules163.9
EzivacEzivac Granules160.0
FreegoFreego Granules317.1
Gudlax NfGudlax Nf 10 Gm/3.5 Gm Granules170.0
Itworks XlItworks Xl Granules205.0
LactigolLactigol Granules178.0
LactinovaLactinova Powder150.47
LactuviaLactuvia Powder178.0
LaispegLaispeg Granules180.0
LaxihuskLaxihusk Granules198.0
Laxitol HuskLaxitol Husk Granules179.05
LaxizaLaxiza Sachet28.47
Analiv(Systopic)Analiv 100 Mg/150 Mg Tablet66.0
DetoxDetox Tablet50.0
HepamaxHepamax 100 Mg/150 Mg Tablet94.28
OrnipanOrnipan Syrup109.52
HeparekHeparek Syrup63.0
LivtopLivtop Tablet46.25
Spartate LpSpartate Lp Tablet75.66
ZyhepZyhep Tablet48.01
Hepacure Pn (Tasmed)Hepacure Pn 150 Mg/100 Mg Tablet52.65
HepalairHepalair 150 Mg/100 Mg Tablet29.5
HepasureHepasure 150 Mg/100 Mg Tablet65.71
L & LL &Amp; L Tablet85.0
OrnilivOrniliv Tablet59.62
LivcareLivcare Syrup30.0
Renewliv PRenewliv P Tablet66.33
LactihepLactihep Syrup211.0
LactizLactiz 10 Gm/3.5 Gm Granules195.0
CachlaxCachlax Powder240.0
Evict FibreEvict Fibre Granules225.0
Fiber ForteFiber Forte Powder180.0
FiberfosFiberfos Powder219.5
IsablacIsablac Powder180.0
LactilaxLactilax Powder175.0
Livoluk FibreLivoluk Fibre Granules217.8
OsilaxOsilax Powder170.0
Liv AptLiv Apt 250 Mg/70 Mg/50 Mg Tablet410.0
HepasafeHepasafe Suspension 200 Ml174.0

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