_____________ a balanced diet and one multivitamin daily. Patients suffering from primary biliary cirrhosis (PBC) with impaired absorption of fat soluble vitamins may need additional vitamins D and K.
Avoid drugs (including alcohol) that cause liver ____________. All patients with cirrhosis should avoid alcohol. Most patients with alcohol induced cirrhosis experience an improvement in liver function with ______________ from alcohol. Even patients with _____________ hepatitis B and C can substantially reduce liver damage and slow the progression towards cirrhosis with abstinence from alcohol.
Avoid nonsteroidal anti-inflammatory drugs (NSAIDs, e.g. ibuprofen). Patients with cirrhosis can __________ worsening of liver and kidney function with NSAIDs.
Eradicate hepatitis B and hepatitis C virus by using anti-viral medications. Not all patients with cirrhosis due to chronic __________ hepatitis are candidates for drug treatment. Some patients may experience serious ___________ in liver function and/or intolerable _____________ effects during treatment. Thus, decisions to treat viral hepatitis have to be individualized, after consulting with doctors experienced in treating liver diseases (hepatologists).
Remove blood from patients with haemochromatosis to reduce the levels of iron and prevent ___________ damage to the liver. In Wilson’s disease, medications can be used to increase the __________ of copper in the urine to reduce the levels of copper in the body and prevent further damage to the liver.
Suppress the immune system with drugs such as prednisone and azathioprine (Imuran) to decrease inflammation of the liver in __________ hepatitis.
Treat patients with PBC with a bile acid preparation, ursodeoxycholic acid (UDCA), also called ursodiol (Actigall). Results of an analysis that combined the results from several clinical ___________ showed that UDCA increased ____________ among PBC patients during 4 years of therapy. The development of portal hypertension also was reduced by the UDCA.
__________ patients with cirrhosis against infection with hepatitis A and B to prevent a serious deterioration in liver function. There are currently no ___________ available for immunizing against hepatitis C.