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Prevention of Liver Disease ProgressionAka: Chronic Liver Disease

Causes
1. Alcoholic Cirrhosis and other toxin induced causes
2. Infectious Hepatitis
  1. Hepatitis B
  2. Hepatitis C
3. Autoimmune Conditions
  1. Primary Sclerosing Cholangitis
  2. Primary biliary Cirrhosis
  3. Autoimmune Hepatitis
4. Hereditary causes
Prevention of Liver Disease Progression
1. Abstain completely from Alcohol
2. Vaccination
  1. Hepatitis A Vaccine
  2. Hepatitis B Vaccine
3. Avoid Hepatotoxic Medications
  1. Acetaminophen <2 grams/day appears to be safe
  2. Statins appear to be safe
  3. Avoid frequent NSAIDs or Aspirin (bleeding risk)
  4. Antibiotics
    1. Avoid Augmentin
    2. Fluoroquinolone and Cephalosporins are safe
4. Avoid iron Supplements except in Iron Deficiency Anemia
  1. Reduces risk of secondary Hemochromatosis
5. Low Fat Diet
  1. Reduces risk of Fatty Liver
References
1. Riley (2001) Am Fam Physician 64(9):1555

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 8/14/2009. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.