I think this will be helpful info for you.
http://hepatitiscresearchandnewsupdates.blogspot.com/2013/08/a-randomized-double-blind-controlled.html
Nan
How advanced is your cirrhosis? Pre-transplant,when my husband had ESLD he was unable to take the Xifaxin as his feet swelled to where he couldn't even put his shoes on.
He recently learned he has cirrhosis of the new liver. He started have bouts of HE in June. They put him back on lactulose but it wasn't enough to keep him stable. So given his prior history with Xifaxin, they slowly started him on it and he is now taking the recommended dosage of 550 mg twice a day.
It has made a big difference. He has been stable for two weeks straight now.
He is also taking 30 ml of lactulose a day.
Hope you are able to find the right combo to help you remain stable. I know how difficult HE is for you.
Nan
Lactulose is THE standard treatment for anyone with cirrhosis and symptoms of hepatic encephalopathy (HE). Some patients in addition also take Rifaximin/Xifaxan (an antibiotic) to Lactulose.
It would be more helpful to post questions about cirrhosis and its complications in the Cirrhosis Community where others with cirrhosis post about cirrhosis and its treatment.
Talk to your hepatologist. if you have any concerns about Lactulose.
Good luck.
Hector