Page last updated: 2024-11-03

propranolol and Hepatic Encephalopathy

propranolol has been researched along with Hepatic Encephalopathy in 25 studies

Propranolol: A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.
propranolol : A propanolamine that is propan-2-ol substituted by a propan-2-ylamino group at position 1 and a naphthalen-1-yloxy group at position 3.

Hepatic Encephalopathy: A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)

Research Excerpts

ExcerptRelevanceReference
" We aimed to investigate the association between propranolol treatment and outcomes for cirrhotic patients with hepatic encephalopathy."7.96Low dose of propranolol treatment is associated with better survival in cirrhotic patients with hepatic encephalopathy. ( Chen, PH; Chen, YJ; Chou, YC; Hou, MC; Huang, YH; Huo, TI; Kao, WY; Lee, FY; Lee, KC; Lee, PC; Lin, HC; Su, CW; Wu, JC, 2020)
"A 52-year-old woman with primary biliary cirrhosis who had never had hepatic coma developed it while taking propranolol."7.67Does propranolol precipitate hepatic encephalopathy? ( Wiesner, RH, 1986)
"When propranolol was administered to patients with alcoholic cirrhosis and marginal liver function, as reflected by ammonia levels above 60 microM, it caused a significant increase in ammonia levels in arterialized-venous and arterial, but not in venous, blood (p less than 0."6.66Venous, arterial, and arterialized-venous blood ammonia levels and their relationship to hepatic encephalopathy after propranolol. ( Lieber, CS; Snady, H, 1988)
"In contrast, auditory hallucinations are uncommon in chronic liver disease."5.62Propranolol-induced hallucinations mimicking encephalopathy in a patient with liver cirrhosis. ( Al-Dury, S; Hedenström, P; Molinaro, A, 2021)
" First-line therapies include carvedilol or propranolol to prevent variceal bleeding, lactulose for hepatic encephalopathy, combination aldosterone antagonists and loop diuretics for ascites, and terlipressin for hepatorenal syndrome."5.41Diagnosis and Management of Cirrhosis and Its Complications: A Review. ( Parikh, ND; Tapper, EB, 2023)
" We aimed to investigate the association between propranolol treatment and outcomes for cirrhotic patients with hepatic encephalopathy."3.96Low dose of propranolol treatment is associated with better survival in cirrhotic patients with hepatic encephalopathy. ( Chen, PH; Chen, YJ; Chou, YC; Hou, MC; Huang, YH; Huo, TI; Kao, WY; Lee, FY; Lee, KC; Lee, PC; Lin, HC; Su, CW; Wu, JC, 2020)
"We report the case of a patient who developed jaundice, encephalopathy, a marked increase in serum aminotransferase activity and a decrease in prothrombin and proaccelerin levels, after 6 weeks' treatment with carbimazole and propranolol for hyperthyroidism."3.69Fulminant hepatitis after carbimazole and propranolol administration. ( Banc, P; Coste, V; Epeirier, JM; Larrey, D; Michel, H; Pageaux, GP; Perrigault, PF, 1996)
"A 52-year-old woman with primary biliary cirrhosis who had never had hepatic coma developed it while taking propranolol."3.67Does propranolol precipitate hepatic encephalopathy? ( Wiesner, RH, 1986)
"Hepatic encephalopathy was observed more often in the TIPS group (40."2.70Endoscopic variceal ligation plus propranolol vs. transjugular intrahepatic portosystemic stent shunt: a long-term randomized trial. ( Hansmann, J; Richter, GM; Sauer, P; Stiehl, A; Stremmel, W, 2002)
"The incidence of clinically significant hepatic encephalopathy after 1 year was higher in the shunt group (36% vs 18%, p = 0."2.68Randomised trial of transjugular-intrahepatic-portosystemic shunt versus endoscopy plus propranolol for prevention of variceal rebleeding. ( Blum, HE; Deibert, P; Geiger, R; Haag, K; Hauenstein, KH; Keller, W; Ochs, A; Olschewski, M; Rössle, M; Siegerstetter, V; Stiepak, C, 1997)
"Hepatic encephalopathy was observed in 29% of the patients in the TIPS group and in 13% of those in the ES group (P = 0."2.68Transjugular intrahepatic portosystemic stent shunt versus sclerotherapy plus propranolol for variceal rebleeding. ( Benz, C; Richter, GM; Sauer, P; Stiehl, A; Stremmel, W; Theilmann, L, 1997)
"When propranolol was administered to patients with alcoholic cirrhosis and marginal liver function, as reflected by ammonia levels above 60 microM, it caused a significant increase in ammonia levels in arterialized-venous and arterial, but not in venous, blood (p less than 0."2.66Venous, arterial, and arterialized-venous blood ammonia levels and their relationship to hepatic encephalopathy after propranolol. ( Lieber, CS; Snady, H, 1988)
"Frequently, relevant liver fibrosis is diagnosed by non-invasive methods (e."2.58[Management of compensated liver cirrhosis 2018 - Evidence based prophylactic measures]. ( Benten, D; Karkmann, K; Kluwe, J; Piecha, F; Rünzi, AC; Schulz, L; von Wulffen, M; Wege, H, 2018)
"The best results obtained in treatment of portal hypertension were: esophagogastric devascularization and splenectomy (EGDS), although risk of rebleeding persists; classical (proximal) splenorenal shunt (SRS) should be abandoned; distal splenorenal shunt may complicate with hepatic encephalopathy, although later and in a lower percentage than in SRS."2.38Portal hypertension in schistosomiasis: pathophysiology and treatment. ( Da Silva, LC, 1992)
"In contrast, auditory hallucinations are uncommon in chronic liver disease."1.62Propranolol-induced hallucinations mimicking encephalopathy in a patient with liver cirrhosis. ( Al-Dury, S; Hedenström, P; Molinaro, A, 2021)
"Ascites, variceal bleeding, hepatic encephalopathy, and hepatorenal syndrome are among the complications you are likely to encounter when caring for a patient with cirrhosis."1.42Cirrhosis complications: keeping them under control. ( Eliacin, I; Kashan, S; Minor, SE; Whisenant, EB, 2015)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19908 (32.00)18.7374
1990's4 (16.00)18.2507
2000's3 (12.00)29.6817
2010's6 (24.00)24.3611
2020's4 (16.00)2.80

Authors

AuthorsStudies
Tapper, EB1
Parikh, ND1
Lee, PC1
Chen, YJ1
Chou, YC1
Lee, KC1
Chen, PH1
Kao, WY1
Huang, YH1
Huo, TI1
Lin, HC1
Hou, MC1
Lee, FY1
Wu, JC1
Su, CW1
Al-Dury, S1
Molinaro, A1
Hedenström, P1
Díaz-Fontenla, F1
Castillo-Pradillo, M1
Díaz-Gómez, A1
Ibañez-Samaniego, L1
Gancedo, P1
Guzmán-de-Villoria, JA1
Fernández-García, P1
Bañares-Cañizares, R1
García-Martínez, R1
Lv, Y1
Qi, X1
He, C1
Wang, Z1
Yin, Z1
Niu, J1
Guo, W1
Bai, W1
Zhang, H1
Xie, H1
Yao, L1
Wang, J1
Li, T1
Wang, Q1
Chen, H1
Liu, H1
Wang, E1
Xia, D1
Luo, B1
Li, X1
Yuan, J1
Han, N1
Zhu, Y1
Xia, J1
Cai, H1
Yang, Z1
Wu, K1
Fan, D1
Han, G1
Karkmann, K1
Piecha, F1
Rünzi, AC1
Schulz, L1
von Wulffen, M1
Benten, D1
Kluwe, J1
Wege, H1
Villanueva, C1
Albillos, A1
Genescà, J1
Garcia-Pagan, JC3
Calleja, JL1
Aracil, C1
Bañares, R2
Morillas, RM1
Poca, M1
Peñas, B1
Augustin, S1
Abraldes, JG2
Alvarado, E1
Torres, F1
Bosch, J3
Minor, SE1
Eliacin, I1
Kashan, S1
Whisenant, EB1
Zhang, M1
Wang, G1
Zhao, L1
Wu, Z1
Zhang, W1
Zhang, C1
Sauer, P2
Hansmann, J1
Richter, GM2
Stremmel, W2
Stiehl, A2
Tarantino, I1
Turnes, J1
Rodés, J1
Reding, P1
Tarver, D1
Walt, RP1
Dunk, AA2
Jenkins, WJ1
Sherlock, S1
Watson, P1
Hayes, JR1
Epeirier, JM1
Pageaux, GP1
Coste, V1
Perrigault, PF1
Banc, P1
Larrey, D1
Michel, H1
Rössle, M1
Deibert, P1
Haag, K1
Ochs, A1
Olschewski, M1
Siegerstetter, V1
Hauenstein, KH1
Geiger, R1
Stiepak, C1
Keller, W1
Blum, HE1
Theilmann, L1
Benz, C1
Escorsell, A1
Gilabert, R1
Moitinho, E1
Piqueras, B1
Bru, C1
Echenagusia, A1
Granados, A1
Da Silva, LC1
Calès, P1
Moore, J1
Symon, A1
Dickie, A1
Sinclair, TS1
Mowat, NA1
Brunt, PW1
Snady, H1
Lieber, CS1
Wiesner, RH1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Transjugular Intrahepatic Portosystemic Shunt Versus Endoscopic Treatment Combined With Propranolol for Prevention of Variceal Rebleeding in Cirrhotic Patients With Portal Vein Thrombosis: A Randomized Controlled Trial[NCT01326949]52 participants (Actual)Interventional2011-05-31Completed
A Novel Algorithm to Stratify Clinical Decompensation Risk in Patients With Compensated Advanced Chronic Liver Disease (CHESS2108)[NCT05100485]1,000 participants (Actual)Observational2022-01-01Completed
Multicenter, Randomized, Double-blind, Placebo-controlled Study on the Effectiveness of Treatment With Beta-blockers to Prevent Decompensation of Cirrhosis With Portal Hypertension[NCT01059396]Phase 4201 participants (Actual)Interventional2010-01-28Completed
CHESS-SAVE Score to Stratify Decompensation Risk in Compensated Advanced Chronic Liver Disease: an International Multicenter Study (CHESS2102)[NCT04975477]1,000 participants (Anticipated)Observational2021-07-16Not yet recruiting
Pilot Study to Evaluate the Correlation Between ¹³C Methacetin Breath Test (MBT) and HVPG Measurement as a Tool for Identifying Responders to Portal Hypertension Therapy[NCT01851252]Phase 119 participants (Actual)Interventional2013-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for propranolol and Hepatic Encephalopathy

ArticleYear
Diagnosis and Management of Cirrhosis and Its Complications: A Review.
    JAMA, 2023, 05-09, Volume: 329, Issue:18

    Topics: Adult; Ascites; Carvedilol; Esophageal and Gastric Varices; Gastrointestinal Hemorrhage; Hepatic Enc

2023
[Management of compensated liver cirrhosis 2018 - Evidence based prophylactic measures].
    Zeitschrift fur Gastroenterologie, 2018, Volume: 56, Issue:1

    Topics: Carvedilol; Esophageal and Gastric Varices; Gastrointestinal Hemorrhage; Germany; Hepatic Encephalop

2018
Portal hypertension in schistosomiasis: pathophysiology and treatment.
    Memorias do Instituto Oswaldo Cruz, 1992, Volume: 87 Suppl 4

    Topics: Animals; Cricetinae; Esophageal and Gastric Varices; Follow-Up Studies; Gastrointestinal Hemorrhage;

1992

Trials

8 trials available for propranolol and Hepatic Encephalopathy

ArticleYear
Covered TIPS versus endoscopic band ligation plus propranolol for the prevention of variceal rebleeding in cirrhotic patients with portal vein thrombosis: a randomised controlled trial.
    Gut, 2018, Volume: 67, Issue:12

    Topics: Adult; Combined Modality Therapy; Esophageal and Gastric Varices; Female; Follow-Up Studies; Gastroi

2018
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
β blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial.
    Lancet (London, England), 2019, Apr-20, Volume: 393, Issue:10181

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Adult; Aged; Ascites; Carvedilol; Double-Blind Me

2019
Endoscopic variceal ligation plus propranolol vs. transjugular intrahepatic portosystemic stent shunt: a long-term randomized trial.
    Endoscopy, 2002, Volume: 34, Issue:9

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Esophageal and Gastric Varices; Female; Hepatic Encephalop

2002
Randomised trial of transjugular-intrahepatic-portosystemic shunt versus endoscopy plus propranolol for prevention of variceal rebleeding.
    Lancet (London, England), 1997, Apr-12, Volume: 349, Issue:9058

    Topics: Adult; Aged; Aged, 80 and over; Combined Modality Therapy; Embolization, Therapeutic; Endoscopy; Eso

1997
Transjugular intrahepatic portosystemic stent shunt versus sclerotherapy plus propranolol for variceal rebleeding.
    Gastroenterology, 1997, Volume: 113, Issue:5

    Topics: Adult; Aged; Esophageal and Gastric Varices; Female; Follow-Up Studies; Gastrointestinal Hemorrhage;

1997
TIPS versus drug therapy in preventing variceal rebleeding in advanced cirrhosis: a randomized controlled trial.
    Hepatology (Baltimore, Md.), 2002, Volume: 35, Issue:2

    Topics: Adrenergic beta-Antagonists; Aged; Drug Therapy, Combination; Female; Follow-Up Studies; Health Care

2002
The effects of propranolol on hepatic encephalopathy in patients with cirrhosis and portal hypertension.
    Alimentary pharmacology & therapeutics, 1988, Volume: 2, Issue:2

    Topics: Adult; Aged; Double-Blind Method; Electroencephalography; Female; Hepatic Encephalopathy; Humans; Hy

1988
Venous, arterial, and arterialized-venous blood ammonia levels and their relationship to hepatic encephalopathy after propranolol.
    The American journal of gastroenterology, 1988, Volume: 83, Issue:3

    Topics: Ammonia; Arteries; Hepatic Encephalopathy; Humans; Hypertension, Portal; Liver Cirrhosis; Male; Prop

1988

Other Studies

14 other studies available for propranolol and Hepatic Encephalopathy

ArticleYear
Low dose of propranolol treatment is associated with better survival in cirrhotic patients with hepatic encephalopathy.
    European journal of gastroenterology & hepatology, 2020, Volume: 32, Issue:3

    Topics: Adrenergic beta-Antagonists; Hepatic Encephalopathy; Humans; Liver Cirrhosis; Proportional Hazards M

2020
KASL clinical practice guidelines for liver cirrhosis: Varices, hepatic encephalopathy, and related complications.
    Clinical and molecular hepatology, 2020, Volume: 26, Issue:2

    Topics: Adrenergic beta-Antagonists; Ammonia; Anti-Bacterial Agents; Carvedilol; Disaccharides; Endoscopy, G

2020
Propranolol-induced hallucinations mimicking encephalopathy in a patient with liver cirrhosis.
    Scandinavian journal of gastroenterology, 2021, Volume: 56, Issue:7

    Topics: Hallucinations; Hepatic Encephalopathy; Humans; Liver Cirrhosis; Propranolol; Rifaximin

2021
Refractory hepatic encephalopathy in a patient with hypothyroidism: Another element in ammonia metabolism.
    World journal of gastroenterology, 2017, Jul-28, Volume: 23, Issue:28

    Topics: Adrenergic beta-Antagonists; Alcoholism; Ammonia; Antithyroid Agents; Brain; Carbimazole; Diagnosis,

2017
Cirrhosis complications: keeping them under control.
    The Journal of family practice, 2015, Volume: 64, Issue:6

    Topics: Antihypertensive Agents; Ascites; Diuretics; Furosemide; Hemorrhage; Hepatic Encephalopathy; Humans;

2015
Second prophylaxis of variceal bleeding in cirrhotic patients with a high HVPG.
    Scandinavian journal of gastroenterology, 2016, Volume: 51, Issue:12

    Topics: Adult; Aged; China; Esophageal and Gastric Varices; Female; Gastrointestinal Hemorrhage; Hepatic Enc

2016
Hemodynamic response to pharmacological treatment of portal hypertension and long-term prognosis of cirrhosis.
    Hepatology (Baltimore, Md.), 2003, Volume: 37, Issue:4

    Topics: Antihypertensive Agents; Ascites; Bacterial Infections; Cohort Studies; Drug Therapy, Combination; F

2003
Risk of hepatic encephalopathy in patients taking propranolol for portal hypertension.
    Lancet (London, England), 1982, Sep-04, Volume: 2, Issue:8297

    Topics: Hepatic Encephalopathy; Humans; Hypertension, Portal; Propranolol; Risk

1982
Portal hypertension, propranolol, and hepatic encephalopathy.
    Lancet (London, England), 1982, Oct-16, Volume: 2, Issue:8303

    Topics: Hepatic Encephalopathy; Humans; Hypertension, Portal; Liver Cirrhosis; Portacaval Shunt, Surgical; P

1982
Precipitation of hepatic encephalopathy by propranolol in cirrhosis.
    British medical journal (Clinical research ed.), 1983, Aug-27, Volume: 287, Issue:6392

    Topics: Aged; Esophageal and Gastric Varices; Female; Gastrointestinal Hemorrhage; Hepatic Encephalopathy; H

1983
Cirrhosis, hepatic encephalopathy, and propranolol.
    British medical journal (Clinical research ed.), 1983, Oct-08, Volume: 287, Issue:6398

    Topics: Hepatic Encephalopathy; Humans; Liver Cirrhosis; Male; Propranolol

1983
Fulminant hepatitis after carbimazole and propranolol administration.
    European journal of gastroenterology & hepatology, 1996, Volume: 8, Issue:3

    Topics: Adrenergic beta-Antagonists; Alanine Transaminase; Antithyroid Agents; Aspartate Aminotransferases;

1996
[Propranolol and the risk of hepatic encephalopathy in liver cirrhosis].
    Annales de gastroenterologie et d'hepatologie, 1989, Volume: 25, Issue:7

    Topics: Ammonia; Cerebrovascular Circulation; Electroencephalography; Esophageal and Gastric Varices; Heart

1989
Does propranolol precipitate hepatic encephalopathy?
    Journal of clinical gastroenterology, 1986, Volume: 8, Issue:1

    Topics: Esophageal and Gastric Varices; Female; Gastrointestinal Hemorrhage; Hepatic Encephalopathy; Humans;

1986