<prompt> In patients with decompensated cirrhosis on diuretic therapy with tender gynaecomastia the best diuretic to substitute is:Amiloride for spironolactoneFurosemide for spironolactoneSpironolactone for amilorideTorsemide for spironolactone  <response>: Amiloride 10-40 mgday can be substituted for spironolactone in patients with tender gynecomastia. Amiloride is more expensive and less effective Ref: HEPATOLOGY, June 2009 