My dad is end stage liver desease and was in the hospital for over medicating himself. He has chronic pain and see a pain mangment doctor. He hate more than a safe amount of different prescriptions and ended up in the er. 5 days later in the hospital. The doctor prescribes him cymbalta( at this time he was looking fine. Ammonia levels were about 60 and could walk and talk just fine.) They gave him a dose and than after he told us we told him not to take it. Knowing it is highly toxic to the liver. A day later he is having seizures about 4 of them and now is constantly moving his hands and is rambling ridiculous things. Just wondering your opnion on this situation.
Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). I appreciate your concern regarding your father. It seems that your father is having hepatic encephalopathy. There are many reasons for it in patients of end stage liver disease