Metoprolol Er 25mg Tab Wock

I have cirrhosis as well as type 2 diabetes and a blood ammonia level of 151. my doctor prescribed these as a way to get the ammonia level down and use less lactulose. is this correct. I also noticed I feel like I can sleep all day and my abdomen feels bloated. I am also on clonidine 0.1 and propranolol 20 mg for high bp but everytime it is checked it is between 105-115 over 70-80 I also take 2 other dieruetics, furosemide40 once a day and spironolact 100mg once a day. I look forward to hearing if this is all the right mix for getting the ammonia level down

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Hi, Scarab! Sorry about your health problems and this current ammonia issue.

Were you still taking the diuretics at the time the test was done? Furosemide is specifically listed as being one that can raise blood ammonia levels and should be stopped for awhile, before such a test is done.

And I am not familiar with the use of beta blockers to help lower it, just lactulose and antibiotics, so I'd have to trust your doctor on that.

But I am curious about the Furosemide and if you were still taking it when the test was done.

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thank you, yes I was and still am. he upped the lactulose to 30ml 4 times a day and told me to just eat bland chicken and fish. both fresh, and fresh veggies

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