Use of Tolvaptan in Liver Conditions

• Tolvaptan is primarily used to treat hyponatremia and fluid retention issues. It is not a direct treatment for jaundice, liver cirrhosis, or hepatic encephalopathy but may help manage complications like hyponatremia and ascites.

Importance of Sodium Levels

• A sodium level of 107 mEq/L indicates severe hyponatremia, requiring careful medical management to prevent complications.

Tolvaptan Use in Severe Hyponatremia

• Tolvaptan can correct hyponatremia under strict medical supervision. Monitoring liver function and sodium correction rate is crucial to avoid adverse effects.

Management of Ascites and Hepatic Encephalopathy

• Standard treatments for ascites include diuretics and paracentesis, while hepatic encephalopathy is managed with lactulose and rifaximin. Tolvaptan may be adjunctive but not primary therapy.

Medical Supervision and Specialist Consultation

• Consult a hepatologist or gastroenterologist for personalized treatment. Avoid self-medication due to risks associated with Tolvaptan and severe hyponatremia.

Summary and Safety Considerations

• Tolvaptan may be part of treatment for hyponatremia in liver disease but requires careful use. Ensure close follow-up and adherence to medical advice.