Fatty Liver: The liver is one of the most important organs in the body, playing a crucial role in detoxification, digestion and metabolism. However, individuals suffering from fatty liver disease often face difficulties when it comes to diet and medications. Many people with liver problems are unsure if it is safe to take antibiotics or even common medications like paracetamol. Dr. Priyanka Sehrawat, a renowned neurologist and AIIMS doctor, provides valuable insights on this matter.
Fatty Liver and Medication - How the Liver Reacts
Fatty liver disease occurs when too much fat builds up in the liver. This condition can affect the liver’s ability to process medications properly. When the liver doesn’t function well, it may struggle to break down and metabolise drugs as it should. This can cause medications to stay in the bloodstream longer, increasing the risk of side effects and complications. People with fatty liver disease may need special care and possibly adjusted medication doses to avoid these risks.
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Dr. Priyanka Sehrawat, MD Medicine and DM Neurology (AIIMS Delhi), explains that while the maximum safe dose of paracetamol is 4 grams per day, with the usual prescribed dosage being around 2.6 grams, caution is required for patients with pre-existing liver disease. "Fatty liver patients should never take paracetamol without consulting a gastroenterologist," she adds. Paracetamol, if not monitored carefully, can cause liver damage in individuals already suffering from liver problems.
Antibiotics and Fatty Liver
Just as paracetamol can be harmful, antibiotics can also pose significant risks to individuals with fatty liver disease. Antibiotics have been shown to alter the gut microbiome, which could exacerbate liver conditions, particularly nonalcoholic fatty liver disease (NAFLD). Additionally, antibiotics can contribute to liver injury in people with compromised liver function.
For instance, if someone has a viral infection like dengue, which directly affects the liver, doctors may recommend avoiding antibiotics in the initial stages of treatment. This precaution helps prevent further strain on the liver and ensures better recovery.
Tips for Fatty Liver Patients
Dr. Priyanka Sehrawat also shares some key advice for managing fatty liver disease.
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She emphasises the importance of avoiding risk factors such as alcohol, diabetes, high blood pressure and high triglycerides. Maintaining a healthy lifestyle is essential, and incorporating vitamin E-rich foods, such as nuts, seeds and vegetable oils, can support liver health. Additionally, regular physical activity, like walking for 30 minutes a day, can help reduce the symptoms of fatty liver and improve overall liver function.
While medications like paracetamol and antibiotics can be essential for treating various conditions, individuals with fatty liver disease must exercise caution. Always consult a healthcare professional before taking any new medications.