What common medication might influence nutrition in older adults with hepatic conditions?

Lactulose is a synthetic sugar that is commonly used to treat hepatic encephalopathy, a condition that can occur in older adults with liver issues. It helps reduce the absorption of ammonia in the gut, subsequently lowering the ammonia levels in the blood. This is particularly relevant in managing the nutritional status of older adults with hepatic conditions because elevated ammonia levels can lead to cognitive impairment and hinder nutritional intake.

In addition to its primary use in managing liver-related issues, lactulose has implications for nutrition. It can cause gastrointestinal side effects such as diarrhea, which may lead to dehydration and electrolyte imbalances. Thus, its effects on bowel transit and nutrient absorption should be carefully monitored in older adults, who may already have compromised nutritional status due to liver disease.

While nonsteroidal anti-inflammatory drugs, beta-blockers, and diuretics can have impacts on older adults’ health and medication management, lactulose is specifically noted for its direct influence on nutrition concerning hepatic conditions.