Efficacy of tolvaptan in patients with refractory ascites in a clinical setting

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Tolvaptan for the Treatment of Refractory Ascites

To the Editor: The findings from a Japanese phase 3 trial revealed that tolvaptan (Otsuka Pharmaceutical, Osaka, Japan), a non-peptide antagonist of the vasopressin type 2 receptor, is effective in the treatment of refractory ascites in cirrhotic patients. Although this agent is now widely used in clinical practice, few reports have so far been published regarding its real-world efficacy. The r...

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Cases with Refractory Ascites and a Delayed Response to Tolvaptan

The patient was a 67-year-old female with liver cirrhosis due to hepatitis C. She was administered furosemide at 20 mg/day and spironolactone at 25 mg/day, but the ascites did not improve. Despite the additional administration of tolvaptan at 3.75 mg/day, the response to ascites was still poor. While the dose of tolvaptan was thereafter increased to 7.5 mg/day on the 7th hospital day, the ascit...

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Nutritional status and long-term prognosis in patients with refractory hepatic ascites treated with tolvaptan

Objective: We evaluated whether nutritional status and long-term prognosis of patients with refractory hepatic ascites improved after treatment with tolvaptan. Methods: We retrospectively studied data for a total of 50 patients with hepatic ascites treated with tolvaptan from April 2011 to January 2016. Bloatedness was assessed by using the Japanese version of the support team assessment schedu...

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ژورنال

عنوان ژورنال: World Journal of Hepatology

سال: 2015

ISSN: 1948-5182

DOI: 10.4254/wjh.v7.i12.1685