Levocarnitine will increase urea production which will help to remove ammonia from the body. The recommended dosage regimen of levocarnitine is 1 gram twice per day.3,5 Consequently, the ammonia level is high in a patient that needs to be excreted out by urine and feces. Hence, as an acute treatment, lactulose can also be given which will help to remove excessive ammonia via defecation. Based on the study, the preferred dosage regimen for the lactulose would be 30 ml by mouth 2 to 4 times a day with the goal of attaining 2 to 4 stools per day. The therapy can be continued until a patient returns to normal. Ammonia level monitoring is also recommended along with the provision of this
Levocarnitine will increase urea production which will help to remove ammonia from the body. The recommended dosage regimen of levocarnitine is 1 gram twice per day.3,5 Consequently, the ammonia level is high in a patient that needs to be excreted out by urine and feces. Hence, as an acute treatment, lactulose can also be given which will help to remove excessive ammonia via defecation. Based on the study, the preferred dosage regimen for the lactulose would be 30 ml by mouth 2 to 4 times a day with the goal of attaining 2 to 4 stools per day. The therapy can be continued until a patient returns to normal. Ammonia level monitoring is also recommended along with the provision of this