What Causes Low WBC And Low Platelet Level While On Lorazepam For Cirrhosis?

Posted on Thu, 25 Feb 2016

Question: I HAVE HEPC CIRROSISAND VERY HIGH LEVBELS OF AMMONIA I ALSO TAKE LORAZAPAM IS ALL THIS WORKING AGAINST MRE CAN YOU HELP ME MY WHITE BLOOD COUNT IS LOW ABBBBND MY PLATELETSARE EXTREMELY LOW I FALL ALOT AND MY MIND STARTS TO WANDER

STILL WAITING FOR DOCTOR TO RESPOND

Answered by Dr. Dr. Klerida Shehu (6 hours later)

Brief Answer:
Please follow the suggestions below..

Detailed Answer:
Hi and thank you for asking!
I read carefully all your concerns and I can say as follows :
1.You are reporting to have low white blood cells and low platel level.
These findings are typical for liver cirrhosis.
2. With regards to Lorazepam(benzodiazephine drugs) use, I suggest to stop using it.
Lorazepam in cirrhosis increase the risk for encephalopathy .
3.If I were your treating doctor I would suggest to :
- use lactulose
-use vit E and sylimarine
- discuss with your doctor about platel transfusion
- start using antibiotic with wide specter to protes from infections since you have low white blood cells.
- perform abdominal ultrasound to check for abdominal ascites (liquid)
Hope it was helpful to you.
Dr. Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar