Medicine
Pharmacokinetic Changes in Hepatic Impairment and Dose Adjustment
Quick fact
In cirrhosis, the liver's drug-metabolizing capacity can be reduced by up to 75%, leading to higher drug levels and increased risk of toxicity. For example, the half-life of morphine can double, increasing sedation and respiratory depression risk.
Why this is interesting
Many medications are cleared by the liver, so what happens when the liver is damaged? The answer is that drug effects can become dangerously strong, but doctors can predict and prevent this.