Long-term effects of L-carnitine on hyperammonemia and hepatic encephalopathy in patients with liver cirrhosis: a multicenter retrospective study

Long-term L-carnitine administration effectively reduces BAC and hepatic encephalopathy-related hospitalizations with excellent safety. Higher initial doses (>1500 mg/day) achieve more rapid BAC normalization and should be considered for patients with significant hyperammonemia.

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Publication Details

Journal
European Journal of Gastroenterology & Hepatology
Published
2026-02-26
DOI
https://doi.org/10.1097/meg.0000000000003171
Primary Topic
Liver Disease and Transplantation
Type
article
Field-Weighted Citation Impact
0.00
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article

Long-term effects of L-carnitine on hyperammonemia and hepatic encephalopathy in patients with liver cirrhosis: a multicenter retrospective study

Shima Mimura, H Tanaka, Akio Moriya, Takashi Himoto et al.
European Journal of Gastroenterology & Hepatology
Liver Disease and Transplantation
article

Long-term effects of L-carnitine on hyperammonemia and hepatic encephalopathy in patients with liver cirrhosis: a multicenter retrospective study

Shima Mimura, H Tanaka, Akio Moriya, Takashi Himoto, Tetsu Tomonari, Kei Takuma, Takuya Nagano, Chikara Ogawa, Akemi Tsutsui, Takushi Manabe, Teppei Sakamoto, Rie Yano, Hideki Kobara, Ryosuke Imado, Hiroki Tai, Mai Nakahara, Asahiro Morishita, Joji Tani, Tetsuji Takayama, Koichi Takaguchi, Tomoko Tadokoro, Koji Fujita, Kyoko Oura
article en

Abstract

Long-term L-carnitine administration effectively reduces BAC and hepatic encephalopathy-related hospitalizations with excellent safety. Higher initial doses (>1500 mg/day) achieve more rapid BAC normalization and should be considered for patients with significant hyperammonemia.

European Journal of Gastroenterology & Hepatology
Kagawa University (JP), Takamatsu Red Cross Hospital (JP), Mito Saiseikai General Hospital (JP), Kagawa Prefectural Central Hospital (JP), Kagawa Prefectural College of Health Sciences (JP), Tokushima University (JP)
Openalex Percentile: Top 15%
Liver Disease and Transplantation
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Long-term effects of L-carnitine on hyperammonemia and hepatic encephalopathy in patients with liver cirrhosis: a multicenter retrospective study — Shima Mimura, H Tanaka, et al. · European Journal of Gastroenterology & Hepatology (2026) | TGRS Research Map | TGRS