Question

A 60-year-old man with chronic liver disease presents with haematemesis and melena. Endoscopy confirms bleeding oesophageal varices. According to NICE guidance, which agent is recommended for primary prophylaxis against variceal bleeds in patients with known varices?

Accepted Answer

Non-selective beta-blockers (e.g., propranolol)

Answer

Endoscopic variceal ligation every month

Answer

Nitrates (e.g., isosorbide mononitrate)

Answer

IV vasopressin infusion

Answer

Tranexamic acid

Practice question

A 60-year-old man with chronic liver disease presents with haematemesis and melena. Endoscopy confirms bleeding oesophageal varices. According to NICE guidance, which agent is recommended for primary prophylaxis against variceal bleeds in patients with known varices?