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MediumGastroenterologyCirrhotic ascitesau-amcau-racp

A 60-year-old man with cirrhosis secondary to hepatitis C presents with increasing abdominal distension and ankle oedema. Examination shows shifting dullness and bilateral pitting oedema. There is no encephalopathy or variceal bleeding. What is the most appropriate first-line pharmacological treatment for his ascites?

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