Living a happy life with HE is possible. With medication in the right doses and careful attention to your diet, it is absolutely manageable. The medications are Lactulose and Xifaxan. Xifaxan is a set dose by the manufacturer 550mg twice a day. Lactulose dosage can vary, everyone has different tolerance levels. Usually. 30 to 60 ml a certain number of times per day.
Personally, I take 60 ml 3 to 4 times per day.
Also, low sodium diet and limiting animal proteins to whatever amount your doctor recommends.
Treating HE is not an exact science and can sometimes take multiple adjustments to get to the right dosage of Lactulose.
Educating the people who are closest to me about the signs and symptoms helps me keep my HE in check.