Driving Impairment in Cirrhosis and Hepatic Encephalopathy 

 - Advise patients not to drive ~3 months after last overt HE episode

 - No evidence to support a driving ban to all with CHE/MHE without prior overt HE, also take driving history into account

 - Initiate or optimize HE treatment

 - Avoid/withdraw/decrease sedative medications

 - Optimize treatment of comorbid diseases

 - Refer to authorities for formal testing for resuming driving privileges



#Driving #Impairment #Cirrhosis #Hepatic #Encephalopathy #management