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Tritrichomonas can take up to two years to clear, so it is often treated with ronidazole, a medication used off-label, handled with disposable gloves, and discontinued if there are neurological side effects

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doi: 10.1016/j.immuni.2020.07.002 187 KonishiASuzukiJKuwaharaMMatsumotoANomuraSSogaTet al

Clinicians should clarify that acetaminophen 2 g/day and topical analgesics are generally safe in cirrhosis, while reinforcing the risks of NSAIDs, opioids, and gabapentinoids
