Table 2.

For patients with cirrhosis and no prior variceal bleeding: NSBB or EVL (also see Figure 3)

Therapy	No ascites	Ascites	Goal
Propranolol	20–160 mg BID	20–80 mg BID	Titrate to HR 55–60 or SBP <90
Nadolol	20–160 mg daily	20–80 mg daily	Titrate to HR 55–60 or SBP <90
Carvedilol	3.125 – 12.5 mg daily	Avoid	Titrate to 12.5-25 mg/day or SBP<90
EVL	EGD q 2–8 weeks until EV eradication → repeat EGD at 3–6 months → EGD q6–12 months if no large varices		Variceal eradication; if recurrent large varices → resume banding q2–8 weeks