Gastroenterology and Hepatologymiddle twist
A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure is 96/60 mmHg and pulse 112/min; he has spider naevi, splenomegaly and shifting dullness on abdominal examination. He is resuscitated with intravenous crystalloid, cross-matched blood is requested, and an intravenous terlipressin infusion is commenced. Gastroscopy is planned within the next 12 hours. In addition to terlipressin, which one of the following medications is most appropriate to commence now?