For the last seven years, I have been suffering from “Alcoholic Liver Disease with episodic bouts of compensation i.e. cirrhosis, ascites, portal hypertension, bleeding varices and encephalopathy, spleenomegaly.” Quite recently I had an acute attack of “altered sensorium and delirium”, which was diagnosed as “Hepatic encephalopathy.” Apart from drugs I am on a salt restricted and protein rich diet.
1. What can I do to optimize the quality of my life?
2. Can I unilaterally reduce the dose of medicines prescribed for the lives if I feel better?

You have alcohol related liver cirrhosis which, being in its advanced stage, is not curable and will definitely affect the quality of your life. If you continue to have these problems despite abstinence from alcohol, the only permanent solution is to undergo a liver transplant. If that is not a feasible proposition, you need to continue the treatment with regular follow ups with your liver specialist perhaps life long. It’s not advisable to meddle with your drug dosage even if you feel better.

Question: How much can I drink and still drive?
The rate at which alcohol is removed from the body is constant for each person and nothing can increase this rate, thus once alcohol is present in your blood stream, it will remain there until the appropriate period of time has passed, no matter what tricks you try to make yourself sober quickly.
The blood alcohol level depends greatly on your weight. In smaller people there is less body for the alcohol to be spread around, and so the levels for the same number of drinks tend to be higher. Fat does not help dilute alcohol very much, so a very obese person may have a much higher blood alcohol level than a person of the same weight who is all muscle and no fat.
Only a very rough guide to the amount of alcohol that is safe to drink can be given. Men may be able to consume three standard drinks in one hour to reach .05, and then one standard drink per hour thereafter to stay at that level. These figures should be reduced by 1/3 for women. A standard drink is 250 mL of beer, 120 mL of wine, 60 mL of port or sherry and 30 mL of any spirit.