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Drug-induced liver injury (DILI) is a cause of acute and chronic liver disease caused specifically by medications and the most common reason for a drug to be withdrawn from the market after approval. The liver plays a central role in transforming and clearing chemicals and is susceptible to the toxicity from these agents.
Sevoflurane has an excellent safety record, [13] but is under review for potential hepatotoxicity, and may accelerate Alzheimer's. [16] There were rare reports involving adults with symptoms similar to halothane hepatotoxicity. [13] Sevoflurane is the preferred agent for mask induction due to its lesser irritation to mucous membranes.
Branded version withdrawn by originator in several countries in 2007 for hepatotoxicity. Generic versions available. Still available in US market. Nialamide: 1974 UK, US Hepatotoxicity, drug intereaction. [3] Nikethamide: 1988 multiple markets CNS Stimulation. [3] Nitrefazole: 1984 Germany Hepatic and hematologic toxicity. [3] Nomifensine: 1981 ...
[40] [41] These instances were quickly followed by many additional cases. [42] [22] [23] [24] In 2002 the United States Food and Drug Administration (FDA) obligated BMS to add a black box warning about potential fatal liver toxicity to the drug label. [43] [13] Worldwide sales in 2002 were $409 million. [39]
Studies have shown significant hepatotoxicity is uncommon in patients who have taken greater than normal doses over 3 to 4 days. [23] In adults, a dose of 6 grams a day over the preceding 48 hours could potentially lead to toxicity, [20] while in children acute doses above 200 mg/kg could potentially cause toxicity. [24]
Of these, amoxicillin-clavulanate is the most common cause of drug-induced liver injury, and paracetamol toxicity the most common cause of acute liver failure in the United States and Europe. [36] Herbal remedies and dietary supplements are another important cause of hepatitis; these are the most common causes of drug-induced hepatitis in Korea ...
The study itself notes that actual green tea rarely causes any problems for otherwise healthy individuals, but that concentrated green tea extract—often found in unregulated herbal supplements ...
It can also cause liver damage. [5] [6] The drug is a synthetic androgen and anabolic steroid and hence is an agonist of the androgen receptor (AR), the biological target of androgens like testosterone and dihydrotestosterone (DHT). [5] [8] It has strong anabolic effects and weak androgenic effects. [5]