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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cause of acute and chronic liver disease caused specifically by medications and the most common reason for a drug to be withdrawn from the market after approval.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.
Drug-drug interactions can be of serious concern for patients who are undergoing multi-drug therapies. [5] Coadministration of chloroquine , an anti-malaria drug, and statins for treatment of cardiovascular diseases has been shown to cause inhibition of organic anion-transporting polypeptides (OATPs) and lead to systemic statin exposure.
A hepatotoxin (Gr., hepato = liver) is a toxic chemical substance that damages the liver.. It can be a side-effect, but hepatotoxins are also found naturally, such as microcystins and pyrrolizidine alkaloids, or in laboratory environments, such as carbon tetrachloride, or far more pervasively in the form of ethanol (drinking alcohol).
These medications may also cause renal failure or certain kidney lesions, like those in the glomeruli or tubules. [32] Certain chemotherapy medications might cause hepatotoxic side effects in addition to renal toxicity, which calls for a thorough evaluation of liver function before starting treatment and possible dose adjustments. [33]
The treatment of chronic liver disease depends on the cause. Specific conditions may be treated with medications including corticosteroids, interferon, antivirals, bile acids or other drugs. Supportive therapy for complications of cirrhosis include diuretics, albumin, vitamin K, blood products, antibiotics and nutritional therapy.
Plasma perhexiline concentrations as low as 0.6mg/L> are known to cause nausea and dizziness; however, perhexiline is also known to cause hepatotoxicity and peripheral neuropathy at plasma concentrations >0.6mg/L. [9] [10] The symptoms of peripheral neuropathy include weakness or sensory loss and pain in the arms, hand, legs, and feet.
These symptoms can include: Abdominal pain. Fatigue. ... (Epigallocatechin-3-gallate, one of the catechins in green tea) were more likely to cause hepatotoxicity," Dr. Kim notes. "For comparison ...
HER2-positive advanced breast cancer: Hypersensitivity (rare), hepatotoxicity (uncommon), interstitial lung disease (uncommon) and cardiovascular problems. Hepatotoxicity-++-C: D: 13 March 2007: 10 June 2008: 28 June 2007 Nilotinib: Novartis: Bcr-Abl: Second-line chronic myelogenous leukaemia treatment