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Cetirizine-induce cholestasis.

D G Fong1, P Angulo, L J Burgart

  • 1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota 55905, USA.

Journal of Clinical Gastroenterology
|October 18, 2000
PubMed
Summary
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Cetirizine, an allergy medication, can cause liver injury. A case study suggests cetirizine-induced cholestasis, a liver condition, may occur even when hydroxyzine metabolism is not implicated.

Area of Science:

  • Pharmacology
  • Hepatology
  • Allergology

Background:

  • Cetirizine is a widely used H1-receptor antagonist for allergic conditions.
  • Previous studies noted minor, transient liver enzyme elevations in less than 2% of patients on cetirizine.
  • The drug is a human metabolite of hydroxyzine.

Observation:

  • A 28-year-old male without prior liver disease developed cholestasis.
  • The patient had taken cetirizine daily for two years.
  • Ursodeoxycholic acid and hydroxyzine were used for treatment.

Findings:

  • The case suggests cetirizine can induce cholestasis, a specific type of drug-induced liver injury.
  • Improvement with hydroxyzine suggests this metabolite pathway is not the cause in this instance.

Related Experiment Videos

  • Cetirizine is identified as a potential cause of drug-induced cholestasis.
  • Implications:

    • Clinicians should consider cetirizine as a potential cause of cholestasis.
    • This case highlights the importance of monitoring liver function in patients on long-term cetirizine therapy.
    • Further research may be needed to elucidate the exact mechanisms of cetirizine-induced hepatotoxicity.