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Updated: Aug 23, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
Hydrochlorothiazide induced hepato-cholestatic liver injury
Zeev Arinzon1, Peisakh Alexander, Yitshal Berner
1Meuhedet Health Care System, Netania, Israel. arinzon@walla.co.il
Insights
Hydrochlorothiazide, a common hypertension drug, can cause severe liver damage. This case highlights a rare but serious risk associated with this widely used diuretic medication.
Area of Science:
- Pharmacology
- Hepatology
- Cardiology
Background:
- Hydrochlorothiazide is a first-line treatment for uncomplicated arterial hypertension.
- Thiazide diuretics are commonly prescribed for managing high blood pressure.
Observation:
- Several reports link thiazide use to cholecystitis.
- This study details a case of significant hepatotoxicity.
Findings:
- The patient experienced serious liver injury attributed to hydrochlorothiazide.
- This adverse event underscores a potential risk beyond gall bladder inflammation.
Implications:
- Clinicians should consider liver function when prescribing hydrochlorothiazide.
- Awareness of hydrochlorothiazide-induced hepatotoxicity is crucial for patient safety.
Abstract:
Hydrochlorothiazide and other thiazide-like diuretics are considered as a first-line drug for initial therapy in uncomplicated arterial hypertension [1]. There are several reports [2-6] of thiazide-induced cholecystitis, but here we report a case of serious hepatotoxicity associated with hydrochlorothiazide treatment.
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