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[Drug-induced cholestasis]

G Pott1

  • 1Innere Abteilung, Marienkrankenhauses Nordhorn.

Zeitschrift Fur Gastroenterologie
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

Drug-induced cholestasis affects about 2% of hospitalized patients with jaundice. Nearly any medication can cause this liver reaction, particularly newer drugs, necessitating careful consideration of drug intolerance.

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Area of Science:

  • Hepatology
  • Clinical Pharmacology

Background:

  • Cholestasis is a liver reaction to drug intolerance, affecting an estimated 2% of hospitalized patients treated for jaundice.
  • Drug-induced liver injury is a significant clinical concern, with a distinction between obligatory and optional hepatotoxic substances.

Purpose of the Study:

  • To review the spectrum of drugs that can cause cholestasis.
  • To highlight the clinical importance of optional, more frequently encountered, drug-induced cholestasis.

Main Methods:

  • Literature review of drug-induced cholestasis.
  • Analysis of drug classes associated with cholestasis.

Main Results:

  • Nearly any drug can potentially cause cholestasis.

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  • Optional (idiosyncratic) drug-induced cholestasis is more common clinically.
  • Specific drug classes frequently associated with cholestasis include antibiotics, antiarrhythmics, and antidepressants.
  • Conclusions:

    • Drug-induced cholestasis is a critical consideration in patient management, especially with new drug introductions.
    • Awareness of frequently implicated drug classes aids in diagnosis and prevention of liver injury.