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[Liver damage caused by adelphan]

R Enat, G Rader, D Barzilai

    Schweizerische Medizinische Wochenschrift
    |May 14, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Adelphan, a medication containing Rauwolfia alkaloids and dihydrazinophthalazine, can cause fever, chills, and liver damage. This case report adds Adelphan to the list of drugs known to induce hepatic injury.

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    Area of Science:

    • Pharmacology
    • Hepatology
    • Internal Medicine

    Background:

    • Adelphan, a combination drug, comprises Rauwolfia alkaloids (Reserpin) and 1,4-dihydrazinophthalazine (Nepresol).
    • Previous literature has not documented hepatic damage associated with Adelphan or its individual components.

    Observation:

    • A patient presented with recurrent episodes of fever, chills, and elevated liver enzymes.
    • These symptoms consistently occurred following the administration of Adelphan.
    • The patient's clinical presentation suggested a drug-induced hepatotoxicity.

    Findings:

    • The patient experienced significant hepatic damage, evidenced by clinical symptoms and laboratory findings.
    • The adverse reactions were temporally associated with Adelphan intake.

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  • Exclusion of other potential causes of liver injury was considered.
  • Implications:

    • Adelphan should be recognized as a potential cause of drug-induced liver injury.
    • Clinicians should consider Adelphan in the differential diagnosis of unexplained hepatic damage.
    • Further investigation into the hepatotoxic mechanisms of Adelphan's components may be warranted.