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Drug-induced hepatitis - Overview

Alternative Names

Toxic hepatitis

Definition of Drug-induced hepatitis:

Drug-induced hepatitis is inflammation of the liver that may occur when you take certain medications.

See also:

Causes, incidence, and risk factors:

The liver helps the body break down certain drugs. However, the process is slower in some people, which can make them more likely to get liver damage. Even small doses of certain drugs can cause hepatitis, even if the liver breakdown system is normal. Large doses can overwhelm a normal liver.

Many different drugs can cause drug-induced hepatitis.

Painkillers and fever reducers that contain acetaminophen are a common cause of liver inflammation. These medications can damage the liver when taken in doses that are not much greater than the recommended dose.

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, may also cause drug-induced hepatitis.

Other drugs that can lead to liver inflammation include:

  • Amiodarone
  • Anabolic steroids
  • Birth control pills
  • Chlorpromazine
  • Erythromycin
  • Halothane
  • Methyldopa
  • Isoniazid (used to treat tuberculosis)
  • Methotrexate
  • Statins
  • Reviewed last on: 2/21/2009
  • George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Hoofnagle JH. Acute viral hepatitis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 151.

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