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Hepatitis medicamentosa - Treatment

Nombres alternativos

Hepatitis tóxica

Tratamiento:

No existe tratamiento específico para la mayoría de los casos de hepatitis medicamentosa distinto a la suspensión del fármaco que está causando el problema. La excepción es el paracetamol. El tratamiento se debe iniciar lo más pronto posible después de que usted tome dosis excesivas de paracetamol y haya presentado hepatitis. Ver: sobredosis de paracetamol

Usted debe descansar durante la etapa aguda de la enfermedad, cuando los síntomas son más graves. Si presenta náuseas y vómitos considerables, pueden necesitar la administración de líquidos por vía intravenosa.

Las personas con hepatitis aguda deben evitar el ejercicio físico, el alcohol, el paracetamol y cualquiera otra sustancia que sea dañina para el hígado.

Pronóstico:

Por lo general, la hepatitis medicamentosa desaparece en cuestión de días o semanas después de dejar de tomar el medicamento que la causa.

Posibles complicaciones:

La insuficiencia hepática es una complicación posible pero poco frecuente de la hepatitis inducida por medicamentos.

Cuándo contactar a un profesional médico:

Consulte con el médico si:

  • Presenta síntomas de hepatitis después de comenzar a tomar un nuevo medicamento.
  • Le han diagnosticado hepatitis medicamentosa y los síntomas no mejoran después de dejar de tomar el medicamento.
  • Presenta cualquier síntoma nuevo.
  • Reviewed last on: 11/23/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and 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.

Referencias

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

Teoh NC, Chittun S, Farrell GC. Drug-induced hepatitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 86.

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