Description
This article is from the Interpretation Of
Lab Test Profiles, by Ed Uthman uthman@neosoft.com with
numerous contributions by others.
24 Drugs known to cause hepatocellular damage include the following:
acetaminophen allopurinol aminosalicylic acid amitriptyline
androgens asparaginase aspirin azathioprine
carbamazepine chlorambucil chloramphenicol chlorpropamide
dantrolene disulfiram estrogens ethanol
ethionamide halothane ibuprofen indomethacin
iron salts isoniazid MAO inhibitors mercaptopurine
methotrexate methoxyflurane methyldopa mithramycin
nicotinic acid nitrofurantoin oral contraceptives papaverine
paramethadione penicillin phenobarbital phenazopyridine
phenylbutazone phenytoin probenecid procainamide
propylthiouracil pyrazinamide quinidine sulfonamides
tetracyclines trimethadione valproic acid
Disproportionate elevation of direct (conjugated) bilirubin is
seen in cholestasis and late in the course of chronic liver
disease. Indirect (unconjugated) bilirubin tends to predominate
in hemolysis and Gilbert's disease.
Decreased serum total bilirubin is probably not of clinical
significance but has been observed in iron deficiency anemia.
 
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