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J Clin Transl Hepatol. 2014 Jun;2(2):74-9. doi: 10.14218/JCTH.2014.00005. Epub 2014 Jun 15.

An Update on Treatment of Drug-Induced Liver Injury.

Journal of clinical and translational hepatology

Christin Giordano, John Rivas, Xaralambos Zervos

Affiliations

  1. Department of Faculty and Academic Affairs, University of Central Florida, College of Medicine, Orlando, FL, USA.
  2. Digestive Disease Institute, Cleveland Clinic Florida, Weston, FL, USA.

PMID: 26356645 PMCID: PMC4521262 DOI: 10.14218/JCTH.2014.00005

Abstract

Drug-induced liver injury (DILI) has been linked to more than 1,000 medications and remains the most common cause of acute liver failure in the United States. Here, we review the most current literature regarding treatment and make recommendations for the management of this relatively common disease. Since treatment of DILI remains largely elusive, recent studies have attempted to define new management strategies for these difficult patients. Early diagnosis and withdrawal of the suspected medication is the mainstay of treatment of DILI. For acetaminophen and Amanita mushroom poisoning, there are specific therapies in use. Finally, there are other possible management modalities for DILI, including corticosteroids and ursodeoxycholic acid.

Keywords: Acetaminophen toxicity; Drug-induced liver injury; Hepatotoxicity

References

  1. Dig Dis Sci. 2011 Apr;56(4):958-76 - PubMed
  2. J Dig Dis. 2009 Aug;10 (3):195-200 - PubMed
  3. Ann Surg. 2004 May;239(5):660-7; discussion 667-70 - PubMed
  4. Semin Liver Dis. 2009 Nov;29(4):337-47 - PubMed
  5. Ann Emerg Med. 2009 Oct;54(4):606-14 - PubMed
  6. Expert Opin Pharmacother. 2010 Jul;11(10):1673-82 - PubMed
  7. Aliment Pharmacol Ther. 2007 May 15;25(10 ):1135-51 - PubMed
  8. Hepatol Res. 2003 Nov;27(3):192-195 - PubMed
  9. Am J Gastroenterol. 2007 Mar;102(3):558-62; quiz 693 - PubMed
  10. Toxicol Sci. 2013 Apr;132(2):276-83 - PubMed
  11. Toxicol Pathol. 2005;33(1):155-64 - PubMed
  12. J Pharmacol Exp Ther. 2012 Aug;342(2):529-40 - PubMed
  13. Gastroenterology. 2009 Sep;137(3):856-64, 864.e1 - PubMed
  14. Gastroenterology. 2013 Jun;144(7):1419-25, 1425.e1-3; quiz e19-20 - PubMed
  15. Drug Saf. 2001;24(7):483-90 - PubMed
  16. Aliment Pharmacol Ther. 2006 Oct 15;24(8):1187-95 - PubMed
  17. Int J Hepatol. 2012;2012:487480 - PubMed
  18. Hepatology. 2009 Jun;49(6):2001-9 - PubMed
  19. Gastroenterology. 2008 Dec;135(6):1924-34, 1934.e1-4 - PubMed
  20. Hepatology. 2010 Feb;51(2):615-20 - PubMed
  21. Cleve Clin J Med. 2010 Mar;77(3):195-204 - PubMed
  22. Ann Intern Med. 2002 Dec 17;137(12):947-54 - PubMed
  23. Gastroenterology. 2005 Aug;129(2):512-21 - PubMed
  24. Hepatology. 2001 Jan;33(1):123-30 - PubMed
  25. Intern Med. 2012;51(9):1077-80 - PubMed
  26. Digestion. 2011;84(1):54-9 - PubMed
  27. Liver Transpl. 2012 Jul;18(7):803-10 - PubMed
  28. Ann Emerg Med. 2007 Sep;50(3):292-313 - PubMed
  29. Gastroenterology. 1989 Aug;97(2):439-45 - PubMed
  30. Hepatology. 1997 Sep;26(3):664-9 - PubMed
  31. Hepatology. 2008 Oct;48(4):1175-83 - PubMed

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