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Table 1 Medications commonly implicated in drug-induced liver injuries

From: A case report of nifedipine-induced hepatitis with jaundice

Type

Drug class

Common medications

Dose-dependent

Aniline analgesic

Acetaminophen—very common, ≥ 50% of all cases of DILI [3]

Inhaled anesthetics

Halothane

Idiosyncratic

Antibiotics and other antimicrobials

Amoxicillin-clavulanate, fluoroquinolones (moxifloxacin, levofloxacin), minocycline, tetracycline, nitrofurantoin, trimethoprim-sulfamethoxazole [2, 4], isoniazid [28], erythromycin [29], clindamycin, nafcillin, dicloxacillin, ampicillin, penicillin, cephalexin, rifampin, dapsone, ketoconazole, terbinafine [30], antiretrovirals [31] (efavirenz, nevirapine [9], zidovudine, stavudine [32], didanosine)

Non-steroidal anti-inflammatories (NSAIDs)

Diclofenac, naproxen, acetylsalicylic acid [33], mesalazine, clometacin, sulindac

Antiarrhythmics

Amiodarone [6], quinidine, procainamide

Statins and other lipid-lowering agents

Atorvastatin [34], lovastatin [35], ezetimibe [9], fenofibrate

Antihypertensives

Captopril [9], diltiazem, lisinopril, nifedipine, amlodipine [17], verapamil [24], methyldopa, hydrochlorothiazide, dihydralazine

Antiepileptics, anticonvulsants, anxiolytics

Phenytoin, valproate, bentazepam [34], diazepam, carbamazepine [9], zonisamide

Anti-diabetic agents

Rosiglitazone, troglitazone [9], tolbutamide

Antipsychotics and antidepressants

Chlorpromazine [36], prochlorperazine, haloperidol, amitriptyline, imipramine

Immunosuppressants

Glucocorticoids, methotrexate, azathioprine, cyclophosphamide, mercaptopurine

Chemotherapeutic agents

Cisplatin, oxaliplatin, 5-fluorouracil, floxuridine, tamoxifen

Other notable agents

Propylthiouracil, tacrine, allopurinol, flutamide, estradiol, vitamin A, anabolic steroids, hydroxyurea, danazol, papaverine, dantrolene

  1. These medications are commonly associated with drug-induced liver injuries. Acetaminophen, amoxicillin-clavulanate, amiodarone, atorvastatin, and captopril account for the vast majority of cases. In particular, acetaminophen, isoniazid, propylthiouracil, phenytoin, valproate, and fluoroquinolones account for the vast majority of drug-induced fulminant liver failures [4, 5]