Drug-induced liver injury...... ( DILI )




Drug-induced liver injury (DILI) is an injury of the liver that may occur when you take certain medicines.

Examples :- 
    • Amiodarone
    • Anabolic steroids
    • Birth control pills
    • Chlorpromazine
    • Erythromycin
    • Halothane (a type of anesthesia)
    • Methyldopa
    • Isoniazid
    • Methotrexate
    • Statins
    • Sulfa drugs
    • Tetracyclines
    • Amoxicillin-clavulanate
  • Some anti-seizure medicines
findings :-
  • Abdominal pain
  • Dark urine
  • Diarrhea
  • Fatigue
  • Fever
  • Headache
  • Jaundice
  • Loss of appetite
  • Nausea and vomiting
  • Rash
  • White or clay-colored stools
  • elevated liver enzymes 
  • enlaged liver and right hypochonderial tenderness
Treatment :-
  • The only specific treatment for most cases of liver damage caused by taking a drug is to stop taking the drug that caused the problem.

  • However, if you took high doses of acetaminophen, you should get treated for liver injury in the emergency department or other acute treatment setting as soon as possible.

  • If symptoms are severe, you should rest and avoid heavy exercise, alcohol, acetaminophen, and any other substances that might harm the liver. You may need to get fluids through a vein if nausea and vomiting are severe.

N.B:-  rarely complicated by liver failure