Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review

Drug-induced liver injury (DILI) has become a serious public health problem. For the management of DILI, discontinuation of suspicious drug or medicine is the first step, but the treatments including drugs and supporting approaches are needed. Reference to clinical patterns and disease severity grad...

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Main Authors: Meng Li, Qiong Luo, Yanyan Tao, Xin Sun, Chenghai Liu
Formato: Artigo
Idioma:English
Publicado em: Frontiers Media S.A. 2022-01-01
Colecção:Frontiers in Pharmacology
Assuntos:
Acesso em linha:https://www.frontiersin.org/articles/10.3389/fphar.2021.806249/full
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author Meng Li
Qiong Luo
Yanyan Tao
Xin Sun
Xin Sun
Chenghai Liu
Chenghai Liu
Chenghai Liu
Chenghai Liu
author_facet Meng Li
Qiong Luo
Yanyan Tao
Xin Sun
Xin Sun
Chenghai Liu
Chenghai Liu
Chenghai Liu
Chenghai Liu
author_sort Meng Li
collection DOAJ
description Drug-induced liver injury (DILI) has become a serious public health problem. For the management of DILI, discontinuation of suspicious drug or medicine is the first step, but the treatments including drugs and supporting approaches are needed. Reference to clinical patterns and disease severity grades of DILI, the treatment drugs were considered to summarize into hepatoprotective drugs (N-acetylcysteine and Glutathione, Glycyrrhizin acid preparation, Polyene phosphatidylcholine, Bicyclol, Silymarin), anticholestatic drug (Ursodeoxycholic acid, S-adenosylmethionine, Cholestyramine), immunosuppressants (Glucocorticoids) and specific treatment agents (L-carnitine, Anticoagulants). The current article reviewed the accumulated literature with evidence-based medicine researches for DILI in clinical practice. Also the drawbacks of the clinical studies involved in the article, unmet needs and prospective development for DILI therapy were discussed.
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spelling doaj.art-901b8ade1ccd416fad1d57c7c2bb24832022-12-22T04:04:11ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-01-011210.3389/fphar.2021.806249806249Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature ReviewMeng Li0Qiong Luo1Yanyan Tao2Xin Sun3Xin Sun4Chenghai Liu5Chenghai Liu6Chenghai Liu7Chenghai Liu8Institute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShanghai Key Laboratory of Traditional Chinese Clinical Medicine, Shanghai, ChinaInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShanghai Key Laboratory of Traditional Chinese Clinical Medicine, Shanghai, ChinaKey Laboratory of Liver and Kidney Diseases, Ministry of Education, Shanghai, ChinaShanghai Innovation Center of TCM Health Service, Shanghai, ChinaDrug-induced liver injury (DILI) has become a serious public health problem. For the management of DILI, discontinuation of suspicious drug or medicine is the first step, but the treatments including drugs and supporting approaches are needed. Reference to clinical patterns and disease severity grades of DILI, the treatment drugs were considered to summarize into hepatoprotective drugs (N-acetylcysteine and Glutathione, Glycyrrhizin acid preparation, Polyene phosphatidylcholine, Bicyclol, Silymarin), anticholestatic drug (Ursodeoxycholic acid, S-adenosylmethionine, Cholestyramine), immunosuppressants (Glucocorticoids) and specific treatment agents (L-carnitine, Anticoagulants). The current article reviewed the accumulated literature with evidence-based medicine researches for DILI in clinical practice. Also the drawbacks of the clinical studies involved in the article, unmet needs and prospective development for DILI therapy were discussed.https://www.frontiersin.org/articles/10.3389/fphar.2021.806249/fulldrug-induced liver injuryacute liver failurepharmacotherapyhepatoprotective druganticholestatic drug
spellingShingle Meng Li
Qiong Luo
Yanyan Tao
Xin Sun
Xin Sun
Chenghai Liu
Chenghai Liu
Chenghai Liu
Chenghai Liu
Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review
Frontiers in Pharmacology
drug-induced liver injury
acute liver failure
pharmacotherapy
hepatoprotective drug
anticholestatic drug
title Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review
title_full Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review
title_fullStr Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review
title_full_unstemmed Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review
title_short Pharmacotherapies for Drug-Induced Liver Injury: A Current Literature Review
title_sort pharmacotherapies for drug induced liver injury a current literature review
topic drug-induced liver injury
acute liver failure
pharmacotherapy
hepatoprotective drug
anticholestatic drug
url https://www.frontiersin.org/articles/10.3389/fphar.2021.806249/full
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