Document Detail


Hepatotoxicity from antithyroid drugs.
MedLine Citation:
PMID:  4007783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We review the cases of hepatic injury from propylthiouracil, methimazole and carbimazole in the English language literature and compare them to cases of agranulocytosis in a recent review. The data on hepatotoxicity confirm the findings for agranulocytosis that low-dose methimazole is safer than propylthiouracil and that methimazole toxicity is more common over 40 years old. In contrast, propylthiouracil hepatotoxicity often occurs in younger patients. Most cases of hepatic injury occur in the first few months of drug therapy as with agranulocytosis. The reason that methimazole typically causes cholestatic hepatitis while propylthiouracil causes cytotoxic hepatitis remains unknown.
Authors:
A C Vitug; J M Goldman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hormone research     Volume:  21     ISSN:  0301-0163     ISO Abbreviation:  Horm. Res.     Publication Date:  1985  
Date Detail:
Created Date:  1985-08-12     Completed Date:  1985-08-12     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0366126     Medline TA:  Horm Res     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  229-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Agranulocytosis / chemically induced
Carbimazole / adverse effects*
Child
Drug-Induced Liver Injury*
Female
Humans
Male
Methimazole / adverse effects*
Middle Aged
Propylthiouracil / adverse effects*
Chemical
Reg. No./Substance:
22232-54-8/Carbimazole; 51-52-5/Propylthiouracil; 60-56-0/Methimazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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