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Journal of Education, Health and Sport

The current state of the problem of drug hepatotoxicity and measures of its prevention and treatment
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The current state of the problem of drug hepatotoxicity and measures of its prevention and treatment

Authors

  • Volodymyr Shmanko I. Horbachevsky Ternopil National Medical University https://orcid.org/0000-0003-1128-200X
  • Oleh Shmanko I. Horbachevsky Ternopil National Medical University https://orcid.org/0000-0001-8029-9433
  • Tetyana Lazarchuk I. Horbachevsky Ternopil National Medical University https://orcid.org/0000-0002-3357-1091

DOI:

https://doi.org/10.12775/JEHS.2023.30.01.010

Keywords

drug hepatotoxicity, measures of its prevention and treatment, new approaches

Abstract

Drug use is one of the most important causes of liver damage and ranks 3rd after viral diseases and alcohol.

Hepatotoxicity of drugs remains one of the urgent problems of modern medicine, as it leads to a decrease in the effectiveness of pharmacotherapy, development of serious complications that can cause disability and death. Such a side effect increases the length of stay of patients in the hospital and increases the cost of treatment. That is, the problem of hepatotoxicity is not only a medical, but also a social problem.

Research sources focused on modern views about drug hepatotoxicity are reviewed and summarized and new approaches to its prevention and treatment are analyzed.

Conclusions. Hepatotoxicity of drugs remains one of the urgent problems of modern medicine, as it leads to a decrease in the effectiveness of pharmacotherapy, development of serious complications that can cause disability and death. Such a side effect increases the length of stay of patients in the hospital and increases the cost of treatment. That is, the problem of hepatotoxicity is not only a medical, but also a social problem.

References

Kushnir I.E. (2020) Drug-induced liver injury: epidemiology, clinical manifestations, diagnostic criteria and principles of treatment. Health of Ukraine. Special issue "Gastroenterology. Hepatology. Coloproctology", 55(1):10-12.

Tkach S.M. (2018). Epidemiology, pathogenesis, diagnosis and treatment of drug-induced liver damage. Health of Ukraine, 53(2):31-33.

EASL Clinical Practice Guidelines: Drug-induced liver injury (2019). Journal of Hepatology:1-40.

Nedashkivskyi S.M. (2019). Drug-induced liver damage: principles of diagnosis, pathological changes and approaches to treatment. Emergency medicine, 97(2):63-70.

MacLaren. (2010) Hepatic and cholestatic disease. Drug-induced disease. Prevention. Detection and management. American Society of Health System, Pharmacist, Bethesta, сhapter 40:771–800.

Chalasani N., Björnsson E. (2010) Risk Factors for Idiosyncratic Drug-Induced Liver Injury // Gastroenterology, 138(7):2246-2259.

Chalasani N., Fontana R.J., Bonkovsky H.L. et al. (2008) Causes, clinical features, and outcomes from a prospective study of drug-induced liver injury in the United States // Gastroenterology, 135:1924-1934.

Kharchenko N.V., Anokhina G.A., Kharchenko V.V. (2013) Complex multifunctional hepatoprotectors in the treatment of patients with non-alcoholic liver disease in comorbidity with hypertension. Medical Practitioner, 1:64–66.

Aithal G.P., Watkins P.B., Andrade R.J. et al. (2011) Case definition and phenotype standardization in drug–induced liver injury. Clin. Pharmacol. Ther., 89(6):806–815.

Bell L.N., Chalasani N. (2009) Epidemiology of idiosyncratic drug-induced liver injury. Semin. Liver Dis., 29 (4):337–347.

Leitner J. M., Graninger W., Thalhammer F. (2010) Hepatotoxicity of antibacterials: Pathomechanisms and Clinical. Infection., 38(1):3–11.

Mengoli M., Parmeggiani D., Mengoli M.C. et al. (2011) Drug-induced hepatotoxicity: clinical and biochemical features of 26 patients and a review of the literature. Recenti Prog. Med., 102(6):253–260.

Robles M., Toscano E., Cotta J. et al. (2010) Antibiotic-induced liver toxicity: mechanisms, clinical features and causality assessment. Curr Drug Saf., 5 (3):212–222.

Ye Н., Nelson L., Gоmez del Moral M. et al. (2018) Dissecting the molecular pathophysiology of drug-induced liver injury // World J Gastroenterol., 13(24):1373-1385.

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Published

2023-07-28

How to Cite

1.
SHMANKO, Volodymyr, SHMANKO, Oleh and LAZARCHUK, Tetyana. The current state of the problem of drug hepatotoxicity and measures of its prevention and treatment. Journal of Education, Health and Sport. Online. 28 July 2023. Vol. 30, no. 1, pp. 1106-115. [Accessed 29 June 2025]. DOI 10.12775/JEHS.2023.30.01.010.
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Issue

Vol. 30 No. 1 (2023)

Section

Review Articles

License

Copyright (c) 2023 Volodymyr Shmanko, Oleh Shmanko, Tetyana Lazarchuk

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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