Table 3.
Characteristics and medication lists for patients with persistent grade 3 or greater laboratory abnormalities (n = 9 patients with 10 abnormalities)
Type of abnormality | Condition treated | Concurrent meds | Change in meds before abnormality? | Naranjo score for Hydroxychloroquine | |
---|---|---|---|---|---|
Patient 1 | Glucose | Sarcoidosis | Glimepiride, Sertraline, Losartan, Ranitidine, Metformin | No | 0, doubtful |
Patient 2 | Lymphocyte | Livedo reticularis | Amlodipine, Aspirin | No | 2, possible |
Patient 3 | Hemoglobin | Systemic lupus erythematous | Mycophenolate, Amlodipine, Spironolactone, Losartan, Chlorthalidone | Mycophenolate increased to 500 mg BID at appointment 1 month prior | 1, possible |
Patient 4 (2 abnormalities) | Alanine transferase, Alkaline phosphatase | Rheumatoid arthritis | Hydroxyzine, Sertraline, Fexofenadine, Ursodiol, Rifampin | No | 0, doubtful |
Patient 5 | Lymphocyte | Systemic lupus erythematous | Omeprazole, Mycophenolate Prednisone, Amlodipine, Lisinopril | Prednisone started 2–3 weeks prior | 1, possible |
Patient 6 | Glucose | Rheumatoid arthritis | Insulin lispro, Atorvastatin, Candesartan, Metformin, Tamsulosin, Methotrexate, Metoprolol | Atorvastatin increased to 40 mg 8 weeks prior | 0, doubtful |
Patient 7 | GFR | Cryoglobulinemia | Aspirin, Gabapentin, Mycophenolate, Hydrochlorothiazide | No | 0, doubtful |
Patient 8 | GFR | Systemic lupus erythematous | Furosemide, Warfarin, Benazepril, Levothyroxine, Gabapentin, Atorvastatin | Furosemide dose doubled 2 months prior | 0, doubtful |
Patient 9 | GFR | Granuloma annulare | Pentoxifylline, remainder of meds unknown | Unknown | 0, doubtful |
LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012–. Adverse Drug Reaction Probability Scale (Naranjo) in Drug Induced Liver Injury. 2019 May 4. PMID: 31689026
GFR glomerular filtration rate