Table 4.
Relative risk of hepatotoxicity associated with individual MMI or CBM compared with PTU
| Events/PTU users | Events/MMI users† | Events/CBM users† | MMI vs. PTU | CBM vs. PTU | |
|---|---|---|---|---|---|
| Adjusted HR (95% CI)* | Adjusted HR (95% CI)* | ||||
| Hepatitis | 21/24 941 | 107/34 361 | 11/12 077 | 3.54 (2.21, 5.65)‡ | 1.04 (0.50, 2.16) |
| Acute liver failure | 12/24 941 | 9/34 361 | 3/12 077 | 0.55 (0.23, 1.32) | 0.53 (0.15, 1.88) |
| Cholestasis | 4/24 941 | 6/34 361 | 3/12 077 | 1.04 (0.29, 3.72) | 1.41 (0.31, 6.33) |
CBM, carbimazole; CI, confidence interval; HR, hazard ratio; MMI, methimazole; PTU, propylthiouracil.
Adjusted for all variables listed in Table 1, with the exceptions of history of hyperthyroidism, hyperlipidaemia and use of neurological drugs for the outcome of acute liver failure as well as presence of pregnancy and chronic kidney diseases for the cholestasis outcome due to small sample size.
The censorship of switch between use of MMI and CBM was considered during analyses of hepatotoxicity risk from individual MMI or CBM.
P < 0.05.