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. 2017 Feb 6;8(1):26–38. doi: 10.4292/wjgpt.v8.i1.26

Table 3.

Antipsychotics and liver toxicity

Epidemiology Type of lesion Mechanism
Typical
Cloropromazine Jaundice: 0.16%-0.3%[99] Severe DILI: > 350[100,101,115-124] Fatal Injury: 8[102-109] Cholestatic Immuno-allergic
Haloperidol ALT > 3ULN: 2%[110] Severe DILI: 1[111] Cholestatic Immuno-allergic
Atypical
Clozapine ALT > 3ULN: 15%[125] Severe DILI: 16[126-140] Fatal Injury: 2[141,142] Hepatocellular Cholestatic Chronic esteatosis Immuno-allergic Chronic estatosis
Olanzapine ALT > 3ULN: 6%[143] Severe DILI: 7[139,144-149] Hepatocellular Cholestatic Chronic esteatosis Immuno-allergic, Chronic estatosis
Risperidone ALT > 3ULN: 3%[150] Severe DILI: 13[150-162] Hepatocellular Cholestatic Chronic esteatosis Immuno-allergic Chronic estatosis
Quetiapine ALT > 3ULN: 0%[143] Severe DILI: 3[151,163,164] Fatal injury: 2[165,166] ? ?
Ziprasidone Not reported Severe DILI: 1[167] ? ?
Aripiprazole Not reported
Amissulpride Not reported

DILI: Drug-induced liver injury; ALT: Alanine aminotransferase; ULN: Upper normal limit.