Table 5. Comparison of beta blocker hepatotoxicity cases.
Reference | Drug | Age (Years)/ Sex | Symptoms, signs and labs | Outcome | |
Repeat Exposure | |||||
Kootte, et al. [26] | Sotalol | 68/Female | Elevated Liver enzymes | Liver functions Normalized in five months after discontinuation of the drug. | Unknown |
Hagmeyer and Stein [27] | Carvedilol | 40/Male | Pruritis, elevated serum transaminases | Carvedilol was discontinued, symptoms improved with hydroxyzine. The drug was discontinued and liver enzymes improved after three weeks. | One year later, the patient was started on metoprolol and developed pruritus in 10 days and the drug was stopped. Liver enzymes remained normal. |
Dumortier, et al. [23] | Atenolol | 57/Female | Asthenia and elevated liver enzymes | Liver biopsy showed portal and centrilobular inflammation. After receiving steroids, liver function tests improved but were still elevated; repeat biopsy showed necrosis in centrilobular areas with pigmented macrophages. Liver function tests normalized two months after discontinuation of atenolol. Control liver biopsy in seven months showed disappearance of centrilobular lesions. | No |