Skip to main content
Therapeutic Advances in Chronic Disease logoLink to Therapeutic Advances in Chronic Disease
. 2021 Apr 12;12:20406223211002790. doi: 10.1177/20406223211002790

Corrigendum to “Drug-induced liver injury after switching from tamoxifen to anastrozole in a patient with a history of breast cancer being treated for hypertension and diabetes”

PMCID: PMC8047821  PMID: 33912329

Potmešil P and Szotkowská R. Drug-induced liver injury after switching from tamoxifen to anastrozole in a patient with a history of breast cancer being treated for hypertension and diabetes. Ther Adv Chronic Dis 2020; 11: 1–11. DOI: 10.1177/2040622320964152.

In the above-referenced article, after the paper is published further changes are made in Tables 2 and 3.

Table 2.

Selected biotransformation data for drugs taken by the patient.

Drug name Metabolism Substrate of CYP enzymes Inhibitor of CYP enzymes? Inductor of CYP enzymes? Hepatic side effects of the drug written in SPC? Effect of renal insufficiency on pharmacokinetics? Reference SPC, date of SPC revision Other references
Amlodipine 5 mg daily CYP enzymes 3A4 Yes: 1A2, 2C9/19, 3A4 No Very rare No Agen® 2016 Wishart et al.4
Anastrozole 1 mg daily CYP enzymes, UGT 3A4/5/7 2C8, 2D6, 2B6 Yes: 1A2, 2C9, 3A4 No Very rare No Arimidex® Hertz et al.,3 Wishart et al.,4 Isaacs et al.39
Betaxolol 20 mg daily CYP enzymes 1A2, 2D6 Yes: 2D6 No No Yes, the dosage should be reduced if creatinine clearance <20 ml/min. Betamed® 2013 Wishart et al.4
Hydrochlorothiazide 12.5 mg daily Not metabolized in the liver N/A N/A N/A Yes, rare Yes, hydrochlorothiazide is contraindicated if creatinine clearance <30 ml/min. Micardis Plus® Hydrochloro-thiazide Léčiva®
Gliquidone 60 mg daily CYP enzymes 3A4, 2C9 3A4 No No No Glurenorm® 2016
Metformin 500 mg daily No metabolism, renal route of elimination No No No Very rare Yes Metformin Zentiva ® 2017
Rilmenidine 2 mg daily Very modest biotransformation Yes No No no No; if creatinine clearance >15 ml/min. Tenaxum® 2017
Rosuvastatin 20 mg daily CYP enzymes Mainly 2C9; 2C19, 3A4, 2D6 No No Possible AST, ALT increase No Crestor® 2017
Previous tamoxifen 20 mg daily CYP enzymes Mainly 3A4/5,2D6 Then 2B6, 2C9/19 Yes:1A2, 2D6 No Very rare No Tamoxifen Ebewe® 2016 Wishart et al.,4 Isaacs et al.39
Telmisartan 80 mg daily before hospitalization (40 mg daily during hospitalization) By conjugation to acylglucuronide No Yes: 2C19 No Rare, in Japanese No Micardis® 2016 Wishart et al.,4 Weiss et al.36

CYP enzymes, biotransformation enzymes belonging to the cytochrome P450 family; N/A, not applicable; SPC, summary of product characteristics; UGT, uridine diphosphate glucuronosyltransferase. Drugs highlighted in bold (anastrozole, meformin, rosuvastatin, tamoxifen) were not prescribed during hospitalization. The other drugs (not highlighted in bold) were taken before admission to the hospital and also during the hospital care.

Table 3.

Effect of drugs on the transporters involved in pharmacokinetic processes or the handling of bilirubin and bile salts.

Transporter BSEP BCRP MDR1 (P-gp) MRP2 MRP3 MRP4 NTCP OATP1B1 OCT1 Deferm et al.,37 Giacomini and Sugiyama,40 Jansen54
Other name ABC B11 ABC G2 ABC B1 ABC C2 ABC C3 ABC C4 SLC10 A1 SLCO1B1 SLC22A1 Wishart et al.,4 Konig et al.,33 Deferm et al.,37 Jansen,54 Fernández-Murga et al.55
Hepatocyte membrane Canalicular apical Canalicular apical Canalicular apical Canalicular apical Sinusoidal basolateral Sinusoidal basolateral Sinusoidal basolateral Sinusoidal basolateral Sinusoidal basolateral Deferm et al.,37 Jansen,54 Fernández-Murga et al.55
Function Efflux Efflux Efflux Efflux Efflux Efflux Uptake Uptake Uptake Deferm et al.,37 Fernández-Murga et al.55
Amlodipine ? Inhibitor Substrate, inhibitor ? ? ? ? ? ? Wishart et al.,4 Yang et al.,16 Giacomini and Sugiyama,40 Ivanyuk et al.53
Anastrozole ? ? Non-substrate non-inhibitor ? ? ? ? ? ? Wishart et al.,4 Yang et al.,16 Giacomini and Sugiyama 40
Betaxolol ? ? Substrate non-inhibitor ? ? ? ? ? ? Wishart et al.,4 Yang et al.16
Hydro- chlorothiazide ? ? ? ? ? Renal MRP4 substrate, inhibitor ? ? ? Wishart et al.,4 Yang et al.,16 Ivanyuk et al.53
Gliquidone ? ? Substrate, inhibitor ? ? ? ? ? ? Wishart et al.,4 Yang et al.16
Metformin Inhibitor ? Non-substrate, non-inhibitor ? ? ? ? ? Substrate, inhibitor Deferm et al.,37 Morris and Morse,51 Ivanyuk et al.53
Rilmenidine ? ? ? ? ? ? ? ? ? Wishart et al.,4 Yang et al.16
Rosuvastatin Substrate Substrate Non-substrate, non-inhibitor Substrate ? Substrate Substrate Substrate inhibitor ? Wishart et al.,4 Giacomini and Sugiyama,40 Hu et al.,41 Corsini and Bortolini,49 Morris and Morse51
previous tamoxifen Substrate, Inhibitor Substrate Substrate: induces MDR1 expression inhibits its action. Inhibitor Inhibitor Inhibitor ? ? OCTN2, inhibitor Wishart et al.,4 Keppler,35 Deferm et al.,37 Kock et al.,47 Ivanyuk et al.53
Telmisartan Inhibitor Inhibitor Inhibitor Inhibitor, substrate ? ? ? ? Inhibitor Wishart et al.,4 Weiss et al.,36 Hu et al.,41 Ivanyuk et al.53

BCRP/ABCG2, breast cancer resistant protein/ATP-binding cassette subfamily G2; BSEP/ABCB-11, bile salt export pump/ATP-binding cassette protein subfamily B-11; MDR-1, multidrug resistance protein-1 or P-glycoprotein is an expression for ABCB1; MRP-2/ABCC2, multidrug resistance-associated protein-2/ATP-binding cassette protein subfamily C 2; MRP-3/ABCC3, multidrug resistance-associated protein-3/ATP-binding cassette protein subfamily C-3; MRP-4/ABCC4, multidrug resistance-associated protein-4/ATP-binding cassette protein subfamily C-4; NTCP, sodium taurocholate co-transporter polypeptide that is, solute carrier family 10 transporter A1; OATP1B1, organic anion transport protein 1B1 that is, SLCO 1B1, solute carrier organic anion transporter family member 1B1; OCT1, organic cation transporter, that is, SLC22A1, solute carrier family 22 transporter A1; OCTN2, organic cation/carnitine transporter.

“?” means that information regarding the effect of the drug on the transporter was not found in Drugbank database or in other literature sources specified in the right-hand column of Table 3.

Note: Drugs highlighted in bold (anastrozole, metformin, rosuvastatin and previous tamoxifen) were not prescribed in the hospital. The other drugs (not highlighted in bold) were taken before admission to the hospital and also during the hospital care.

The online version of the paper has been corrected.


Articles from Therapeutic Advances in Chronic Disease are provided here courtesy of SAGE Publications

RESOURCES