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. 2022 Jan 26;10(2):192. doi: 10.3390/vaccines10020192

Table 1.

List of all drugs approved for COVID-19, their liver contraindications, risk level of DILI and its most common pattern.

Drug Liver Contraindications Risk Level of DILI DILI Pattern
systemic corticosteroids Generic caution in liver failure + hepatocellular or mixed
tocilizumab ALT > 5 times URL ++ hepatocellular
sarilumab ALT > 1.5 times URL ++ hepatocellular
anakinra Not recommended in severe liver failure (Child-Pugh C) + hepatocellular
baricitinib, tofacitinib, imatinib Not recommended in severe liver failure (Child-Pugh C) + hepatocellular
remdesivir ALT > 5 times URL ++ hepatocellular
low-molecular-weight heparins Generic caution in liver failure + hepatocellular
NSAIDs Contraindicated in severe liver failure (Child-Pugh C), caution in mild or moderate liver failure (indication to use low dosage) ++ hepatocellular
paracetamol Contraindicated in severe liver failure (Child-Pugh C), caution in mild or moderate liver failure (indication to use low dosage) ++++ hepatocellular
antibiotics
amoxicillin-clavulanate
trimethoprim/sulfamethoxazole
azitromicin
+++
++
++
cholestatic
cholestatic
mixed