Table 2.
Clinical symptoms and functions of drug-induced liver injury.
| Drug | Clinical symptoms | Functions |
|---|---|---|
| Remdesivir | Elevated liver enzymes [92] | Hepatic dysfunction due to an association with P-GP inhibitors [93] |
| Methylprednisolone | Not reported | Modulation of cytokine cascades [52] |
|
| ||
| Tocilizumab | Elevates the serum ALT [26] | Alleviate inflammatory cytokines |
| Acute liver disease | ||
| Acute hepatitis liver transplantation in some cases [93] | ||
| Hydroxychloroquine | Not reported | Relieve inflammation caused by the disease [94–96] |
|
| ||
| Azithromycin | Hepatocellular [97] | (1) Induce acute liver injury within a few days of beginning therapy |
| (2) Clinical signs of cholestatic hepatitis within 1 to 3 weeks of starting treatment [97, 98] | ||
| Interferon-beta | Elevated the ALT/AST/ALP serum [98] | Leads to asymptomatic and minor liver disorders [98] |
| Lopinavir | Significantly high level of serum's aminotransferase [98] | Protease inhibitor [98] |
| Ritonavir | Causes self-limiting and asymptomatic elevated in liver enzymes [98] | Improve lopinavir levels by inhibiting the liver enzyme CYP450; as a consequence, CPY3A4 produces a toxic mediator of ritonavir or other metabolized factors, which causes liver disorders [94–96] |
| Baricitinib | Temporary elevate in transaminase enzyme levels [98, 99] | Inhibitor of JAK-1/2 [98, 99] |
| Oseltamivir | There is no enough detail about its | Effect on liver function [12] |
| Ribavirin | Extreme hemolysis [12] | Broad spectrum [12] |
| ACE inhibitors and ARBs | Promotes the levels of liver enzymes [89] | Not reported |
|
| ||
| Pirfenidone | Promotes the levels of liver enzymes [100] | (1) Suppress liver fibrosis |
| (2) Increase the potential of liver disease [100] | ||
mTOR inhibitors: mammalian target of rapamycin, P-GP: P-glycoprotein, ALT: alanine aminotransferase, ALT: alanine aminotransferase, ALP: alkaline phosphatase, CYP450: cytochrome P450, CPY3A4: cytochrome P450 3A4, JAK-1/2: Janus kinase 1/2, ACE: angiotensin-converting enzyme, and ARBs: angiotensin II receptor blockers.