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. 2022 Dec 8;2022:4291758. doi: 10.1155/2022/4291758

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.