Table 4.
Hepatoxicity profile of the commonly used drugs to treat coronavirus disease 2019 infection
|
Medication
|
Hepatotoxicity pattern
|
| Dexamethasone | None reported at the dose given for COVID |
| Protease inhibitors (e.g., lopinavir, ritonavir) | Mostly hepatitis pattern with ALT raise up to 6 times the normal, but rarely cholestatic pattern reported[43] |
| Nucleoside analogue: Remdesivir | Hepatitis pattern with mild to moderate ALT raise (up to 6 times the normal)[77] |
| Monoclonal antibodies to IL-6: Tocilizumab | Rarely can cause acute severe hepatitis in patients on concomitant or previous hepatotoxic drug usage[83] |
ALT: Alanine transaminase; COVID: Coronavirus disease; IL-6: Interleukin-6.