Fluoxetine-induced Acute Toxic Hepatitis.
- Author:
Seong Jae KWAK
1
;
Heung Young OH
;
Mi Ae YEO
;
Soo Hyun PARK
;
Jee Soo KIM
;
Joon Sang LEE
;
Joong Seo LEE
;
Hyung Gun KIM
Author Information
1. Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Fluoxetine;
Adverse effect;
Hepatitis/Toxic/Drug-induced
- MeSH:
Alanine Transaminase;
Antidepressive Agents, Tricyclic;
Aspartate Aminotransferases;
Biopsy;
Central Nervous System;
Cholestasis;
Drug-Induced Liver Injury*;
Fluoxetine;
Headache;
Hepatitis;
Hepatocytes;
Humans;
Korea;
Liver;
Liver Diseases;
Liver Function Tests;
Lymphocytes;
Nausea;
Serotonin
- From:The Korean Journal of Hepatology
2000;6(2):236-240
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fluoxetine (Prozac ) is a antidepressant that inhibits the reuptake of serotonin in central nervous system, and has lesser adverse effects than the tricyclic antidepressants. The adverse effects of this drug are various, and the most common side effects are headache and nausea. The hepatic injury caused by fluoxetine is reported but very rare and not well known. Literature review has shown only 3 cases of hepatotoxicity from fluoxetine. We regard our case as the first of the hepatotoxicity from fluoxetine in Korea. The patient that we experienced showed normal aspartate aminotransferase (AST) and alanine aminotransferase (ALT) values before fluoxetine administration. 15 days after she took fluoxetine, AST and ALT values were increased and gradually increased as she took fluoxetine daily. We studied about viral hepatitis, metabolic liver disease, and autoimmune liver disease, but the cause of hepatic injury was not established. After the patient stopped to take fluoxetine, AST and ALT values decreased. A liver biopsy showed a moderate infiltration within the portal tracts with lymphocytes and ballooning degeneration of hepatocytes. We concluded fluoxetine-induced acute toxic hepatitis had occured. We must keep in mind that fluoxetine may cause hepatitis without cholestasis and suggest taking liver function tests regularly.
