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[Severe hepatitis attributed to
paroxetine (Seroxat)]
[Article in Dutch]
de
Man RA.
Academisch Ziekenhuis Rotterdam-Dijkzigt, afd. Maag-,
Darm- en Leverzieklen.
A 52-year-old man suffering from chronic
hepatitis B related liver cirrhosis was treated for depression with
paroxetine (Serotax) 5 mg and subsequently 15 mg once daily. A severe
hepatitis with liver failure (jaundice, hypoalbuminaemia, edemas, and
ascites) developed. After the drug was withdrawn the patient recovered
completely. The adverse reaction may be explained by a change in the
pharmacokinetics of the drug caused by the liver cirrhosis. Caution is
required in prescribing long-term paroxetine therapy for patients with
documented liver cirrhosis. The liver function should be monitored and
administration of the drug should be discontinued when functional
disturbances are noticed.
Publication Types:
PMID: 9190513 [PubMed - indexed for
MEDLINE]
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