Even though gabapentin is typically safe for the liver, the rare cases of hepatotoxicity might be a dealbreaker for certain patients. The good news is that it’s far from the only medication for epilepsy and nerve pain. This article delves deep into the relationship between gabapentin and liver health, exploring mechanisms of action, potential side effects, case studies, and recommendations for monitoring liver function during treatment. A drug-induced liver injury is one of the most common causes of acute liver failure. While acetaminophen is the most common etiology, other offending medications include amoxicillin-clavulanic Gabapentin, a water-soluble amino acid, is eliminated unchanged by the kidneys and there is no appreciable metabolism by the liver. However, there are a few descriptions of gabapentin-related Gapentin is not metabolized by the liver, and its effects on the liver and kidneys are similar to previous studies. In rare cases, gabapentin can cause DRESS (drug reaction with eosinophilia and systemic symptoms). LiverTox® provides regularly updated, unbiased and easily accessed information on the diagnosis, cause, frequency, clinical patterns and management of liver injury attributable to prescription and nonprescription medications and selected herbal and dietary supplements. The LiverTox site is meant as a resource for both physicians and patients as well as for clinical academicians and Gabapentin lacks liver metabolism; the mechanism by which it produces liver injury is still unknown; however, there are reports of hepatotoxicity associated with its administration, so its use must be individualized for each patient. Purpose: Trazodone and gabapentin are commonly used treatments. We report a rare case of trazodone and gabapentin-induced liver injury. Case: A 40-year-old woman with a history of depression presented jaundice. She had no other complaints. The patient denied risk factors for acute and chronic liver disease. Introduction: Gabapentin is an anti-convulsant that is also used off-label to treat neuropathic pain. It is not metabolized by the liver, and there have been few reports of hepatotoxity associated with it. We present a rare case of gabapentin-induced hepatotoxicity occurring in a young male. Case Description/Methods: A 41-year-old male with an extensive past medical history including type 1 Gabapentin is an uncommon cause of DILI reported to cause a hepatocellular, cholestatic, or mixed picture of liver injury. Given the limitations of prior cases, we feel our report most closely ties gabapentin use to the resultant transaminase elevation. Gabapentin has been implicated in isolated cases of acute liver injury, but in most instances the association was weakened by the coadministration with other potentially hepatotoxic agents. Too few cases have been reported in sufficient detail to characterize the clinical features of the associated injury. Am J Ther. 2022 Nov-Dec;29 (6):e751-e752. doi: 10.1097/MJT.0000000000001208. Epub 2020 Jun 5. 1 Internal Medicine, SUNY Upstate Medical University, Syracuse, NY. 2 Gastroenterology, SUNY Upstate Medical University, Syracuse, NY. Gabapentin-Induced Liver Toxicity Chahal, Japjot MD 1; Arif, Muhammad Osman MD 2; Achufusi, Ted George MD 1 Author Information Discussion: Gabapentin induced liver injury is rare with few reported cases, many of which did not exclude other etiologies. In this case, the key elements of diagnosing DILI were met including gabapentin initiation closely preceding liver injury, other etiologies excluded, and discontinuation of gabapentin leading to improvement. Gabapentin should only be given in the tablet or capsule form because the human liquid version of gabapentin contains xylitol which is highly toxic to dogs and can cause liver toxicity and death! Before giving your dog gabapentin, you should mention to your veterinarian any other medications that your dog is currently taking. Liver and renal functions were impaired by gabapentin; where hepatotoxicity was associated by an imbalance in the redox status. However, magnesium only elevated blood urea nitrogen (BUN). Antiepileptic drugs (AEDs) are a common cause of drug induced liver injury (DILI). Over the last few decades, several newer AEDs were approved for marketing in the United States, and they are increasingly prescribed for indications other than Key takeaways: Gabapentin (Neurontin, Horizant, Gralise) usually isn’t bad for your liver or kidneys. In most cases, it has no harmful effect on these organs. In rare instances, gabapentin can cause DRESS (drug reaction with eosinophilia and systemic symptoms) syndrome. Gabapentin, a gamma-aminobutyric acid (GABA) analogue, has infrequently been reported to cause liver injury; however, the causality in the previous reports is contested. Herein, we report a A drug-induced liver injury is one of the most common causes of acute liver failure. While acetaminophen is the most common etiology, other offending medications include amoxicillin-clavulanic acid, amiodarone, isoniazid, and fluoroquinolones to name a few. Gabapentin, a gamma-aminobutyric acid (GAB
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