Chang Cheng-Chen, Chen Yen-Jen, Chen Yu-An, Liao Yi-Cheng
Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan.
School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Clin Psychopharmacol Neurosci. 2021 Nov 30;19(4):789-792. doi: 10.9758/cpn.2021.19.4.789.
Although agomelatine may be associated with an increased risk of hepatotoxicity, the incidence rate of acute hepatitis seemed divergent between clinical trials and daily practice. Whether aging or gender is a risk factor in developing hepatotoxicity due to agomelatine is not clear. We present 3 older female cases with acute hepatitis occurring due to highly probable idiosyncratic drug-induced liver injury caused by agomelatine. From these cases, regular surveillance on liver function in the older women taking antidepressants would be of benefits.
尽管阿戈美拉汀可能与肝毒性风险增加有关,但急性肝炎的发病率在临床试验和日常实践中似乎存在差异。阿戈美拉汀导致肝毒性的风险因素是否为年龄或性别尚不清楚。我们报告3例老年女性病例,她们因阿戈美拉汀极有可能导致特异质性药物性肝损伤而发生急性肝炎。从这些病例来看,对服用抗抑郁药的老年女性进行肝功能定期监测将有益处。