title: [Dextropropoxyphene hepatotoxicity: four cases and literature review].
abstract: We report 4 cases of hepatic injury in patients treated with a dextropropoxyphene-paracetamol combination in which the causal relationship with dextropropoxyphene can be suspected. These four cases show similarities with the 29 cases found in international publications. Hepatotoxicity occurs more frequently among old patients and women. Clinically, this condition can mimic a biliary tract disease with sometimes few or no symptoms. Biochemical criteria can show cholestatic, mixed or cytolytic hepatitis. Intrahepatic cholestasis may be found in liver biopsies sometimes suggesting cholangitis. Outcome is favourable on withdrawal of the drug. The mechanism of action of dextropropoxyphene is discussed.
authors.affiliation: Centre Régional de Pharmacovigilance, Hôpital de Bellevue, St-Etienne, France.
authors.forename: L
authors.initials: L
authors.lastname: Bergeron
authors.forename: C
authors.initials: C
authors.lastname: Guy
authors.forename: M
authors.initials: M
authors.lastname: Ratrema
authors.forename: M N
authors.initials: MN
authors.lastname: Beyens
authors.forename: G
authors.initials: G
authors.lastname: Mounier
authors.forename: M
authors.initials: M
authors.lastname: Ollagnier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000009:adverse effects*; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology*; D011431:Dextropropoxyphene / Q000009:adverse effects*; D005260:Female; D006801:Humans
chemical_list: D000701:Analgesics, Opioid; D011431:Dextropropoxyphene