Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Rapid Improvement of Icterus and Pruritus by the Oral Administration of Colestimide in Two Cases of Drug-induced Hepatitis
Mitsunori TANIYoshikazu HAYASHISatoshi OKAMOTOShiro YOKOHAMAMamoru INABAHiroshi KUBOTAKimihide NAKAMURA
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2001 Volume 40 Issue 11 Pages 1098-1103

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Abstract

We report two cases of drug-induced hepatitis refractory to therapy of ursodeoxycholic acid and prednisolone, who were relieved of icterus and pruritus immediately by the oral administration of colestimide. Their liver dysfunction was not improved, by withdrawal of causative drugs or by treatment with prednisolone and ursodeoxycholic acid. Colestimide (3.0 g/day), a strong basic anion-exchange resin, was orally taken before breakfast and evening meal, leading to rapid and complete relief of icterus and pruritus. These cases suggested that colestimide would be useful for patients with cholestasis in drug-induced hepatitis, because this agent has few side effects and it is easy to take.
(Internal Medicine 40: 1098-1103, 2001)

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