Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Feb;53(1):55-58.
doi: 10.1177/0018578717738079. Epub 2017 Nov 3.

Acute Hepatocellular Jaundice After Dofetilide Initiation: A Case Report

Affiliations

Acute Hepatocellular Jaundice After Dofetilide Initiation: A Case Report

Patrick Gary Rose et al. Hosp Pharm. 2018 Feb.

Abstract

Dofetilide's hepatotoxicity is not well described. In this case report, we describe acute hepatocellular jaundice related to dofetilide use in a 33-year-old male being treated for atrial fibrillation. Both viral and ischemic causes of hepatocellular damage were ruled out as unlikely in this case. This case report outlines a rare yet probable report of idiosyncratic dofetilide-induced liver injury.

Keywords: adverse drug reactions; adverse drug reactions reporting/monitoring; cardiac agents; cardiovascular; gastrointestinal disorders.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Liver function tests and total bilirubin throughout hospital admission. Note. Hospital day 0 = day of admission; AST = aspartate aminotransferase; ALT = alanine aminotransferase; T. Bili = total bilirubin.
Figure 2.
Figure 2.
A timeline of patient events leading up to and throughout hospital admission. DC = Direct Current; ED = Emergency Department; INR = International Normalized Ratio; LFTs = Liver Function Tests; LLL = Left Lower Lobe.

References

    1. Mounsey JP, DiMarco JP. Dofetilide. Circulation. 2000;102(21):2665-2670. - PubMed
    1. Pfizer Inc. Tikosyn (dofetilide capsule). In: DailyMed. New York, NY: US National Library of Medicine; https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=02438044-d6a3-4.... Accessed October 10, 2017.
    1. Kootte AM, Janssens AR, Ouwehand DK, van Leeuwen AM. [Chronic hepatitis ascribed to the use of sotalol]. Ned Tijdschr Geneeskd. 2001;145(48):2340-2343. - PubMed
    1. Chalasani NP, Hayashi PH, Bonkovsky HL, et al. ACG clinical guideline: the diagnosis and management of idiosyncratic drug-induced liver injury. Am J Gastroenterol. 2014;109(7):950-966; quiz 967. - PubMed
    1. Yuan L, Kaplowitz N. Mechanisms of drug induced liver injury. Clin Liver Dis. 2013;17(4):507-518. - PMC - PubMed

LinkOut - more resources