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Some Drugs and Toxins That Can Cause Jaundice

Mechanism

Drugs or Toxins

Increased bilirubin production

Drugs that cause hemolysis (common among patients with glucose-6-phosphate dehydrogenase [G6PD] deficiency), such as sulfa drugs and nitrofurantoin), such as sulfa drugs and nitrofurantoin

Decreased hepatic uptake

Chloramphenicol, probenecid, rifampinChloramphenicol, probenecid, rifampin

Decreased conjugation

Ethinyl estradiolEthinyl estradiol

Hepatocellular dysfunction

Acetaminophen (high dose or overdose)Acetaminophen (high dose or overdose), amiodarone, isoniazid, , amiodarone, isoniazid,nonsteroidal anti-inflammatory drugs, statins, many others, many drug combinations

Amanita phalloides mushrooms, carbon tetrachloride, phosphorus (see Hydrocarbon Poisoning and Volatile Solvents)

Intrahepatic cholestasis

Amoxicillin/clavulanate, Amoxicillin/clavulanate,anabolic steroids, chlorpromazine, pyrrolizidine alkaloids (eg, in , chlorpromazine, pyrrolizidine alkaloids (eg, inherbal preparations), oral contraceptives, phenothiazines

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