Table 1

Different cardiovascular drugs and their potential effects on liver

Potential liver injury effects
Cardiovascular drugs
 AmiodaronCentrilobular necrosis
 QuinidineHypersensitivity reaction
 ProcainamideDelayed drug hypersensitivity
 PropafenoneHepatocellular and cholestatic liver injury
 FlecainideHepatocellular injury
 DysopiramideHepatocellular damage, intrahepatic cholestasis
 AntiPltMostly hepatocellular damage
 StatinsHepatocellular necrosis
 FibrateHepatocellular injury
 NiacinHepatocellular and cholestatic injury
 EzetimibeHepatotoxicity in combination with statins
Ca channel blockersHepatocellular injury
WarfarinRare but cholestatic type
HeparinMild elevation in aminotransferase levels
EnoxaparinMostly hepatocellular
HF therapies
 ACE inhibitorsCholestatic injury
 β-BlockersHepatocellular injury
 ARBCholestatic injury and/or hepatocellular injury
 Loop diureticsCholestatic injury
 ThiazidesMixed hepatocellular and cholestatic injury
 HydralazinHepatocellular injury
 Aldostrone antagonistsElevated aminotransferase
Antidiabetics
 InsulinElevation in γ-glutamyl transpeptidase
 GlibenclamideMixed pattern of liver injury
 GlithazonesMostly hepatocellular injury
  • ARB, agniotensin receptor blocker; HF, heart failure.