毒理性
在上市前的临床试验中,加巴喷丁恩卡比尔与治疗期间血清酶水平升高或临床明显的急性肝损伤发作的增加率无关。加巴喷丁在个别急性肝损伤病例中被涉及,但在大多数情况下,由于与其他可能具有肝毒性的药物联合使用,这种关联被削弱。报告的病例中,有足够细节来描述相关损伤的临床特征的案例太少。没有已发表的案例特别指责任何加巴喷丁恩卡比尔的案例。因此,加巴喷丁恩卡比尔可能与临床明显的肝损伤的个别案例有关,但这种情况极为罕见,或者根本不会发生。
In prelicensure clinical trials, gabapentin enacarbil was not linked to an increased rate of serum enzyme elevations during treatment or to episodes of clinically apparent acute liver injury. Gabapentin has been implicated in isolated cases of acute liver injury, but in most instances the association was weakened by the coadministration with other potentially hepatotoxic agents. Too few cases have been reported in sufficient detail to characterize the clinical features of the associated injury. No published case has specifically implicated gabapentin enacarbil. Thus, gabapentin enacarbil may be associated with isolated instances of clinically apparent liver injury, but they must be rare, if they occur at all.
来源:LiverTox