毒理性
慢性使用氯喹与多达18%的患者无症状、暂时性血清酶水平升高有关。这些升高通常是轻微的,并且在不调整剂量的情况下会自行解决。尽管氯喹被广泛使用,但它很少与临床上明显的急性肝损伤有关,而且关于此类损伤的临床特征的报告太少。急性肝细胞损伤以及胆汁淤积性肝炎的案例已与使用氯喹有关。过敏表现(皮疹、发热、嗜酸性粒细胞增多)和自身抗体的形成是罕见的。
Chronic therapy with mefloquine is associated with asymptomatic, transient serum enzyme elevations in up to 18% of patients. These elevations are usually mild and resolve without dose modifications. Despite widespread use, mefloquine has rarely been linked to clinically apparent acute liver injury and too few reports are available to characterize the clinical features of such injury. Instances of acute hepatocellular injury as well as cholestatic hepatitis have been linked to use of mefloquine. Allergic manifestations (rash, fever, eosinophilia) and autoantibody formation are rare.
来源:LiverTox