毒理性
依普利酮治疗与血清转氨酶升高率低有关,这些升高通常是轻微和短暂的。在接受依普利酮治疗的患者中,ALT升高超过3倍ULN的发生率为0.7%,而超过5倍的发生率为0.2%,而在接受安慰剂治疗的患者中,这一比例分别为0.3%和0.3%。目前尚未有报告显示依普利酮引起的特异质性、临床上明显的肝损伤。由于其结构与螺内酯相似,这表明它可能也会罕见地与螺内酯相关的急性肝损伤有相同的易感性。
Eplerenone therapy has been associated with a low rate of serum aminotransferase elevations which are typically mild and transient. ALT elevations of greater than 3 times the ULN occured in 0.7% and greater than 5 times in 0.2% of eplerenone treated compared to 0.3% and 0.3% of placebo treated subjects. Idiosyncratic, clinically apparent liver injury from eplerenone has yet to be reported. The similarity in structure to spironolactone suggests that it may share susceptibility to the acute liver injury reported rarely with that agent.
来源:LiverTox