毒理性
OxyELITE Pro 与至少50例临床上明显的急性肝损伤有关。损伤的发生通常在使用OxyELITE Pro常规剂量开始后2到20周内,或者改用OxyELITE Pro产品的改变配方之后。典型的表现症状是疲劳、恶心和腹痛,随后出现深色尿和黄疸。肝损伤的模式是肝细胞损伤,血清转氨酶水平升高到几千U/L,而碱性磷酸酶水平通常正常或轻微升高(不到正常上限的3倍)。肝脏活检显示急性肝炎样的图像,严重病例与融合性、亚大块或大块坏死相关。免疫过敏特征并不常见,但常常检测到自身抗体。实际上,一部分病例出现了类似自身免疫性肝炎的损伤模式,其中一些病例导致了慢性肝炎,并需要长期免疫抑制治疗,尽管及时停用了该药物。总体而言,黄疸病例的死亡率大约为10%。在非致命性病例中,症状在1到8周内缓解,实验室检测在两到三个月内恢复正常。
OxyELITE Pro has been associated with at least 50 instances of clinically apparent acute liver injury. The onset of injury was usually within 2 to 20 weeks of starting regular use or of switching to the altered formulation of OxyELITE Pro products. The typical presenting symptoms were fatigue, nausea, and abdominal pain followed by dark urine and jaundice. The pattern of liver injury was hepatocellular and serum aminotransferase levels ranged to as high as several thousand U/L while alkaline phosphatase levels tended to be normal or minimally elevated (less than 3 times ULN). Liver biopsies showed an acute hepatitis-like picture and severe cases were associated with confluent, submassive or massive necrosis. Immunoallergic and features were not common, but autoantibodies were often detected. Indeed, instances of an autoimmune hepatitis-like pattern of injury occurred in a proportion of cases, some of which led to a chronic hepatitis and required long term immune suppressive therapy despite prompt withdrawal of the agent. The mortality rate overall was approximately 10% among cases with jaundice. In non-fatal cases, symptoms resolved within 1 to 8 weeks and laboratory tests returned to normal by two to three months.
来源:LiverTox