Chinese Journal of Pharmacovigilance ›› 2026, Vol. 23 ›› Issue (2): 197-199.
DOI: 10.19803/j.1672-8629.20250359

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One Case of Acute Liver Failure Caused by Amiodarone Injection

JIANG Wenhao1, XU Hongbing2, ZHANG Xiaogang3, WU Jiangping2,*   

  1. 1Department of Critical Care Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China;
    2Department of Clinical Pharmacy, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China;
    3Department of Pharmacy, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China
  • Received:2025-06-05 Online:2026-02-15 Published:2026-02-13

Abstract: Objective To investigate the causes and clinical characteristics of acute liver failure induced by amiodarone in order to provide a reference for safe clinical medications. Methods One case of acute liver failure following administration of amiodarone hydrochloride injection was analyzed while the association, causes, and clinical features regarding acute liver failure caused by this drug were explored based on related literature. Results Correlation analysis showed that acute liver failure was strongly associated with amiodarone in this patient. Liver enzyme levels improved after discontinuing the medication and initiating therapy, but treatment was ultimately discontinued due to worsening condition. Conclusion Despite the low incidence of acute liver failure induced by amiodarone, the consequent adverse reactions can be severe. Clinicians should be alert to adverse drug reactions, adhere to rational and standardized prescriptions, and ensure early identification and interventions to improve the prognosis of patients.

Key words: Amiodarone, Drug-induced Liver Injury, Liver Failure, Pharmaceutical Care, Adverse Drug Reactions

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