Comparative Hepatotoxicity of Fluconazole, Ketoconazole, Itraconazole, Terbinafine, and Griseofulvin in Rats
Joint Authors
Khoza, Star
Moyo, Ishmael
Ncube, Denver
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-05
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Oral ketoconazole was recently the subject of regulatory safety warnings because of its association with increased risk of inducing hepatic injury.
However, the relative hepatotoxicity of antifungal agents has not been clearly established.
The aim of this study was to compare the hepatotoxicity induced by five commonly prescribed oral antifungal agents.
Rats were treated with therapeutic oral doses of griseofulvin, fluconazole, itraconazole, ketoconazole, and terbinafine.
After 14 days, only ketoconazole had significantly higher ALT levels (p=0.0017) and AST levels (p=0.0008) than the control group.
After 28 days, ALT levels were highest in the rats treated with ketoconazole followed by itraconazole, fluconazole, griseofulvin, and terbinafine, respectively.
The AST levels were highest in the rats treated with ketoconazole followed by itraconazole, fluconazole, terbinafine, and griseofulvin, respectively.
All drugs significantly elevated ALP levels after 14 days and 28 days of treatment (p<0.0001).
The liver enzyme levels suggested that ketoconazole had the highest risk in causing liver injury followed by itraconazole, fluconazole, terbinafine, and griseofulvin.
However, histopathological changes revealed that fluconazole was the most hepatotoxic, followed by ketoconazole, itraconazole, terbinafine, and griseofulvin, respectively.
Given the poor correlation between liver enzymes and the extent of liver injury, it is important to confirm liver injury through histological examination.
American Psychological Association (APA)
Khoza, Star& Moyo, Ishmael& Ncube, Denver. 2017. Comparative Hepatotoxicity of Fluconazole, Ketoconazole, Itraconazole, Terbinafine, and Griseofulvin in Rats. Journal of Toxicology،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1187905
Modern Language Association (MLA)
Khoza, Star…[et al.]. Comparative Hepatotoxicity of Fluconazole, Ketoconazole, Itraconazole, Terbinafine, and Griseofulvin in Rats. Journal of Toxicology No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1187905
American Medical Association (AMA)
Khoza, Star& Moyo, Ishmael& Ncube, Denver. Comparative Hepatotoxicity of Fluconazole, Ketoconazole, Itraconazole, Terbinafine, and Griseofulvin in Rats. Journal of Toxicology. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1187905
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1187905