What medicine should I take if my transaminase is high?
Elevated transaminase is a common manifestation of abnormal liver function, which may be related to factors such as hepatitis, fatty liver, and drug injury. In response to this issue, combined with popular discussions and medical advice on the Internet in the past 10 days, this article has compiled a structured guide to help you understand the response measures and drug selection for high transaminases.
1. Common causes of elevated transaminases
| Reason type | Specific instructions |
|---|---|
| viral hepatitis | Hepatitis B, hepatitis C and other viral infections cause liver cell damage |
| fatty liver | Alcoholic or non-alcoholic fatty liver disease causes inflammation |
| drugs or toxins | Side effects of antibiotics, antipyretics and analgesics |
| autoimmune disease | Immune system mistakenly attacks liver tissue |
2. Commonly used drugs for lowering transaminases
| drug type | Representative medicine | Mechanism of action |
|---|---|---|
| Hepatoprotective and enzyme-lowering drugs | Compound glycyrrhizin, silymarin | Stabilize liver cell membranes and promote repair |
| Antioxidants | Glutathione, Vitamin E | Scavenge free radicals and reduce oxidative damage |
| choleretic drugs | Ursodeoxycholic acid | Improve cholestasis and protect liver cells |
| Chinese patent medicine | Liver-protecting tablets, Yinzhihuang granules | Clear away heat and detoxify, regulate liver function |
3. Medication precautions
1.Identify the cause: It is necessary to determine the specific cause of elevated transaminase through liver function, B-ultrasound, virological examination, etc., and use targeted medication.
2.Avoid self-medication: Some enzyme-lowering drugs may mask the true condition and need to be used under the guidance of a doctor.
3.Joint lifestyle adjustments: Abstinence from alcohol, low-fat diet, weight control, etc. can enhance the curative effect.
4. Hot topics of discussion
| topic | Netizens’ concerns |
|---|---|
| Chinese Medicine vs Western Medicine | Controversy between the long-term effects of traditional Chinese medicine conditioning and the rapid enzyme reduction of western medicine |
| Health product selection | The actual effects of health products such as milk thistle and curcumin |
| Rebound after drug withdrawal | Strategies to deal with the recovery of aminotransferases in some patients after discontinuation of medication |
5. Summary of Expert Suggestions
1. Mildly elevated (40-80 U/L) can be observed for 1-2 weeks first to rule out transient factors.
2. Moderate to severe elevation (>80 U/L) needs to be combined with treatment of the cause, such as antiviral drugs (entecavir, etc.).
3. Regularly review liver function to avoid over-reliance on drugs and neglect of treatment of the cause.
Warm reminder:This article is for reference only. Please refer to the diagnosis of a hepatologist for the specific medication plan. If transaminases continue to increase or are accompanied by symptoms such as jaundice and fatigue, you should seek medical treatment in time.
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