Alverine citrate induced acute hepatitis

Table 1 Time course of liver function tests

Date	AST (IU/L)	ALT (IU/L)	GGT (IU/L)	ALP (IU/L)
7/24/2003	30	32	21	162
8/18	211	319	116	184
8/26	853	1 119	-	-
9/3	237	597	-	229
10/2	22	21	35	75

Omeprazole, alginic acid, and alverine citrate were started on 7/30/2003. Omeprazole was cessated on 8/10/2003. Amitryptyline was added to alginic acid and alverine citrate on 8/23/2003 and all medications were discontinued on 8/26/2003. ALP: Alkaline phosphotase; ALT: Alanine aminotransferase; AST: Aspartate aminotransferase; GGT: γ -glutamyl transferase.