What medications can cause elevated alkaline phosphatase?

drugs causing raised alkaline phospatase
  • Antibiotics: penicillin derivatives (1) ...
  • Antiepileptic drugs: Carbamazepine. ...
  • Antihistamines: Cetirizine (1)
  • Cardiovascular drugs: Captopril (1) ...
  • Disease modifying agents: Penicillamine. ...
  • Polycyclic aromatic hydrocarbons: Oestrogens. ...
  • Psychotropic drugs: ...
  • Diabetes drugs:
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What causes alkaline phosphatase to increase?

ALP levels can vary for different groups. Pregnancy can cause higher than normal ALP levels. Children and teens may have high levels of ALP because their bones are growing. Certain drugs, such as birth control pills, may lower ALP levels, while other medicines can cause the levels to increase.
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What other diseases will cause elevation of alkaline phosphatase?

Bone pathology causes of elevated alkaline phosphatase include Paget's disease, hyperparathyroidism, osteomalacia, metastatic bone disease and a recent fracture.
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What medicines cause elevated ALT?

Official answer
  • The antibiotics synthetic penicillin, ciprofloxacin and tetracycline.
  • The anti-seizure drugs carbamazepine and phenytoin and valproic acid.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • The diabetes drugs sulfonylureas and glipizide.
  • The tuberculosis drugs isoniazid, pyrazinamide and rifampin.
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Do statins cause elevated alkaline phosphatase?

Many drugs (eg, statins) commonly cause asymptomatic elevation of hepatic enzymes (alanine aminotransferase [ALT], aspartate aminotransferase [AST], alkaline phosphatase).
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Alkaline Phosphatase Nursing Considerations, Normal Range, Nursing Care, Lab Values Nursing



What medications are hard on the liver?

The 10 Worst Medications for Your Liver
  • 1) Acetaminophen (Tylenol) ...
  • 2) Amoxicillin/clavulanate (Augmentin) ...
  • 4) Amiodarone (Cordarone, Pacerone) ...
  • 5) Allopurinol (Zyloprim) ...
  • 8) Azathioprine (Imuran) ...
  • 9) Methotrexate. ...
  • 10) Risperidone (Risperdal) and quetiapine (Seroquel)
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Should I be worried if my alkaline phosphatase is high?

It's important to note that elevated levels of ALP can range in severity. While a very high ALP level often means you have liver damage or a bone disorder, mildly elevated levels can be caused by many different factors — not necessarily a medical condition that needs treatment.
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Should I worry about elevated alkaline phosphatase?

Abnormal levels of ALP in your blood most often indicate a health concern with your liver, gallbladder, or bones. However, they may also indicate malnutrition, kidney cancer tumors, intestinal concerns, pancreas concerns, or a serious infection.
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What autoimmune disease causes elevated alkaline phosphatase?

Rheumatoid arthritis

Liver function tests may be abnormal in up to 65% of patients with RA and mainly involve increases of alkaline phosphatase and serum γ-glutamyltransferase levels.
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What is an extremely high alkaline phosphatase?

Extremely high levels of serum alkaline phosphatase (>1000 U/l) are most frequently seen in patients with malignant neoplasms of the liver and biliary tract, severe sepsis, Paget's disease, and AIDS [1,2].
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Is alkaline phosphatase a tumor marker?

Serum ALP was found to be a valuable tumor marker with high specificity in osteosarcoma.
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What cancers cause elevated alkaline phosphatase?

Serum ALP levels are elevated in patients with primary and metastatic tumors of the liver and bone, such as hepatic metastasis of colorectal cancer and bone and liver involvement in breast cancer.
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Can stress and anxiety cause elevated liver enzymes?

The psychiatric influence of stress is garnering more attention in medical practice. Clinical cases with elevated liver enzymes without any known causes are often observed. Obviously, stress response could be a possible reason, which has been overlooked so far.
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What is mild elevation of alkaline phosphatase?

Elevated alkaline phosphatase levels are uncommon in heart failure. When present, the elevation is mild, usually not exceeding twice the upper limit of normal, unless the liver disease and heart failure have a common cause.
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Can low vitamin D cause high alkaline phosphatase?

Elevated serum alkaline phosphatase (ALP) level is an essential marker for the diagnosis of vitamin D deficiency (1). Some cases of vitamin D deficiency are diagnosed accidentally on the basis of elevated ALP levels.
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How can I lower my liver enzymes before a blood test?

Natural methods include:
  1. Drinking coffee. Drinking coffee can help to lower ALT levels. ...
  2. Exercising regularly. ...
  3. Losing excess weight. ...
  4. Increasing folic acid intake. ...
  5. Making dietary changes. ...
  6. Reducing high cholesterol. ...
  7. Taking care with medications or supplements. ...
  8. Avoiding alcohol, smoking, and environmental toxins.
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What supplements cause elevated liver enzymes?

In fact, some common herbs could cause toxic liver disease. Watch out for supplements that contain aloe vera, black cohosh, cascara, chaparral, comfrey, ephedra, or kava. Chemicals and solvents.
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Does B12 affect liver enzymes?

Our results demonstrate a substantial positive relationship between vitamin B12 and hepatic enzyme serum levels. This correlation may be interpreted as meaning that, with increasing hepatocellular damage, as indicated by elevated hepatic enzymes, serum vitamin B12 also tends to be higher.
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Can taking supplements hurt your liver?

Herbal Products and Liver Toxins

Medications and supplements can damage the liver while it's doing its work. Certain substances can form toxic metabolites that can damage liver cells, and as a result, the liver can become so damaged that it can't function, Dr. Halegoua–De Marzio says.
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Can vitamin D cause elevated liver enzymes?

In a general population study, individuals with lower vitamin D levels had a higher risk of having increased levels of ALT, AST, or GGT, liver enzymes, Although the association was not statistically significant. In Skaaby et al. study, liver disease incidence was higher in poor vitamin D status [9] .
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Can lack of sleep cause elevated liver enzymes?

Elevated liver triglycerides are associated with insulin resistance, or the inability of the body to process insulin properly. In addition, lack of sleep changed the expression of enzymes that regulate metabolism in the liver in the sleep deprivation group.
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Can dehydration cause elevated liver enzymes?

Low levels are likely caused by severe liver damage and high levels are typically due to dehydration or excessively high protein intake. Both high and low require medical attention.
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Can alkaline phosphatase levels fluctuate?

ALP levels fluctuate approximately 6% from week to week in a healthy individual.
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Is 400 alkaline phosphatase high?

Diagnosis. Serum alkaline phosphatase level <90 U/L. The normal range is 80–350 U/L, however, growing children often have levels well in excess of these values (>400 U/L).
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When should I worry about ALT?

High levels of ALT may indicate liver damage from hepatitis, infection, cirrhosis, liver cancer, or other liver diseases. Other factors, including medicines, can affect your results. Be sure to tell your health care provider about all the prescription and over-the counter medicines you are taking.
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