Liver Enzymes

Dr.,

After a clean bill of health in July, an insurance medical screen in September gave me the following elevated liver enzyme levels:

ALP - 132
AST - 115
ALT -  280
GGT - 332

I have been on Crestor since May, Flomax and Sulfamethoxazole for a month and Protonix for a week before the blood was drawn.

I am in the process of having my blood drawn via my internal med doc and he has ordered basic blood work, hepaiitis and ferritin as well as asked me to have an Ultrasound. He has told me that these readings can spike for many reasons and that he often sees them come down to normal.

I'd like your professional opinion on that likelihood. Seems like the ALT and GGT readings are way beyond modest increases, but my doc told me that "1000" on ALT is off the charts and that readings of 280-300 are not that unusual. Please let me know your thoughts.

[Kevin Pho, MD]

It is possible that the Crestor is responsible for the elevated liver enzymes.  I agree with the ultrasound and the blood tests for hepatitis.  If the liver enzymes continue to rise, a liver biopsy should be considered.

I would also discuss stopping the Crestor in light of the elevated liver enzymes.  Abstaining from alcohol should also be considered.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com

[cocosmoothy]

Hey  got my results today one of mine enyzme are slightly elevated i think the AST is 125,should be under 120. Is that right?

[lilliott]

A related discussion, Strattera and elevated AST was started.