Kieran Reynolds talks to Aimee Francisco about drugs in liver impairment. Discussion includes key issues to consider when prescribing in liver disease, medicines to avoid (or use with caution) in liver disease, drug induced liver injury and herbal medicines. (13m 29s)

Aimee Francisco - Advanced Specialist Gastroenterology Pharmacist at Gloucestershire Hospitals NHS FT and primary care lead at the British Hepatology Pharmacy Group (BHPG)

Kieran Reynolds - Advanced Specialist Pharmacist (Medicines Governance), SPS

Useful Links

SPS medicines monitoring tool

https://www.sps.nhs.uk/home/tools/drug-monitoring/

Questions to ask when giving medicines advice in liver impairment

https://www.sps.nhs.uk/articles/questions-to-ask-when-giving-medicines-advice-in-liver-impairment/

Information resources for managing medicines in liver impairment

https://www.sps.nhs.uk/articles/information-resources-for-managing-medicines-in-liver-impairment/

Symptom control in adults with advanced liver disease

https://www.basl.org.uk/index.cfm/content/page/cid/33 (available under Resources)

Prescribing weight adjusted oral paracetamol in adults BASL position statement

https://www.basl.org.uk/index.cfm/content/page/cid/20 (available under Resources)

LiverTox

https://www.ncbi.nlm.nih.gov/books/NBK547852/

Memorial Sloan Kettering Cancer Center's About Herbs database

https://www.mskcc.org/cancer-care/diagnosis-treatment/symptom-management/integrative-medicine/herbs/search