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What causes raised liver enzymes? - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hello, having been regularly exceeding paracetamol and codiene doses for the last six months (i have been abusing co-codamol), my LFT was checked to see if any damage has occurred. GGT came back raised (150 i think), all other LFTs normal (as did ALP). I am not overweight, eat healthy, I do not drink to excess but do drink. In your opinion, Is the most likely cause for the deranged result due to alcohol or the medication i have been taking?

Thanking you in anticipation,

P (from UK)
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:The reason for deranged liver enzymes in your case is most likely is due to abuse of Co-comedol
Doctor:are you there?
Doctor:Hi, are you there?
User:i am assuming the paracetamol has a part to play in the result, does codiene tribute to the levels as i am titrating codiene doses to feel normal?
Doctor:Not codiene but paracetamol, yes
Doctor:Codiene is very well tolerated by the liver
Doctor:is there anything else that I can help you with?
User:Thanks, i am a medical professional in the UK (more ortho than gen med). I am also in the military. I am having massive side effects from stopping what i have been taking. Taking codiene in small doses, loperimide, and night sedation, i am still feeling the symptoms of cold XXXXXXX Is there anything else i can do. I think alcohol would help massively, is this a bad idea? I am due another blood test in two weeks
Doctor:Alcohol is a very bad idea
Doctor:You can take methadone therapy
User:i cant do that
Doctor:methadone is a synthetic opioid, helps in getting over the withdrawal symptoms
Doctor:why not?
User:prescription protocols in the military
Doctor:And if you want methdone therapy, you have to go to a de-addiction center
Doctor:then you are left with no choice but to suffer the withdrawal symptoms
Doctor:is there anything else?
User:No, thank you for your help. Our correspondence isn't going on the website is it?
Doctor:this will only be visible to you
Doctor:and me
User:thanks again, signing off now
Doctor:no one else can see this conversation
Doctor:take care
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