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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes nonalcoholic steatohepatitis while on niaspan?

I have NASH. I believe KNOW that it was originally caused by niapan. My doctor did not take me off the med. My liver enzymes were slightly above normal. she said that was ok. year later I now have NASH-50 percent inflammation. 5 years ago my ultra sound was normal but I had the liver damage symptom. My gastroenterologist is saying the medication had nothing to do with it. The symptoms were RUQ abd pain nausea, broken blood vessels, high B/P, swollen ankle neuropathy. I still have all the symptoms, sometimes worse tha n others.
Wed, 4 Sep 2019
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Internal Medicine Specialist 's  Response
Hello,

Unfortunately, Niaspan can cause elevated liver enzymes and fatty liver, this is a famous side effect, so if your lipid profile is normal, you can stop it.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Salah Saad Shoman, Internal Medicine Specialist
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