Had Bloodwork Last Week - ALT Increased To 44 Since

Posted on Tue, 29 Jan 2019

Question: Had bloodwork last week -ALT increased to 44 since last year - has been 34 for a couple of years.
What could cause that? One of my medications?

Thanks,
XXXXXXX Miller

Answered by Dr. Dr. Prasad J (2 hours later)

Brief Answer:
May I know your medications...

Detailed Answer:
Hi,

At the outset, ALT value of 44 is not concerning. It becomes significant when levels are more than 2-3 times normal values. Therefore I would not be overly worried about this ALT value.

The slight increment in levels may or may not be due to medications. May I know the list of drugs you are on to verify.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (1 hour later)

my medications are in my profile. lisinopril, metoprolol tartrate, atorvastatin, ezetimibe, baby aspirin, b12

Answered by Dr. Dr. Prasad J (22 hours later)

Brief Answer:
Some of these drugs may effect liver enzyme.

Detailed Answer:
Hi,

Some of the medicines especially atorvastatin are known to effect liver, thereby raising liver enzymes. Besides atorvastatin, ezetimibe and very rarely metoprolol may influence ALT results.

Having said that, as I mentioned earlier, currently ALT values are insignificant and do not warrant concerns or changes to medications. If needed (though not indicated), you may continue to monitor ALT / AST results every 6 months.

Hope this helps. Let me know if you need clarifications.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar