What medication should be taken for high aspartate aminotransferase?

May 13, 2023 Source: Cainiu Health
Dr. Jiang Weimin
Introduction
Elevated aspartate aminotransferase (AST) is usually caused by conditions such as myocarditis, hepatitis, or alcoholic liver disease. Medication should be selected based on the specific underlying cause. If the condition worsens during treatment, it is important to promptly inform the doctor at the hospital and adjust the treatment plan accordingly. At the same time, maintaining a positive mindset and avoiding excessive worry is recommended.

Elevated aspartate aminotransferase (AST) levels are generally caused by conditions such as myocarditis, hepatitis, or alcoholic liver disease. Treatment involves selecting appropriate medications based on the specific underlying cause. Details are as follows:

1. Myocarditis

This is usually caused by bacterial or viral infections, leading to localized inflammation that may trigger symptoms such as rapid heartbeat and difficulty breathing. Since aspartate aminotransferase is present in heart muscle tissue, damage to the myocardium can result in elevated AST levels. Treatment should follow medical advice and may include antiviral medications such as oseltamivir phosphate granules, acyclovir tablets, or ganciclovir dispersible tablets.

2. Hepatitis

Inflammation in the liver can lead to symptoms such as pain in the liver area, nausea, and vomiting. Aspartate aminotransferase is found not only in the heart muscle but also in liver cells. Therefore, liver inflammation can increase AST levels. Under medical guidance, treatment may involve medications such as entecavir dispersible tablets, lamivudine tablets, or adefovir dipivoxil tablets.

3. Alcoholic Liver Disease

This condition can cause symptoms including decreased appetite and abdominal bloating or pain. Chronic alcohol consumption damages the liver, which may lead to elevated AST levels. In mild cases, symptoms often improve after appropriately stopping alcohol intake. When necessary, medications such as metadoxine tablets, polyene phosphatidylcholine capsules, or naloxone hydrochloride for injection may be used under medical supervision.

Besides the above causes, elevated AST levels may also result from fatty liver, liver cirrhosis, or liver tumors. It is recommended to seek timely medical evaluation at a hospital to identify the exact cause and receive targeted treatment. During treatment, maintaining a positive and optimistic mindset is important, and excessive worry should be avoided.


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