Case Report

Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient

Table 1

Adverse drug reaction probability scale (Naranjo) [17].

QuestionYesNoDo Not KnowScore

1. Are there previous conclusive reports on this reaction?+1000

2. Did the adverse event appear after the suspected drug was administered?+2-10+2

3. Did the adverse event improve when the drug was discontinued or a specific antagonist was administered?+100+1

4. Did the adverse event reappear when the drug was readministered?+2-100

5. Are there alternative causes that could on their own have caused the reaction? (alternatives have been excluded =no)-1+20+2

6. Did the reaction reappear when a placebo was given?-1+100

7. Was the drug detected in blood or other fluids in concentrations known to be toxic?+1000

8. Was the reaction more severe when the dose was increased or less severe when the dose was decreased? (reaction was less severe when the dose was decreased)+100+1

9. Did the patient have a similar reaction to the same or similar drugs in any previous exposure?+1000

10. Was the adverse event confirmed by any objective evidence?+100+1

ā€‰Total Score: 7