Type of liver injury | Hepatocellular | Points |
---|---|---|
Time of onset of the event | First exposure | |
Time from drug intake until reaction onset | 5 to 90 days | +2 |
Time from drug withdrawal until reaction onset | ≤15 days | +1 |
Risk factors | No alcohol | +0 |
Age ≥55 years | +1 | |
Course of the reaction | >50% improvement 30 days | +2 |
Concomitant therapy | None | +0 |
Exclusion of nondrug-related causes | Rule out | +2 |
Previous information on hepatotoxicity | Reaction published but unlabeled | +1 |
Response to re-administration | Not done | +0 |
Score analysis | Highly probable | +9 |