The liver processes most medicines we take. When the liver is already stressed by fat buildup, some drugs can cause further injury, increase liver enzymes, or worsen inflammation.

Medicines to Avoid or Use With Caution

1. Paracetamol (Acetaminophen)

Paracetamol is commonly used for pain and fever, but high doses can seriously damage the liver.

Avoid taking more than the recommended dose

Do not combine with alcohol

Long-term use should be supervised by a doctor

2. Alcohol-Containing Medicines

Some cough syrups, tonics, and herbal mixtures contain alcohol.

Alcohol increases liver fat and inflammation

Always check labels for alcohol content

3. Certain Painkillers (NSAIDs)

Examples include:

Diclofenac

Ibuprofen

Naproxen

These medicines may increase liver enzyme levels and should be used cautiously, especially with long-term use.

4. Some Cholesterol-Lowering Drugs

Statins can affect the liver in some patients.

They are not always forbidden, but liver tests must be monitored

Never start or stop statins without medical advice

5. Herbal and Traditional Medicines

Many herbal products are not tested for liver safety.

Some herbs can be toxic to the liver

“Natural” does not always mean safe

Avoid unregulated herbal mixtures

6. Certain Antibiotics

Some antibiotics may stress the liver, especially when used for long periods. Examples include:

Rifampicin

Isoniazid

These should only be used when prescribed and monitored by a healthcare professional.

7. Steroids and Hormonal Medicines

Long-term use of steroids or some hormonal drugs may worsen fatty liver.

Use only when clearly indicated

Regular follow-up is important

What Fatty Liver Patients Should Do

Always tell your doctor or pharmacist you have fatty liver

Avoid self-medication

Read medicine labels carefully

Go for regular liver function tests

Focus on lifestyle changes like healthy diet, weight loss, and exercise

Final Advice

Not all medicines are dangerous for fatty liver patients, but using the wrong medicine or dose can cause harm. Always consult a healthcare professional before taking any new medication.