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.

Disclaimer & Credit: All medical articles including ours, are informative and provide population trends not specific to individuals which can be very different. Always seek personalized medical advice from your doctor for individual healthcare decisions.

Posted January 28, 2026