Which of these medications can cause my liver enzymes to be high?
- Q: My AST and ALT levels are high. Of metformin, Januvia, and Amaryl, which is most likely to cause this?
- A: Amaryl (glimepiride) is in a class of medications called sulfonylureas. Amaryl stimulates the cells in the pancrease to release insulin. Amaryl can also be used in combination with diet and exercise, and other diabetic medications to treat type 2 diabetes. Side effects of Amaryl may include: headache, nausea, sensitivity to the sun, diarrhea, and skin rash. Sulfonylureas, like Amaryl, may cause hypoglycemia (low blood sugar). Symptoms of hypoglycemia may include: hunger, dizziness, weakness, pale skin, headache, nervousness and irritability, change in mood, shakiness, and sweating. Metformin is used in combination with diet and exercise and with or without other medications to improve blood sugar levels in people with type 2 diabetes. Metformin helps control blood sugar levels by decreasing the amount of sugar absorbed from food and the amount made by the liver. Also, metformin increases the body
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