19th May 2025

A patient presents to the emergency department.

A patient presents to the emergency department. She is visiting from abroad and speaks limited English, however you establish that she has recently taken an antibiotic medication and since noted yellowing of her sclera. You are unable to ascertain which medication this was or what the medication was for. Her liver function tests are shown below. 

Alanine transferase (ALT): 271 iu/L (3-40 iu/L)

Alkaline phosphatase (ALP): 123 iu/L (30-100 iu/L) 

Aspartate transaminase (AST): 134 iu/L (3-30 iu/L)

Gamma glutamyl transferase (GGT): 145 iu/L (10-60 u/L)

Bilirubin: 71 umol/L (3-20 umol/L)

Based on the findings, which is the most likely drug that has been prescribed? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.