Hello, I have elevated AST (i.e., 90) and ALT (i.e., 74), no hepatitis, exercise regularly, rarely consume alcohol and have a BMI of 20. I recently had mastitis was placed on clindamycin (300 mg/TID) for a week. Is it feasible the antibiotics are contributing to the elevated levels? Would breastfeeding have any impact? Kind regards.
Hello, I had gone through your question carefully and can understand your concern very well.  As you were being treated with accolades like clindamycin for a week and accolades most commonly acid stable erythromycin estate leads to hepatitis like features and that can raise AST and ALT levels. Also, incidence of hepatitis like features are high in pregnant women.  So in my opinion, because you were pregnant and treated with accolades (clindamycin), AST and ALT levels can be high due to antibiotics. No need to worry about it, as it will normalize by itself after discontinuation of Chat Doctor.  I would suggest you to repeat the AST and ALT levels after a week, and it will be normal mostly. Don't get stressed and be relaxed. Also continue your breastfeeding, as it will not have any impact on your baby.  Hope this answers your question and let me know directly if you have any further queries.