| Drug-induced liver injury (DILI) is hepatic damage caused by chemical drugs, Chinese patent medicines, Chinese medicinal materials, natural medicines, health products, and dietary supplements. In China, DILI is characterized by diverse etiological sources and complex medication exposure scenarios, and patients often exhibit insufficient risk awareness, self-medication behaviors, incomplete reporting of medication information, and poor adherence to follow-up during disease management. Medication literacy refers to patients’ ability to acquire, understand, evaluate, and apply medication-related information to make safe medication decisions, which is important for early identification, prevention of re-exposure, and long-term management of DILI. This review summarizes the concept, problematic manifestations, influencing factors, assessment tools, and educational interventions related to medication literacy in patients with DILI. Future research should develop disease-specific medication literacy assessment tools and standardized educational programs based on the Chinese medication-use context, so as to provide a reference for precise and continuous medication safety management in clinical practice. |