Paracetamol (acetaminophen) overdose and hepatotoxicity: mechanism, treatment, prevention measures, and estimates of burden of disease

AS Chidiac, NA Buckley, F Noghrehchi… - Expert Opinion on Drug …, 2023 - Taylor & Francis
Introduction Paracetamol is one of the most used medicines worldwide and is the most
common important poisoning in high-income countries. In overdose, paracetamol causes …

Acetaminophen poisoning

AL Chiew, NA Buckley - Critical care clinics, 2021 - criticalcare.theclinics.com
Acetaminophen is a commonly used analgesic and antipyretic agent and in recommended
therapeutic doses, is safe in healthy individuals. Because of wide availability and minimal …

Risk prediction of hepatotoxicity in paracetamol poisoning

A Wong, A Graudins - Clinical toxicology, 2017 - Taylor & Francis
Context: Paracetamol (acetaminophen) poisoning is the most common cause of acute liver
failure in the developed world. A paracetamol treatment nomogram has been used for over …

Acetylcysteine in paracetamol poisoning: a perspective of 45 years of use

DN Bateman, JW Dear - Toxicology research, 2019 - academic.oup.com
Paracetamol poisoning was first reported in 1966. The development of antidotes followed
within 10 years, and by 1980 acetylcysteine (NAC) was acknowledged as the optimal …

Fomepizole as an adjunct in acetylcysteine treated acetaminophen overdose patients: a case series

SL Link, G Rampon, S Osmon, AJ Scalzo… - Clinical …, 2022 - Taylor & Francis
Introduction Acetaminophen (N-acetyl-para-aminophenol or APAP) is the leading cause of
acute liver failure worldwide. Standard therapy for APAP overdose is with IV N …

Early acetaminophen-protein adducts predict hepatotoxicity following overdose (ATOM-5)

AL Chiew, LP James, GK Isbister, JW Pickering… - Journal of …, 2020 - Elsevier
Background & Aims Acetaminophen-protein adducts are specific biomarkers of toxic
acetaminophen (paracetamol) metabolite exposure. In patients with hepatotoxicity (alanine …

Advances in the understanding of acetaminophen toxicity mechanisms: a clinical toxicology perspective

AL Chiew, GK Isbister - Expert opinion on drug metabolism & …, 2023 - Taylor & Francis
Introduction Acetaminophen (paracetamol) is a commonly used analgesic and antipyretic
agent, which is safe in therapeutic doses. Acetaminophen poisoning due to self-harm or …

Fomepizole should be used more liberally in paracetamol overdose

AB Filip, ME Mullins - British Journal of Clinical Pharmacology, 2023 - Wiley Online Library
Fomepizole should be used more liberally in paracetamol overdose - Filip - 2023 - British Journal of
Clinical Pharmacology - Wiley Online Library Skip to Article Content Skip to Article Information …

Use of fomepizole (4-methylpyrazole) for acetaminophen poisoning: A scoping review

AM Pourbagher-Shahri, J Schimmel, FM Shirazi… - Toxicology Letters, 2022 - Elsevier
Introduction Acetaminophen (paracetamol, APAP) poisoning is a prominent global cause of
drug-induced liver injury. While N-acetylcysteine (NAC) is an effective antidote, it has …

Fomepizole as an adjunctive therapy for acetaminophen poisoning: cases reported to the toxicology investigators consortium (ToxIC) database 2015–2020

AB Filip, SE Berg, ME Mullins, ES Schwarz… - Clinical …, 2022 - Taylor & Francis
Introduction Fomepizole inhibits formation of toxic acetaminophen (APAP) metabolites and
may prevent or reverse mitochondrial toxicity. Given these mechanisms, it may be beneficial …