Paracetamol toxicity: epidemiology, prevention and costs to the health-care system

被引:81
作者
Sheen, CL [1 ]
Dillon, JF
Bateman, DN
Simpson, KJ
Macdonald, TM
机构
[1] Univ Dundee, Ninewells Hosp & Med Sch, Dept Clin Pharmacol, Med Monitoring Unit, Dundee DD1 9SY, Scotland
[2] Univ Dundee, Ninewells Hosp & Med Sch, Dept Gastroenterol, Dundee DD1 9SY, Scotland
[3] Royal Infirm, Scottish Poisons Informat Bur, Edinburgh, Midlothian, Scotland
[4] Royal Infirm, Scottish Liver Transplant Unit, Edinburgh, Midlothian, Scotland
关键词
D O I
10.1093/qjmed/95.9.609
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Paracetamol has been used as an analgesic and antipyretic for many years, with toxicity first noted in the 1960s. Since then the incidence of poisoning has increased, and paracetamol is now the most common drug in self-poisoning, with a high rate of morbidity and mortality. The use, abuse and ways of reducing paracetamol toxicity are reviewed, but in view of the potential for harm, serious consideration should be given to changing the legal status of paracetamol, possibly to a prescription-only medicine.
引用
收藏
页码:609 / 619
页数:11
相关论文
共 162 条
[1]   Pediatric acetaminophen overdose -: Risk factors associated with hepatocellular injury [J].
Alander, SW ;
Dowd, MD ;
Bratton, SL ;
Kearns, GL .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2000, 154 (04) :346-350
[2]  
[Anonymous], CURR PROBL PHARMACOV
[3]  
AOKI FY, 1993, CAN MED ASSOC J, V149, P1425
[4]   DOUBLE-BLIND, PLACEBO CONTROLLED COMPARISON OF PARACETAMOL AND PARACETAMOL PLUS CODEINE - A QUANTITATIVE-EVALUATION BY LASER-INDUCED PAIN [J].
ARENDTNIELSEN, L ;
NIELSEN, JC ;
BJERRING, P .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1991, 40 (03) :241-247
[5]   SERUM TOTAL HOMOCYSTEINE AND CORONARY HEART-DISEASE [J].
ARNESEN, E ;
REFSUM, H ;
BONAA, KH ;
UELAND, PM ;
FORDE, OH ;
NORDREHAUG, JE .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1995, 24 (04) :704-709
[6]  
Atcha Z, 2000, HLTH STAT Q, V7, P5
[7]   Managing delayed-onset muscle soreness: Lack of effect of selected oral systemic analgesics [J].
Barlas, P ;
Craig, JA ;
Robinson, J ;
Walsh, DM ;
Baxter, GD ;
Allen, JM .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2000, 81 (07) :966-972
[8]   Acetaminophen or ketorolac for post myringotomy pain in children? A prospective, double-blinded comparison [J].
BeanLijewski, JD ;
Stinson, JC .
PAEDIATRIC ANAESTHESIA, 1997, 7 (02) :131-137
[9]   The pharmacokinetics and analgesic efficacy of larger dose rectal acetaminophen (40 mg/kg) in adults: A double-blinded, randomized study [J].
Beck, DH ;
Schenk, MR ;
Hagemann, K ;
Doepfmer, UR ;
Kox, WJ .
ANESTHESIA AND ANALGESIA, 2000, 90 (02) :431-436
[10]   ANALGESIC EFFICACY OF IBUPROFEN FOR POST-EPISIOTOMY PAIN [J].
BEHOTAS, S ;
CHAUVIN, A ;
CASTIEL, J ;
MARTIN, A ;
BOUREAU, F ;
BARRAT, J ;
LIENHART, A .
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 1992, 11 (01) :22-26