Clinical Toxicologist Nicholas Buckley is one of the biggest brains in the business. In his talk at SMACC he showed us how much there is to know about something so seemingly simple in ‘Paracetamol: More than meets the Eye’. This is a…
You are called by a doctor in a remote hospital asking for advice. The doctor is concerned about the risk of hepatotoxicity from repeated supratherapeutic ingestion (RSI) of paracetamol in the following patient:
Acute Paracetamol Toxicity: following overdose glucuronidation and sulphation pathways are rapidly saturated -> increased metabolism to NAPQI (N-acetyl-P-benzoquineimine); glutathione is required to inactivate NAPQI and when levels depleted -> hepatocellular death takes place
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