Long-term Ingestion of Paracetamol and Liver Disease

Overview

Journal J R Soc Med

Specialty General Medicine

Date 1980 Oct 1

PMID 7241423

Citations 6

Authors

J Neuberger

M Davis

R Williams

Affiliations

Soon will be listed here.

Abstract

Of 45 patients with chronic active hepatitis, 17 had taken paracetamol before the onset of symptoms. There were no significant differences, however, between the two groups in abnormalities of liver function tests, nor in ease of control after paracetamol withdrawal and institution of immunosuppressive therapy. The patient who had taken more than 5 g/week was studied in greater detail, but after a challenge dose of 1 g paracetamol there was no rise in serum aminotransferases and the pattern of excretion of paracetamol metabolites was normal. A critical review of the previously published reports failed to uncover any convincing evidence that paracetamol is an initiating factor in the development of chronic active hepatitis, although it may, at therapeutic levels, cause a toxic hepatitis in those individuals at risk.

Citing Articles

Long-term adverse effects of paracetamol - a review.

McCrae J, Morrison E, MacIntyre I, Dear J, Webb D Br J Clin Pharmacol. 2018; 84(10):2218-2230.

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Hayward K, Powell E, Irvine K, Martin J Br J Clin Pharmacol. 2015; 81(2):210-22.

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Paracetamol and phenacetin.

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Effects of non-narcotic analgesics on the liver.

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