Lack of acetaminophen ceiling effect on R-III nociceptive flexion reflex.

Abstract:

OBJECTIVE:The analgesic efficacy of intravenous doses of acetaminophen (paracetamol) 0.5 g, 1 g and 2 g (administered as propacetamol) was assessed in 11 healthy subjects in a randomised, double-blind, placebo-controlled crossover study. The antinociceptive effect was assessed over 8 h by measurement of the nociceptive flexion reflex threshold (R-III) in response to selective transcutaneous electrical stimulations. RESULTS:After acetaminophen 0.5 g, R-III increased to a mean maximum of 23% over baseline values; after 1 g to 28%, and after 2 g to 40%. The AUC(0-8 h) of the analgesic effects and the AUC(0-8 h) of plasma concentrations closely correlated and were dose-dependent: rs = 0.37, for R-III and rs = 0.94, for the plasma concentrations. Intravenous acetaminophen exerted a dose-dependent central antinociceptive effect.

journal_name

Eur J Clin Pharmacol

authors

Piguet V,Desmeules J,Dayer P

doi

10.1007/s002280050386

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

321-4

issue

5

eissn

0031-6970

issn

1432-1041

journal_volume

53

pub_type

临床试验,杂志文章,随机对照试验
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