Abstract:
:We present two cases of acute hepatotoxicity associated with elevated paracetamol (acetaminophen) levels in older patients. Both patients were receiving a standard European dose of oral paracetamol (2 × 500 mg QDS) with no risk factors for slowed metabolism (weight <50 kg, interacting medications, hepatic enzyme inducers, history of liver disease). Significantly, both patients had recently had a dose escalation from 'as needed' dosing to 4 g daily, and the medication was being administered by nursing staff. Our experience shows that even when prescribed appropriately at the usual therapeutic dosage, paracetamol can be hepatotoxic.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Ging P,Mikulich O,O'Reilly KMdoi
10.1093/ageing/afw067subject
Has Abstractpub_date
2016-07-01 00:00:00pages
566-7issue
4eissn
0002-0729issn
1468-2834pii
afw067journal_volume
45pub_type
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