Can liver toxicity occur at repeated borderline supratherapeutic doses of paracetamol?
نویسنده
چکیده
Firstly, the 250-mg/kg dose of rectal paracetamol, which was divided into three doses per day for 3 days (each dose equivalent to 27 mg/kg) were overdoses, because the recommended dose is 10 to 15 mg/kg. However, the authors failed to pinpoint this, and instead focused on the daily dose, which in fact was only at the upper limit of the recommended daily dose. The Pediatric Dosage Handbook recommends that 10 to 15 mg/kg be given every 4 to 6 hours, and not more than five doses per day. Accordingly, the maximum dose allowed in a day is 75 mg/kg, which is about the same as the amount the patient was taking daily: roughly 80 mg/kg for 2 days and 70 mg/kg for 1 day.
منابع مشابه
Hepatotoxicity of paracetamol and related fatalities.
Paracetamol, also known as acetaminophen, is the most commonly used antipyretic and pain reliever and since 1955 it is available over-the-counter as a single formulation or in combination with other substances and, as indicated by the World Health Organization, it can be used in all the three steps of pain intensity. Paracetamol toxicity is one of the most common causes of poisoning worldwide. ...
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However, we disagree with Dr Lee that the toxicity should be attributed solely to rectal paracetamol. Firstly, the pharmacokinetics of rectal paracetamol have been extensively studied, and it has been suggested that even a rectal regimen of 25 mg/kg every 6 hours for a mean of 2 to 3 days did not result in supratherapeutic concentration. Secondly, because oral and rectal paracetamol are metabol...
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عنوان ژورنال:
- Hong Kong medical journal = Xianggang yi xue za zhi
دوره 10 3 شماره
صفحات -
تاریخ انتشار 2004