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Drugs and Medicinal Substances

Paracetamol

Nervous System Agents

Paracetamol, or acetaminophen, is an analgesic and antipyretic agent used to treat fever and mild to moderate pain. It is a widely available over-the-counter drug sold generically or under various brand names, including Tylenol and Panadol.

Facts
Classification
Approval Status
Approved 1
ATC ClassSourced to the subject's own account
N: Nervous System 2
Route of Administration
Oral 3
Route of Administration
Intravenous 3
Route of Administration
Intramuscular 3
Route of Administration
Rectal 3
WHO Essential MedicineSourced to the subject's own account
Core List 4
Drug Class
Analgesic; antipyretic 1
Mechanism of Action
Works through inhibition of cyclooxygenase (COX) enzymes and, via its metabolite AM404, activation of TRPV1 receptors and the endocannabinoid system in pain regulation. 1
Approved Use
Treats fever and mild to moderate pain. 1
First Approved / Isolated Year
1950 1
Significant Risk
Mild at recommended doses; chronic use may cause liver damage, and overdose can cause potentially fatal hepatotoxicity, a leading cause of poisoning in high-income countries. 1
Sources
1. Paracetamol (Wikipedia)
Wikimedia Foundation
  • Lead section
    used to treat fever and mild to moderate pain
  • Infobox, drug class
    Analgesic; Antipyretic
  • Pharmacology section
    inhibition of cyclooxygenase (COX) enzymes
  • History section
    marketed in the US starting 1950
  • Adverse effects section
    overdose can lead to potentially fatal hepatotoxicity
  • Regulatory approval status
View the Source
2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code N
Quote, First-level anatomical group codes, Code N
Nervous system
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3. Wikidata: Paracetamol
Wikidata
  • Wikidata P636 (route-of-administration: intramuscular)
    Route of administration: intramuscular injection
  • Wikidata P636 (route-of-administration: intravenous)
    Route of administration: intravenous infusion and defusion
  • Wikidata P636 (route-of-administration: oral)
    Route of administration: oral administration
  • Wikidata P636 (route-of-administration: rectal)
    Route of administration: rectal administration
View the Source
4. WHO Model List of Essential Medicines (Wikipedia)
WikipediaWHO Model List of Essential Medicines, Medicines for acute migraine attacks section
Quote, WHO Model List of Essential Medicines, Medicines for acute migraine attacks section
Paracetamol (acetaminophen)
View the Source
Frequently Asked Questions

What happens in a paracetamol overdose, and what is the antidote?

Overdose can cause acute liver failure; the antidote is acetylcysteine.

Paracetamol poisoning is one of the leading causes of poisoning in high-income countries, and the foremost cause of acute liver failure in many countries. The first symptoms of overdose usually begin several hours after ingestion, with nausea, vomiting, sweating, and pain as acute liver failure starts. The antidote, acetylcysteine (also called N-acetylcysteine or NAC), acts as a precursor for glutathione, helping the body regenerate enough to prevent or at least decrease the possible damage to the liver. This record describes what the sources state and is not medical advice.
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