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{{CMG}}; {{AE}}; {{chetan}}


==Definition==
Acetaaminophen is widely used as a pain medication in the U.S .  An overdose normally occurs when somebody ingests it accidentally or intentionally above the normal recommended dose .  It one of the most common poisoning  in the U.S and worldwide .  The main reason of this being that is is easily available  and people think that it is a very safe medication .  It is available in the U.S market under the following brand names .
*[[Tylenol]]
*Anacin-3
*Liquiprin
*Percocet
*Tempra
*Cold and flu medicines.
*Aceta
*Actimin
*Apacet
*Aspirin Free Anacin
*Atasol
*Banesin
*Dapa
*Datril Extra-Strength
*Feverall
*Fibi
*Genapap
*Genebs,
*[[Panadol]]
===Common dosage forms and strengths===
#Suppository: 120 mg, 125 mg, 325 mg, 650 mg
#Chewable tablets: 80 mg
#Regular strength: 325 mg
#Extra strength: 500 mg
#Liquid: 160 mg/teaspoon
#Drops: 100 mg / mL, 120 mg / 2.5 mL
'''mg = milligrams'''
Maximum advisable dosage is 4000 mg of acetaminophen a day .  A severe overdose can happen if taken more than 7000 mg / day .
==Causes/Pathophysiology==
After ingestion of an excessive amount of acetaminophen a toxic metabolite called '''N-acetyl-p-benzoquinonimine (NAPQI)''' is formed in excess and hence the normal pathways of conjugating by glutathione are saturated .  This results in glutathione depletion which leads to liver injury .
==Management==
Most of the patients who have an overdose of acetaminophen are asymptomatic . A few however who are symptomatic show symptoms only after 12 hrs of ingestion.
==References==
[[Category:Toxicology]]
[[Category:Medicine]]
[[Category:Primary care]]
[[Category:Resident survival guide]]
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Revision as of 16:35, 24 February 2014