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MD04 c Paracetamol:

A. Has analgesic, antipyretic and anti-inflammatory effects
B. Is metabolised to BENZOQUINONIMINE which is inactivated by conjugation to glutathione
C. Dose should not exceed 4000mg/day in an adult
D. Gastric irritation is common
E. ?

User Nilpo
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1 Answer

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Final answer:

Paracetamol, or Acetaminophen, is an analgesic and antipyretic with only weak anti-inflammatory properties that is safer for people with gastric issues. The maximum recommended adult daily dose is 4000mg, and it is typically not associated with gastric irritation.

Step-by-step explanation:

The student is inquiring about the medicinal properties and safety profile of Paracetamol, also known as Acetaminophen in the United States.

  • Paracetamol has analgesic and antipyretic effects but is only weakly anti-inflammatory, unlike its NSAID (nonsteroidal anti-inflammatory drug) counterparts like aspirin.
  • Paracetamol is metabolized to benzoquinoneimine, a toxic intermediate, which is inactivated by conjugation with glutathione. In cases of overdose where glutathione stores are depleted, liver damage can occur.
  • It is recommended that the daily dose of Paracetamol should not exceed 4000mg for an adult to avoid potential hepatoxicity.
  • Gastric irritation is not commonly associated with Paracetamol usage, making it a preferable analgesic for patients with gastric issues or those who require a medication with less risk of gastrointestinal side effects.
User Schrom
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