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Interventions for paracetamol (acetaminophen) overdose
Open accessAbstract
BackgroundParacetamol (acetaminophen) is the most widely used non-prescription analgesic in the world.Paracetamol is commonly taken in overdose either deliberately or unintentionally.In high-income countries, paracetamol toxicity is a common cause of acute liver injury.There are various interventions to treat paracetamol poisoning, depending on the clinical status of the person.These interventions include inhibiting the absorption of paracetamol from the gastrointestinal tract (decontamination), removal of paracetamol from the vascular system, and antidotes to prevent the formation of, or to detoxify, metabolites. ObjectivesTo assess the benefits and harms of interventions for paracetamol overdosage irrespective of the cause of the overdose. Search methodsWe searched The Cochrane Hepato-Biliary Group Controlled Trials Register (January 2017), CENTRAL (2016, Issue 11),
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“Activated charcoal binds paracetamol and thus may reduce the amount of paracetamol absorbed from the gastrointestinal tract [94].”
From Paracetamol (acetaminophen) overdose and hepatotoxicity: mechanism, treatment, prevention measures, and estimates of burden of disease (2023) · cites this paper as [94]
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“Since acetylcysteine has become standard treatment, deaths are rare, less than 1% in most cohorts [94].”
From Paracetamol (acetaminophen) overdose and hepatotoxicity: mechanism, treatment, prevention measures, and estimates of burden of disease (2023) · cites this paper as [94]
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Cites
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., & Schünemann, H. J. (2008) · BMJ · doi:10.1136/bmj.39489.470347.ad · Cited by 23,305
Operating characteristics of a rank correlation test for publication bias
Begg, C. B., & Mazumdar, M. (1994) · Biometrics · doi:10.2307/2533446 · Cited by 16,955
Schulz (1995) · doi:10.1001/jama.1995.03520290060030 · Cited by 5,634
Moher, D., Pham, B., Jones, A., Cook, D. J., Jadad, A. R., Moher, M., Tugwell, P., & Klassen, T. P. (1998) · The Lancet · doi:10.1016/s0140-6736(98)01085-x · Cited by 3,560
Wood, L., Egger, M., Gluud, L. L., Schulz, K. F., Jüni, P., Altman, D. G., Gluud, C., Martin, R. M., Wood, A. J. G., & Sterne, J. A. C. (2008) · BMJ · doi:10.1136/bmj.39465.451748.ad · Cited by 2,538
Self-citationA modified test for small‐study effects in meta‐analyses of controlled trials with binary endpoints
Harbord, R. M., Egger, M., & Sterne, J. A. C. (2006) · Statistics in Medicine · doi:10.1002/sim.2380 · Cited by 2,267
Gluud, L. L., Villumsen, J., & Gluud, C. N. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-135-11-200112040-00010 · Cited by 2,266
Self-citationTrial sequential analysis may establish when firm evidence is reached in cumulative meta-analysis
Wetterslev, J., Thorlund, K., Brok, J., & Gluud, C. (2008) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2007.03.013 · Cited by 1,881
Self-citationIndustry sponsorship and research outcome
Lundh, A., Lexchin, J., Mintzes, B., Schroll, J. B., & Bero, L. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.mr000033.pub3 · Cited by 1,697
Trial Sequential Analysis in systematic reviews with meta-analysis
Wetterslev, J., Jakobsen, J. C., & Gluud, C. N. (2017) · BMC Medical Research Methodology · doi:10.1186/s12874-017-0315-7 · Cited by 1,216
Self-citationBrok, J. S., Thorlund, K., Gluud, C. N., & Wetterslev, J. (2008) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2007.10.007 · Cited by 1,118
Self-citationEfficacy of Oral N-Acetylcysteine in the Treatment of Acetaminophen Overdose
Smilkstein, M. J., Knapp, G. L., Kulig, K. W., & Rumack, B. H. (1988) · New England Journal of Medicine · doi:10.1056/nejm198812153192401 · Cited by 1,102
Savović, J., Jones, H. E., Altman, D. G., Harris, R. J., Jüni, P., Pildal, J., Als-Nielsen, B., Balk, E. M., Gluud, C., Gluud, L. L., et al. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-157-6-201209180-00537 · Cited by 1,049
Self-citationMuch ado about nothing: a comparison of the performance of meta-analytical methods with rare events
Bradburn, M. J., Deeks, J. J., Berlin, J. A., & Russell Localio, A. (2007) · Statistics in Medicine · doi:10.1002/sim.2528 · Cited by 938
Estimating required information size by quantifying diversity in random-effects model meta-analyses
Wetterslev, J., Thorlund, K., Brok, J. S., & Gluud, C. N. (2009) · BMC Medical Research Methodology · doi:10.1186/1471-2288-9-86 · Cited by 936
Self-citationBrok, J. S., Thorlund, K., Wetterslev, J., & Gluud, C. N. (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn188 · Cited by 913
Self-citationCan trial sequential monitoring boundaries reduce spurious inferences from meta-analyses?
Thorlund, K., Devereaux, P. J., Wetterslev, J., Guyatt, G. H., Ioannidis, J. P. A., Thabane, L., Gluud, L. L., Als-Nielsen, B. E. T., & Gluud, C. N. (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn179 · Cited by 834
Self-citationAcetaminophen-Induced Hepatotoxicity: a Comprehensive Update
(2016) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2015.00052 · Cited by 744
Jakobsen, J. C., Wetterslev, J., Winkel, P., Lange, T., & Gluud, C. (2014) · BMC Medical Research Methodology · doi:10.1186/1471-2288-14-120 · Cited by 704
Self-citationRoyle, P., & Milne, R. (2003) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462303000552 · Cited by 693
Savović, J., Jones, H., Altman, D., Harris, R., Jűni, P., Pildal, J., Als-Nielsen, B., Balk, E., Gluud, C., Gluud, L., et al. (2012) · Health Technology Assessment · doi:10.3310/hta16350 · Cited by 668
Self-citationIntravenous N-acetylcystine: the treatment of choice for paracetamol poisoning.
Prescott, L. F., Illingworth, R. N., Critchley, J. A., Stewart, M. J., Adam, R. D., & Proudfoot, A. T. (1979) · BMJ · doi:10.1136/bmj.2.6198.1097 · Cited by 667
Acetaminophen Poisoning and Toxicity
Rumack, B. H., & Matthew, H. (1975) · Pediatrics · doi:10.1542/peds.55.6.871 · Cited by 640
Intravenous N-acetylcysteine: still the treatment of choice for paracetamol poisoning.
Prescott, L. F., Illingworth, R. N., Critchley, J., & Proudfoot, A. T. (1980) · BMJ · doi:10.1136/bmj.280.6206.46-b · Cited by 625
Controlled trials of charcoal hemoperfusion and prognostic factors in fulminant hepatic failure
O’Grady, J. G., Gimson, A. E., O’Brien, C., Pucknell, A., Hughes, R. D., & Williams, R. L. (1988) · Gastroenterology · doi:10.1016/0016-5085(88)90011-x · Cited by 534
Mitchell, J. R., Thorgeirsson, S. S., Potter, W. Z., Jollow, D. J., & Keiser, H. R. (1974) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt1974164676 · Cited by 529
Acute liver necrosis following overdose of paracetamol
Davidson, D. G., & Eastham, W. N. (1966) · BMJ · doi:10.1136/bmj.2.5512.497 · Cited by 528
Acetaminophen and the U.S. acute liver failure study group: Lowering the risks of hepatic failure
Lee, W. M. (2004) · Hepatology · doi:10.1002/hep.20293 · Cited by 498
Keays, R. T., Harrison, P. M., Wendon, J. A., Forbes, A., Gove, C. D., Alexander, G., & Williams, R. L. (1991) · BMJ · doi:10.1136/bmj.303.6809.1026 · Cited by 481
Kinetics and metabolism of paracetamol and phenacetin.
Prescott, L. (1980) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1980.tb01812.x · Cited by 454
Lessons from look-back in acute liver failure? A single centre experience of 3300 patients
Bernal, W. E., Hyyrylainen, A., Gera, A., Audimoolam, V. K., McPhail, M. J. W., Auzinger, G. M., Rela, M., Heaton, N. D., O’Grady, J. G., Wendon, J. A., et al. (2013) · Journal of Hepatology · doi:10.1016/j.jhep.2013.02.010 · Cited by 435
Outcomes in Adults With Acute Liver Failure Between 1998 and 2013: An Observational Cohort Study
Reuben, A., Tillman, H., Fontana, R. J., Davern, T., McGuire, B., Stravitz, R. T., Durkalski, V., Larson, A. M., Liou, I., Fix, O., et al. (2016) · Annals of Internal Medicine · doi:10.7326/m15-2211 · Cited by 390
Harrison, P. M., Keays, R., Bray, G. P., Alexander, G., & Williams, R. L. (1990) · The Lancet · doi:10.1016/0140-6736(90)91388-q · Cited by 389
Position Paper: Single-Dose Activated Charcoal
American Academy of Clinical Toxico, & European Association of Poisons Cen (2005) · Clinical Toxicology · doi:10.1081/clt-51867 · Cited by 372
Position Paper: Single-Dose Activated Charcoal
Toxicology, A. A. O. C., Centres, E. A. O. P., & Toxicologists, C. (2005) · Clinical Toxicology · doi:10.1081/clt-200051867 · Cited by 366
Pharmacokinetics and bioavailability of reduced and oxidized N-acetylcysteine
Olsson, B., Johansson, M., Gabrielsson, J., & Bolme, P. (1988) · European Journal of Clinical Pharmacology · doi:10.1007/bf01061422 · Cited by 352
Management of acutely poisoned patients without gastric emptying
Kulig, K. W., Bar‐Or, D., Cantrill, S. V., Rosen, P. L., & Rumack, B. H. (1985) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(85)80780-0 · Cited by 294
Albumin Dialysis With a Noncell Artificial Liver Support Device in Patients With Acute Liver Failure
Saliba, F., Camus, C., Durand, F., Mathurin, P., Letierce, A., Delafosse, B. X., Barange, K., Perrigault, P. F., Belnard, M., Ichaı̈, P., et al. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-8-201310150-00005 · Cited by 289
Mills (2010) · Clinical Epidemiology · doi:10.2147/clep.s9242 · Cited by 281
Acetaminophen overdose: A 48-hour intravenous N-acetylcysteine treatment protocol
Smilkstein, M. J., Bronstein, A. C., Linden, C. H., Augenstein, W. L., Kulig, K. W., & Rumack, B. H. (1991) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(05)81352-6 · Cited by 259
Position Paper: Gastric Lavage
American Academy of Clinical Toxicology, & European Association of Poisons Centres and Clinical Toxicologists (2004) · Journal of Toxicology Clinical Toxicology · doi:10.1081/clt-200045006 · Cited by 249
HEPATIC DAMAGE AND DEATH FROM OVERDOSE OF PARACETAMOL
Clark, R., Borirakchanyavat, V., Davidson, A. R., Williams, R., Thompson, R. P. H., Widdop, B., & Goulding, R. (1973) · The Lancet · doi:10.1016/s0140-6736(73)90466-2 · Cited by 248
Bateman, D. N., Dear, J. W., Thanacoody, R. H. K., Thomas, S. H. L., Eddleston, M., Sandilands, E. A., Coyle, J., Cooper, J. G., Rodríguez, A., Butcher, I., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)62062-0 · Cited by 239
Interventions for paracetamol (acetaminophen) overdose
Brok, J. S., Buckley, N., & Gluud, C. N. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003328.pub2 · Cited by 228
Self-citationParacetamol (acetaminophen) poisoning
Vale, J. A., & Proudfoot, A. T. (1995) · The Lancet · doi:10.1016/s0140-6736(95)91385-8 · Cited by 227
Multiple-dose activated charcoal in acute self-poisoning: a randomised controlled trial
Eddleston, M., Juszczak, E., Buckley, N. A., Senarathna, L., Mohamed, F., Dissanayake, W., Hittarage, A., Azher, S., Jeganathan, K., Jayamanne, S., et al. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60270-6 · Cited by 227
Self-citationDaly, F. F. S., Fountain, J. S., Murray, L., Graudins, A., & Buckley, N. A. (2008) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2008.tb01625.x · Cited by 224
Self-citationCYSTEAMINE, METHIONINE, AND PENICILLAMINE IN THE TREATMENT OF PARACETAMOL POISONING
Prescott, L. F., Sutherland, G. R., Park, J., Smith, I. J., & Proudfoot, A. T. (1976) · The Lancet · doi:10.1016/s0140-6736(76)92842-7 · Cited by 210
Acetaminophen and acetylcysteine dose and duration: Past, present and future
Rumack, B. H., & Bateman, D. N. (2012) · Clinical Toxicology · doi:10.3109/15563650.2012.659252 · Cited by 205
Adverse reactions associated with acetylcysteine
Sandilands, E. A., & Bateman, D. N. (2009) · Clinical Toxicology · doi:10.1080/15563650802665587 · Cited by 204
Acetaminophen Poisoning: an Evidence-Based Consensus Guideline for Out-of-Hospital Management
Dart, R. C., Erdman, A. R., Olson, K. R., Christianson, G., Manoguerra, A. S., Chyka, P. A., Caravati, E. M., Wax, P. M., Keyes, D. C., Woolf, A. D., et al. (2006) · Clinical Toxicology · doi:10.1080/15563650500394571 · Cited by 196
Adverse reactions to acetylcysteine and effects of overdose.
Mant, T., Tempowski, J. H., Volans, G. N., & Talbot, J. C. C. (1984) · BMJ · doi:10.1136/bmj.289.6439.217 · Cited by 194
Gunnell, D., Hawton, K. E., Murray, V. S. G., Garnier, R., Bismuth, C., Fagg, J., & Simkin, S. (1997) · Journal of Epidemiology & Community Health · doi:10.1136/jech.51.2.175 · Cited by 167
Kerr, F., Dawson, A. H., Whyte, I. M., Buckley, N. A., Murray, L., Graudins, A., Chan, B. S. H., & Trudinger, B. (2005) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2004.08.040 · Cited by 162
Self-citationAmerican Academy of Clinical Toxico, & European Association of Poisons Centres and Clinical Toxicologists (2004) · Journal of Toxicology Clinical Toxicology · doi:10.1081/clt-120037421 · Cited by 155
Jones, A. L. (1998) · Journal of Toxicology Clinical Toxicology · doi:10.3109/15563659809028022 · Cited by 152
Management of Anaphylactoid Reactions to Intravenous N-Acetylcysteine
Bailey, B., & McGuigan, M. A. (1998) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(98)70229-x · Cited by 135
Green, J., Heard, K., Reynolds, K., & Albert, D. (2013) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2012.4.6885 · Cited by 135
Extracorporeal treatment for acetaminophen poisoning: Recommendations from the EXTRIP workgroup
Gosselin, S., Juurlink, D. N., Kielstein, J. T., Ghannoum, M., Lavergne, V., Nolin, T. D., Hoffman, R. S., & workgroup, O. B. O. T. E. (2014) · Clinical Toxicology · doi:10.3109/15563650.2014.946994 · Cited by 132
Schmidt, L. E., & Dalhoff, K. (2001) · British Journal of Clinical Pharmacology · doi:10.1046/j.1365-2125.2001.01305.x · Cited by 127
Buckley, N. A., Buckley, N. A., Whyte, I. M., O’Connell, D. L., & Dawson, A. H. (1999) · Journal of Toxicology Clinical Toxicology · doi:10.1081/clt-100102453 · Cited by 127
Self-citationAcetaminophen‐Related Acute Renal Failure without Fulminant Liver Failure
Eguia, L., & Materson, B. J. (1997) · Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/j.1875-9114.1997.tb03721.x · Cited by 126
Gazzard, B., Henderson, J. M., & Williams, R. L. (1975) · Gut · doi:10.1136/gut.16.8.617 · Cited by 117
Prescott, K., Stratton, R., Freyer, A. M., Hall, I. P., & Jeune, I. L. (2009) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.2009.03458.x · Cited by 116
Dordoni, B., Willson, R. A., Thompson, R. P. H., & Williams, R. L. (1973) · BMJ · doi:10.1136/bmj.3.5871.86 · Cited by 116
Prescott, L. F., & Wright, N. (1973) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.1973.tb08536.x · Cited by 114
Buckley, N. A., Buckley, N., Whyte, I. M., O'Connell, D. L., & Dawson, A. H. (1999) · Journal of Toxicology: Clinical Toxicology · doi:10.1081/clt-100102452 · Cited by 112
Self-citationChiew, A. L., Isbister, G. K., Kirby, K. A., Page, C. B., Chan, B. S. H., & Buckley, N. A. (2017) · Clinical Toxicology · doi:10.1080/15563650.2017.1334915 · Cited by 107
Self-citationShorter duration of oral N -Acetylcysteine therapy for acute acetaminophen overdose
Woo, O. F., Mueller, P. D., Olson, K. R., Anderson, I. B., & Kim, S. Y. (2000) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(00)70055-2 · Cited by 104
Koch‐Weser, J. (1976) · New England Journal of Medicine · doi:10.1056/nejm197612022952306 · Cited by 103
Kao, L. W., Kirk, M. A., Furbee, R. B., Mehta, N. H., Skinner, J. R., & Brizendine, E. J. (2003) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(03)00508-0 · Cited by 102
Acetaminophen Causes an Increased International Normalized Ratio by Reducing Functional Factor VII
Whyte, I. M., Buckley, N. A., Reith, D. M., Goodhew, I., Seldon, M., & Dawson, A. H. (2000) · Therapeutic Drug Monitoring · doi:10.1097/00007691-200012000-00015 · Cited by 91
Self-citationCairney, D. G., Beckwith, H., Al-Hourani, K., Eddleston, M., Bateman, D. N., & Dear, J. W. (2016) · Clinical Toxicology · doi:10.3109/15563650.2016.1159309 · Cited by 90
Practical aspects in data monitoring: A brief review
DeMets, D. L. (1987) · Statistics in Medicine · doi:10.1002/sim.4780060706 · Cited by 89
Frequency of Medication Errors with Intravenous Acetylcysteine for Acetaminophen Overdose
Hayes, B. D., Klein‐Schwartz, W., & Doyon, S. (2008) · Annals of Pharmacotherapy · doi:10.1345/aph.1k685 · Cited by 88
CONTROLLED TRIAL OF CYSTEAMINE IN TREATMENT OF ACUTE PARACETAMOL (ACETAMINOPHEN) POISONING
Douglas, A., Hamlyn, A. N., & James, O. (1976) · The Lancet · doi:10.1016/s0140-6736(76)93154-8 · Cited by 85
Doyon, S., & Klein‐Schwartz, W. (2008) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2008.00296.x · Cited by 83
Outcomes from massive paracetamol overdose: a retrospective observational study
Marks, D. J., Dargan, P. I., Archer, J. R. H., Davies, C. L., Dines, A. M., Wood, D. M., & Greene, S. L. (2016) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.13214 · Cited by 82
Paracetamol: are therapeutic doses entirely safe?
Jalan, R., Williams, R., & Bernuau, J. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69874-7 · Cited by 80
Underhill, T. J., Greene, M. K., & Dove, A. F. (1990) · Emergency Medicine Journal · doi:10.1136/emj.7.3.148 · Cited by 79
McElhatton, P. R., Sullivan, F., & Volans, G. N. (1997) · Reproductive Toxicology · doi:10.1016/s0890-6238(96)00200-6 · Cited by 76
A randomized clinical trial of activated charcoal for the routine management of oral drug overdose
Cooper, G. M., Couteur, D. G. L., Richardson, D., & Buckley, N. A. (2005) · QJM · doi:10.1093/qjmed/hci102 · Cited by 72
Self-citationRoutledge, P. A., Vale, A., Bateman, D. N., Johnston, G. D., Jones, A., Judd, A. M., Thomas, S. H. L., Volans, G. N., Prescott, L. F., & Proudfoot, A. T. (1998) · BMJ · doi:10.1136/bmj.317.7173.1609 · Cited by 71
Evidence for the changing regimens of acetylcysteine
Chiew, A. L., Isbister, G. K., Duffull, S. B., & Buckley, N. A. (2015) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.12789 · Cited by 67
Self-citationIS THERE A PLACE FOR CIMETIDINE OR ETHANOL IN THE TREATMENT OF PARACETAMOL POISONING?
Critchley, J., Scott, A., Dyson, E. H., Jarvie, D. R., & Prescott, L. F. (1983) · The Lancet · doi:10.1016/s0140-6736(83)92150-5 · Cited by 67
How Long After Drug Ingestion Is Activated Charcoal Still Effective?
Green, R. S., Grierson, R., SITAR, D. S., & Tenenbein, M. (2001) · Journal of Toxicology Clinical Toxicology · doi:10.1081/clt-100108492 · Cited by 66
Mitchell, M. C., Schenker, S., & Speeg, K. V. (1984) · Journal of Clinical Investigation · doi:10.1172/jci111223 · Cited by 64
Effect of acetylcysteine on prothrombin index in paracetamol poisoning without hepatocellular injury
Schmidt, L. E., Knudsen, T. T., Dalhoff, K., & Bendtsen, F. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11194-9 · Cited by 64
Morgan, O. W., Griffiths, C., & Majeed, A. (2005) · Journal of Public Health · doi:10.1093/pubmed/fdh216 · Cited by 63
Activated charcoal alone or after gastric lavage: a simulated large paracetamol intoxication
Christophersen, A. B., Levin, D., Hoegberg, L. C. G., Angelo, H. R., & Kampmann, J. P. (2002) · British Journal of Clinical Pharmacology · doi:10.1046/j.0306-5251.2001.01568.x · Cited by 59
Chiew, A. L., Fountain, J. S., Graudins, A., Isbister, G. K., Reith, D. M., & Buckley, N. A. (2015) · The Medical Journal of Australia · doi:10.5694/mja15.00614 · Cited by 58
Self-citationParacetamol (acetaminophen) poisoning.
Buckley, N., & Eddleston, M. (2002) · PubMed Central · Cited by 53
Self-citationConcomitant use of activated charcoal and N-acetylcysteine
Renzi, F. P., Donovan, J. W., Martin, T. G., LeeRoy, M., & Harrison, E. F. (1985) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(85)80781-2 · Cited by 53
Yeates, P., & Thomas, S. H. L. (2000) · British Journal of Clinical Pharmacology · doi:10.1046/j.1365-2125.2000.00107.x · Cited by 52
Aspiration pneumonia following severe self-poisoning
Liisanantti, J. H., Kaukoranta, P. K., Martikainen, M., & Ala-Kokko, T. I. (2002) · Resuscitation · doi:10.1016/s0300-9572(02)00284-8 · Cited by 51
Gazzard, B., Clark, R., Borirakchanyavat, V., & Williams, R. L. (1974) · Gut · doi:10.1136/gut.15.2.89 · Cited by 51
Paracetamol-induced acute liver failure: prevention and management
O’Grady, J. G. (1997) · Journal of Hepatology · doi:10.1016/s0168-8278(97)82332-x · Cited by 51
Efficacy of activated charcoal administered more than four hours after acetaminophen overdose
Spiller, H. A., Winter, M. L., Klein‐Schwartz, W., & Bangh, S. A. (2006) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2005.02.019 · Cited by 49
Wolf, S. J., Heard, K. J., Sloan, E. P., & Jagoda, A. S. (2007) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2007.06.014 · Cited by 48
Kwan, D., Bartle, W. R., & Walker, S. E. (1995) · Digestive Diseases and Sciences · doi:10.1007/bf02208663 · Cited by 46
Predicting the requirement for N-acetylcysteine in paracetamol poisoning from reported dose
Duffull, S. B., & Isbister, G. K. (2013) · Clinical Toxicology · doi:10.3109/15563650.2013.830733 · Cited by 46
Cimetidine as adjunctive treatment for acetaminophen overdose
Burkhart, K., Janco, N., Kulig, K. W., & Rumack, B. H. (1995) · Human & Experimental Toxicology · doi:10.1177/096032719501400311 · Cited by 42
Paracetamol (acetaminophen) poisoning.
Park, B. K., Dear, J. W., & Antoine, D. J. (2015) · PubMed Central · Cited by 39
Heard, K. J., Rumack, B. H., Green, J. L., Bucher‐Bartelson, B., Heard, K., Bronstein, A. C., & Dart, R. C. (2014) · Clinical Toxicology · doi:10.3109/15563650.2014.902955 · Cited by 38
CHARCOAL HAEMOPERFUSION FOR PARACETAMOL OVERDOSE
Gazzard, B., Willson, R. A., Weston, M. J., Thompson, R. P. H., & Williams, R. J. (1974) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1974.tb00249.x · Cited by 37
Controlled trial of cysteamine and dimercaprol after paracetamol overdose.
Hughes, R. D., Gazzard, B., Hanid, M. A., Trewby, P., Murray-Lyon, I. M., Davis, M. R., Williams, R. L., & Bennet, J. R. (1977) · BMJ · doi:10.1136/bmj.2.6099.1395 · Cited by 30
Interventions for paracetamol (acetaminophen) overdoses
Brok, J. S., Buckley, N. A., & Gluud, C. N. (2002) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003328 · Cited by 28
Self-citationWilliamson, K., Wahl, M., & Mycyk, M. B. (2013) · American Journal of Therapeutics · doi:10.1097/mjt.0b013e318250f829 · Cited by 27
Clark, R. F., Chen, R., Williams, S. R., Johnson, C. L., & Harchelroad, F. P. (1996) · Journal of Toxicology Clinical Toxicology · doi:10.3109/15563659609013765 · Cited by 26
Senarathna, S. M. D. K. G., Ranganathan, S. S., Buckley, N. A., & Fernandopulle, R. (2012) · BMC Clinical Pharmacology · doi:10.1186/1472-6904-12-6 · Cited by 25
Self-citationBartels, S. A., Sivilotti, M. L. A., Crosby, D., & Richard, J. (2008) · Clinical Toxicology · doi:10.1080/15563650701447020 · Cited by 24
Hamlyn, A. N., Lesna, M., Record, C. O., Smith, P., Watson, A. J., Meredith, T. J., Volans, G. N., & Crome, P. (1981) · Journal of International Medical Research · doi:10.1177/030006058100900314 · Cited by 24
PREVENTION AND TREATMENT OF DRUG-INDUCED LIVER DISEASE
Speeg, K. V., & Bay, M. K. (1995) · Gastroenterology Clinics of North America · doi:10.1016/s0889-8553(21)00240-5 · Cited by 22
N -Acetylcysteine on Its Way to A Broader Application in Patients With Acute Liver Failure
Koch, A. H., & Trautwein, C. (2009) · Hepatology · doi:10.1002/hep.23484 · Cited by 20
Status epilepticus following intravenous N-acetylcysteine therapy.
Hershkovitz, E., Shorer, Z., Levitas, A., & Tal, A. (1996) · PubMed · Cited by 20
Treating paracetamol overdose by charcoal haemoperfusion and long-hours high-flux dialysis
Higgins, R., Goldsmith, D. J. A., MacDiarmid-Gordon, A., Taberner, D. A., Venning, M., & Ackrill, P. (1996) · QJM · doi:10.1093/qjmed/89.4.297 · Cited by 14
Eyer, P., & Sprenger, M. (1991) · Journal of Molecular Medicine · doi:10.1007/bf01649564 · Cited by 10
Montoya-Cabrera, M. A., Galindo, P. E., Juárez, A. R. N., Larios, V. M. T., & Hernández, J. A. T. (1999) · PubMed · Cited by 9
Acetaminophen: risk‐management urgently required
MacDonald, T. M. (2006) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1228 · Cited by 8
ABC of poisoning. Analgesics: II--Paracetamol.
Henry, J. A., & Volans, G. N. (1984) · BMJ · doi:10.1136/bmj.289.6449.907 · Cited by 7
Ferner, R. E. (2001) · QJM · doi:10.1093/qjmed/94.3.117 · Cited by 6
The Use of Cysteamine and Dimercaprol
Hughes, R. D., Gazzard, B., Murray-Lyon, I. M., & Williams, R. S. (1976) · Journal of International Medical Research · doi:10.1177/14732300760040s422 · Cited by 6
Eizadi‐Mood, N., Sabzghabaee, A. M., Siadat, S., Yaraghi, A., Shariati, M., Gheshlaghi, F., Masoumi, G., Movahedi, D., & Baradaran, S. (2013) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.291(suppl).3522 · Cited by 5
Gawarammana, I., Greene, S. L., Dargan, P. I., & Jones, A. L. (2005) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2005.07.023 · Cited by 5
Gazzard, B., Hughes, R. D., Chhibber, A. D., Bennett, J. R., Jr., Murray-Lyon, I. M., Dordoni, B., & Williams, R. L. (1975) · PubMed · Cited by 4
Arefi, M., Behnoush, B., Pouraziz, H., & Yousefinejad, V. (2013) · Cited by 3
Acetylcysteine for paracetamol-induced hepatic failure
Mann, N. S. (1992) · Annals of Internal Medicine · Cited by 1
Geriatric pharmacotherapy updates
Guay, D. R. P., & Hajjar, E. R. (2003) · The American journal of geriatric pharmacotherapy · doi:10.1016/s1543-5946(03)90006-7 · Cited by 1
Flagged first, then by citations
2 of the 133 references couldn’t be matched to a known paper.
Research works printed but not linked: 8
- Bastaki, 2006, Drugs update, Emirates Medical Journal, 24, 245
- Douglas, 1976, Controlled trial of cysteamine in treatment of acute paracetamol (acetaminophen) poisoning, Lancet, 1, 111, 10.1016/S0140-6736(76)93154-8 · DOI
- Hamlyn, 1980, Prevention of hepatic necrosis in severe paracetamol (acetaminophen) poisoning: prospective controlled trial of early treatment with cysteamine or methionine [abstract], Gut, 21, A448
- Keays, 1989, Use of late N-acetyl cysteine in severe paracetamol overdose [abstract], Gut, 30, A1512
- Gluud C Nikolova D Klingenberg SL Cochrane Hepato-Biliary Group About Cochrane (Cochrane Review Groups (CRGs)) 2017, Issue 5. Art. No.: LIVER
- Higgins JPT Altman DG Sterne JAC Chapter 8: Assessing risk of bias in included studies In: Higgins JPT, Green S, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011
- The Nordic Cochrane Centre, The Cochrane Collaboration Review Manager (RevMan) 2014
- Skoog, 2015, Transparency and Registration in Clinical Research in the Nordic Countries
Cited by
Sorted by citations
Stravitz, R. T., & Lee, W. M. (2019) · The Lancet · doi:10.1016/s0140-6736(19)31894-x · Cited by 844
Chidiac, A. S., Buckley, N. A., Noghrehchi, F., & Cairns, R. (2023) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1080/17425255.2023.2223959 · Cited by 215
Self-citationEvaluation and treatment of acetaminophen toxicity
Fisher, E. S., & Curry, S. C. (2019) · Advances in pharmacology · doi:10.1016/bs.apha.2018.12.004 · Cited by 188
Drug-induced liver injury: Asia Pacific Association of Study of Liver consensus guidelines
Devarbhavi, H., Aithal, G., Treeprasertsuk, S., Takikawa, H., Mao, Y., Shasthry, S. M., Hamid, S., Tan, S. S., Philips, C. A., George, J., et al. (2021) · Hepatology International · doi:10.1007/s12072-021-10144-3 · Cited by 181
Liver injury induced by paracetamol and challenges associated with intentional and unintentional use
Rotundo, L., & Pyrsopoulos, N. (2020) · World Journal of Hepatology · doi:10.4254/wjh.v12.i4.125 · Cited by 190
Metadata
- Authors
- Chiew, A. L., Gluud, C., Brok, J., & Buckley, N. A.
- Affiliations
- The University of Sydney (AU)
- Copenhagen University Hospital (DK)
- Rigshospitalet (DK)
- University of Sydney; Department of Pharmacology; Camperdown NSW Australia
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2018-02-23
- Volume
- 2018
- Issue
- 2
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- OpenAlex
- W3183688590
- Cited by
- 170
- References
- 133
- Citations by year
- 2026: 14 · 2025: 22 · 2024: 18 · 2023: 27 · 2022: 32 · 2021: 24 · 2020: 15 · 2019: 14 · 2018: 4
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Paraquat toxicity studies and treatments
- Keywords
- acetaminophen overdose, acetaminophen toxicity, acute liver injury, decontamination, paracetamol removal, analgesic overdose, therapeutic interventions
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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