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Frequent paracetamol use and asthma in adults
Open accessAbstract
BACKGROUND: The pulmonary antioxidant glutathione may limit airway inflammation in asthma. Since paracetamol (acetaminophen) depletes the lung of glutathione in animals, a study was undertaken to investigate whether frequent use in humans was associated with asthma. METHODS: Information was collected on the use of analgesics as part of a population based case-control study of dietary antioxidants and asthma in adults aged 16-49 years registered with 40 general practices in Greenwich, South London. The frequency of use of paracetamol and aspirin was compared in 664 individuals with asthma and in 910 without asthma. Asthma was defined by positive responses to questions about asthma attacks, asthma medication, or waking at night with shortness of breath. The association between analgesic use and severity of disease amongst asthma cases, as measured by a quality of life score, was also examined. RESULTS: Paracetamol use was positively associated with asthma. After controlling for potential confounding factors the odds ratio for asthma, compared with never users, was 1.06 (95% CI 0.77 to 1.45) in infrequent users (
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“Depletion of glutathione in airway epithelial lining fluid by paracetamol metabolites has been suggested as the possible cause (192).”
From Paracetamol: New Vistas of an Old Drug (2006) · cites this paper as [192]
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“Finally, it is worth mentioning an increased evidence of asthma in chronic paracetamol users (17,192).”
From Paracetamol: New Vistas of an Old Drug (2006) · cites this paper as [192]
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Epidemiology of Respiratory Allergies and Asthma
Douwes, J. E., Brooks, C., & Pearce, N. E. (2024) · Springer eBooks · doi:10.1007/978-1-4614-6625-3_50-1 · Cited by 2
Time to counter 'fever phobia'!
Havinga, W. (2003) · Europe PMC (PubMed Central) · Cited by 2
Rangesh, P., & Mitra, S. K. (2003) · CRC Press eBooks · doi:10.1201/9780203498583.ch20 · Cited by 1
Paracetamol Use in Early Life and Link to Childhood Asthma: A Systematic Review
Prejean, M. (2012) · Cited by 1
Paracetamol (acetaminophen) and combinations
(2015) · Elsevier eBooks · doi:10.1016/b978-0-444-53717-1.01223-3 · Cited by 1
Frequent paracetamol use linked to asthma
&NA; (2000) · Inpharma Weekly · doi:10.2165/00128413-200012310-00049 · Cited by 1
Schrör, K. (2008) · Wiley eBooks · doi:10.1002/9783527625994.ch3 · Cited by 1
Re: Locke et al.- risk factors for irritable bowel syndrome
Varner, A. E. (2000) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2000.03308.x · Cited by 1
“Curiously, asthma, another disorder associated with abnormalities in smooth muscle function, has recently been found to be associated with acetaminophen use in adults”
Épidémiologie des maladies respiratoires
Annesi‐Maesano, I. (2009) · Revue des Maladies Respiratoires Actualités · doi:10.1016/s1877-1203(09)72733-8 · Cited by 1
Frequent paracetamol use linked to asthma
&NA; (2000) · Reactions Weekly · doi:10.2165/00128415-200007950-00009 · Cited by 1
Paracetamol für die perioperative Analgesie: Alte Substanz – neue Erkenntnisse
Zahn, P. K., Sabatowski, R., Schug, S. A., Stamer, U. M., & Pogatzki-Zahn, E. M. (2010) · BORIS (University Library Bern) · doi:10.48350/70339
Modulation of Respiratory Tract Responses by Acetaminophen
Smith, G. J. (2015) · OpenCommons at University of Connecticut (University of Connecticut)
Glutathione and airway function
Kloek, J. (2001) · Utrecht University Repository (Utrecht University)
Cellular and humoral mechanisms of allergic disease
Smith, K. A. (2012) · University of Brighton Repository (University of Brighton)
Protective factors in childhood allergy related to diet and lifestyle
Rosenlund, H. (2010) · Figshare
Metadata
- Authors
- Shaheen, S. O.
- Affiliations
- King's College London (GB)
- Corresponding author
- Shaheen, S. O
- ORCID
- Shaheen, S. O
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2000-04-01
- Volume
- 55
- Issue
- 4
- Pages
- 266-270
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC1745727
- OpenAlex
- W2025295475
- Cited by
- 226
- References
- 34
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 12 · 2013: 14 · 2012: 9
- FWCI
- 8.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Pharmacology (medical) › Inflammatory mediators and NSAID effects
- Keywords
- paracetamol, asthma, aspirin, analgesic use, glutathione depletion, airway inflammation, dietary antioxidants, asthma severity, quality of life, adults
- MeSH terms
- Acetaminophen, Adolescent, Adult, Anti-Inflammatory Agents, Non-Steroidal, Aspirin, Asthma, Glutathione, United Kingdom, Humans, Male, Middle Aged, Risk Factors, Case-Control Studies, Analgesics, Non-Narcotic
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