Paracetamol: Therapeutic Use and the Problem of Acute Intoxications

As a review of literature, the authors discuss the mechanisms of action and the therapeutic use of paracetamol, one of the most known and widely used drugs. In 1995, the WHO experts comparatively evaluated drugs from different groups, which have a combined analgesic and antipyretic activity. Paracet...

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Main Authors: Ye. M. Shifman, A. L. Yershov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2007-02-01
Series:Общая реаниматология
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Online Access:https://www.reanimatology.com/rmt/article/view/1088
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author Ye. M. Shifman
A. L. Yershov
author_facet Ye. M. Shifman
A. L. Yershov
author_sort Ye. M. Shifman
collection DOAJ
description As a review of literature, the authors discuss the mechanisms of action and the therapeutic use of paracetamol, one of the most known and widely used drugs. In 1995, the WHO experts comparatively evaluated drugs from different groups, which have a combined analgesic and antipyretic activity. Paracetamol holds the lead in its efficacy/safety. An interest in the mechanism of action of the drug, as well as discussion of its safe use have again quickened due to the given ability to administer intravenous paracetamol for postoperative analgesia. Based on the review of literature, the authors draw a conclusion that paracetamol may be successfully used in practice of an intensive care unit. This drug has rather marked intrinsic analgesic and antipyretic effects and its coadministration with narcotic analgesics leads to synergism and reduces needs for opioids. When used in therapeutic doses, paracetamol is practically safe, but requires that a weighed approach be applied to its use in risk-group patients.
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spelling doaj-art-f1dbd67eb96e4642b80c43917ab5e93d2025-08-04T10:40:37ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102007-02-0131576510.15360/1813-9779-2007-1-57-651088Paracetamol: Therapeutic Use and the Problem of Acute IntoxicationsYe. M. Shifman0A. L. Yershov1Republican Perinatal Center, Petrozavodsk, Republic of KareliaAll-Russian Center of Emergency and Radiation Medicine, Ministry of Emergencies of Russia, Saint PetersburgAs a review of literature, the authors discuss the mechanisms of action and the therapeutic use of paracetamol, one of the most known and widely used drugs. In 1995, the WHO experts comparatively evaluated drugs from different groups, which have a combined analgesic and antipyretic activity. Paracetamol holds the lead in its efficacy/safety. An interest in the mechanism of action of the drug, as well as discussion of its safe use have again quickened due to the given ability to administer intravenous paracetamol for postoperative analgesia. Based on the review of literature, the authors draw a conclusion that paracetamol may be successfully used in practice of an intensive care unit. This drug has rather marked intrinsic analgesic and antipyretic effects and its coadministration with narcotic analgesics leads to synergism and reduces needs for opioids. When used in therapeutic doses, paracetamol is practically safe, but requires that a weighed approach be applied to its use in risk-group patients.https://www.reanimatology.com/rmt/article/view/1088paracetamolanalgesiaantipyretic effectnarcotic analgesicsreductionopioidsrisk groups
spellingShingle Ye. M. Shifman
A. L. Yershov
Paracetamol: Therapeutic Use and the Problem of Acute Intoxications
Общая реаниматология
paracetamol
analgesia
antipyretic effect
narcotic analgesics
reduction
opioids
risk groups
title Paracetamol: Therapeutic Use and the Problem of Acute Intoxications
title_full Paracetamol: Therapeutic Use and the Problem of Acute Intoxications
title_fullStr Paracetamol: Therapeutic Use and the Problem of Acute Intoxications
title_full_unstemmed Paracetamol: Therapeutic Use and the Problem of Acute Intoxications
title_short Paracetamol: Therapeutic Use and the Problem of Acute Intoxications
title_sort paracetamol therapeutic use and the problem of acute intoxications
topic paracetamol
analgesia
antipyretic effect
narcotic analgesics
reduction
opioids
risk groups
url https://www.reanimatology.com/rmt/article/view/1088
work_keys_str_mv AT yemshifman paracetamoltherapeuticuseandtheproblemofacuteintoxications
AT alyershov paracetamoltherapeuticuseandtheproblemofacuteintoxications