Acute Porphyria Drugs

N02BE05 - Propacetamol

Probably not porphyrinogenic
PNP

Rationale
The paracetamol (acetaminophen) formed is CYP3A4 inducer, but gives rise only to a low hepatic oxidative load. Occasional patient reports of suspected porphyrinogenicity but vast and significant clinical experience of non-porphyrinogenicity.
Chemical description
Moderatly strong analgesic and antipyretic for intravenous administration. At the end of the infusion 99% of propacetamol is hydrolyzed in plasma to paracetamol and di-ethylglycine. The paracetamol metabolite is excreted in urine as sulfate and glucuronide conjugates. Less than 4% metabolized by CYPs. At low concentrations paracetamol is inducer of CYP3A4, increasing activity and content.
Similar drugs
Explore alternative drugs in similar therapeutic classes N02B / N02BE or go back.
References
# Citation details PubMed ID
Porphyria Drug Lists
1. French List
Centre Français des Porphyries
2. South African List
Porphyria South Africa No longer maintained
Tradenames

Dafalgan Propacetamol
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