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
References
| # | Citation details | PubMed ID |
|---|---|---|
| Porphyria Drug Lists | ||
| 1. | French List
Centre Français des Porphyries
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| 2. | South African List
Porphyria South Africa No longer maintained
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Tradenames