Paracetamol Half-Life Declines over Time After an Acute Overdose

Our results suggest that the half-life of paracetamol decreases during acetylcysteine treatment. Health care professionals should consider repeated measurements of paracetamol concentrations and calculation of half-lives when using paracetamol half-life as a marker of hepatotoxicity, particularly when deciding whether to extend acetylcysteine treatment beyond the duration stated in the current guidelines.

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Publication Details

Journal
Therapeutic Drug Monitoring
Published
2025-09-24
DOI
https://doi.org/10.1097/ftd.0000000000001395
Primary Topic
Drug-Induced Hepatotoxicity and Protection
Type
article
Field-Weighted Citation Impact
0.00

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article

Paracetamol Half-Life Declines over Time After an Acute Overdose

Daan J. Touw, Marieke G. G. Sturkenboom, Johannes A. Kroes, Berdien Oortgiesen et al.
Therapeutic Drug Monitoring
Drug-Induced Hepatotoxicity and Protection
article

Paracetamol Half-Life Declines over Time After an Acute Overdose

Daan J. Touw, Marieke G. G. Sturkenboom, Johannes A. Kroes, Berdien Oortgiesen, Jeroen Poortvliet
article en

Abstract

Our results suggest that the half-life of paracetamol decreases during acetylcysteine treatment. Health care professionals should consider repeated measurements of paracetamol concentrations and calculation of half-lives when using paracetamol half-life as a marker of hepatotoxicity, particularly when deciding whether to extend acetylcysteine treatment beyond the duration stated in the current guidelines.

Therapeutic Drug MonitoringVol. 48(2)
University Medical Center Groningen (NL), University of Groningen (NL), Medisch Centrum Leeuwarden (NL)
AstraZeneca
Openalex Percentile: Top 66%
Drug-Induced Hepatotoxicity and Protection
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