The effect of acetaminophen (four grams a day for three consecutive days) on hepatic tests in alcoholic patients - a multicenter randomized study

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The effect of acetaminophen (four grams a day for three consecutive days) on hepatic tests in alcoholic patients - a multicenter randomized study

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dc.contributor.author Kuffner, E. K. en_US
dc.contributor.author Green, J. L. en_US
dc.contributor.author Bogdan, G. M. en_US
dc.contributor.author Knox, P. C. en_US
dc.contributor.author Palmer, R. B. en_US
dc.contributor.author Heard, K. en_US
dc.contributor.author Slattery, John T. en_US
dc.contributor.author Dart, R. C. en_US
dc.date.accessioned 2010-05-06T20:06:30Z
dc.date.available 2010-05-06T20:06:30Z
dc.date.issued 2007 en_US
dc.identifier.citation Kuffner EK, Green JL, Bogdan GM, et al. The effect of acetaminophen (four grams a day for three consecutive days) on hepatic tests in alcoholic patients - a multicenter randomized study. BMC Medicine. 2007;5(1):13. en_US
dc.identifier.other 10.1186/1741-7015-5-13 en_US
dc.identifier.uri http://www.biomedcentral.com/1741-7015/5/13 en_US
dc.identifier.uri http://hdl.handle.net/1773/15848
dc.description.abstract Background: Hepatic failure has been associated with reported therapeutic use of acetaminophen by alcoholic patients. The highest risk period for alcoholic patients is immediately after discontinuation of alcohol intake. This period exhibits the largest increase in CYP2E1 induction and lowest glutathione levels. Our hypothesis was that common liver tests would be unaffected by administration of the maximum recommended daily dosage of acetaminophen for 3 consecutive days to newly-abstinent alcoholic subjects. Methods: Adult alcoholic subjects entering two alcohol detoxification centers were enrolled in a prospective double-blind, randomized, placebo-controlled trial. Subjects were randomized to acetaminophen, 4 g/day, or placebo for 3 consecutive days. The study had 95% probability of detecting a 15 IU/L difference in serum ALT. Results: A total of 443 subjects were enrolled: 308 (258 completed) received acetaminophen and 135 subjects (114 completed) received placebo. Study groups did not differ in demographics, alcohol consumption, nutritional status or baseline laboratory assessments. The peak mean ALT activity was 57 [plus or minus] 45 IU/L and 55 [plus or minus] 48 IU/L in the acetaminophen and placebo groups, respectively. Subgroup analyses for subjects presenting with an elevated ALT, subjects fulfilling a diagnosis of alcoholic hepatitis and subjects attaining a peak ALT greater than 200 IU/L showed no statistical difference between the acetaminophen and control groups. The one participant developing an increased international normalized ratio was in the placebo group. Conclusion: Alcoholic patients treated with the maximum recommended daily dose of acetaminophen for 3 consecutive days did not develop increases in serum transaminase or other measures of liver injury. Treatment of pain or fever for 3 days with acetaminophen appears safe in newly-abstinent alcoholic patients, such as those presenting for acute medical care. en_US
dc.description.sponsorship Funding for this study was provided by McNeil Consumer Healthcare to the Denver Health Authority, Denver, Colorado. en_US
dc.language.iso en_US en_US
dc.title The effect of acetaminophen (four grams a day for three consecutive days) on hepatic tests in alcoholic patients - a multicenter randomized study en_US
dc.type Article en_US


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