Page last updated: 2024-10-22

acetaminophen and Brain Hemorrhage, Cerebral

acetaminophen has been researched along with Brain Hemorrhage, Cerebral in 18 studies

Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
paracetamol : A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Research Excerpts

ExcerptRelevanceReference
"PAIS 2 (Paracetamol [Acetaminophen] in Stroke 2) was a multicenter, randomized, double-blind, placebo-controlled clinical trial."9.24PAIS 2 (Paracetamol [Acetaminophen] in Stroke 2): Results of a Randomized, Double-Blind Placebo-Controlled Clinical Trial. ( Algra, A; de Ridder, IR; den Hertog, HM; Dippel, DW; Jansen, BP; Kappelle, LJ; Koudstaal, PJ; Maasland, EL; Ruitenberg, A; Saxena, R; Schreuder, AH; Van den Berg-Vos, RM; van der Worp, HB; van Gemert, HM; van Tuijl, JH; Vermeij, F, 2017)
"A 45 year old female with no stroke risk factors suffered a massive intracerebral hemorrhage (ICH) after ingesting Midrin--a combination of isometheptene mucate, dichlorophenazine and acetaminophen."7.75Life threatening intracerebral hemorrhage with isometheptene mucate, dichlorophenazine and acetaminophen combination therapy. ( Johnston, JC, 2009)
" We are uncertain whether tramadol reduces mortality compared to placebo; none of the studies reported pain scores, major neurodevelopmental disability, cognitive and educational outcomes in children older than five years old, retinopathy of prematurity, or intraventricular hemorrhage."5.41Systemic opioids versus other analgesics and sedatives for postoperative pain in neonates. ( Borges do Nascimento, IJ; Bruschettini, M; Kinoshita, M; Stempel, KS, 2023)
"PAIS 2 (Paracetamol [Acetaminophen] in Stroke 2) was a multicenter, randomized, double-blind, placebo-controlled clinical trial."5.24PAIS 2 (Paracetamol [Acetaminophen] in Stroke 2): Results of a Randomized, Double-Blind Placebo-Controlled Clinical Trial. ( Algra, A; de Ridder, IR; den Hertog, HM; Dippel, DW; Jansen, BP; Kappelle, LJ; Koudstaal, PJ; Maasland, EL; Ruitenberg, A; Saxena, R; Schreuder, AH; Van den Berg-Vos, RM; van der Worp, HB; van Gemert, HM; van Tuijl, JH; Vermeij, F, 2017)
" Patients with aneurysmal subarachnoid hemorrhage (SAH) were randomized to receive either ketoprofen, 100 mg, three times a day (ketoprofen group, n = 9) or a weak NSAID, acetaminophen, 1 g, three times a day (acetaminophen group, n = 9) starting immediately after the diagnosis of aneurysmal SAH."5.09Effects of nonsteroidal anti-inflammatory drugs on hemostasis in patients with aneurysmal subarachnoid hemorrhage. ( Juvela, S; Niemi, T; Randell, T; Rosenberg, P; Tanskanen, P; Taxell, C, 1999)
"A high dose of oral ibuprofen was associated with a higher likelihood of hemodynamically significant PDA closure vs standard doses of intravenous ibuprofen or intravenous indomethacin; placebo or no treatment did not significantly change the likelihood of mortality, necrotizing enterocolitis, or intraventricular hemorrhage."4.98Association of Placebo, Indomethacin, Ibuprofen, and Acetaminophen With Closure of Hemodynamically Significant Patent Ductus Arteriosus in Preterm Infants: A Systematic Review and Meta-analysis. ( Florez, ID; Mbuagbaw, L; Mitra, S; Sadeghirad, B; Tamayo, ME; Thabane, L; Vanniyasingam, T; Veroniki, AA; Zea, AM; Zhang, Y, 2018)
"A 45 year old female with no stroke risk factors suffered a massive intracerebral hemorrhage (ICH) after ingesting Midrin--a combination of isometheptene mucate, dichlorophenazine and acetaminophen."3.75Life threatening intracerebral hemorrhage with isometheptene mucate, dichlorophenazine and acetaminophen combination therapy. ( Johnston, JC, 2009)
"This is the third case reported of maternal acetaminophen overdose during pregnancy."3.68Can acetaminophen excess result in maternal and fetal toxicity? ( Kurzel, RB, 1990)
" On day 2 post partum, mothers were questioned regarding maternal risk factors, including the use of either aspirin or acetaminophen during the last week of pregnancy."3.66Neonatal intracranial hemorrhage and maternal use of aspirin. ( Braithwaite, WR; Guggenheim, MA; Johnson, ML; Peterson, RG; Rumack, BH; Rumack, CM, 1981)
"Severe infarcts and intracerebral hemorrhages caused temperature to rise, whereas initially increased temperature had no influence on stroke severity."2.70Stroke severity determines body temperature in acute stroke. ( Boysen, G; Christensen, H, 2001)
" No protocol-related adverse events occurred."1.51Feasibility and Safety of Transnasal High Flow Air to Reduce Core Body Temperature in Febrile Neurocritical Care Patients: A Pilot Study. ( Assis, FR; Geocadin, RG; Shah, D; Tandri, H; Ziai, WC, 2019)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.56)18.7374
1990's2 (11.11)18.2507
2000's3 (16.67)29.6817
2010's7 (38.89)24.3611
2020's5 (27.78)2.80

Authors

AuthorsStudies
Kinoshita, M1
Stempel, KS1
Borges do Nascimento, IJ1
Bruschettini, M2
Mitra, S2
Hatfield, T1
Campbell-Yeo, M1
Dorling, J1
Johnston, BC1
Bai, C1
Meng, F1
Wu, H1
Wu, W1
Stróżyk, A1
Paraskevas, T1
Romantsik, O1
Calevo, MG1
Banzi, R1
Ley, D1
Hervella, P1
Rodríguez-Yáñez, M1
Pumar, JM1
Ávila-Gómez, P1
da Silva-Candal, A1
López-Loureiro, I1
Rodríguez-Maqueda, E1
Correa-Paz, C1
Castillo, J1
Sobrino, T1
Campos, F1
Iglesias-Rey, R1
Florez, ID1
Tamayo, ME1
Mbuagbaw, L1
Vanniyasingam, T1
Veroniki, AA1
Zea, AM1
Zhang, Y1
Sadeghirad, B1
Thabane, L1
Raza, SA1
Durm, LB1
Mahmoud, GA1
Rahman, H1
Henriquez, L1
Davis, B1
Nahab, F1
Ziai, WC1
Shah, D1
Assis, FR1
Tandri, H1
Geocadin, RG1
Naver, SV1
Papina, M1
Solem, EJ1
Dalhoff, KP1
Tofé Valera, I1
Jaraba Caballero, MP1
Ruiz González, MD1
Rodríguez Benítez, MV1
Parraga Quiles, MJ1
de Ridder, IR1
den Hertog, HM1
van Gemert, HM1
Schreuder, AH1
Ruitenberg, A1
Maasland, EL1
Saxena, R1
van Tuijl, JH1
Jansen, BP1
Van den Berg-Vos, RM1
Vermeij, F1
Koudstaal, PJ1
Kappelle, LJ1
Algra, A1
van der Worp, HB1
Dippel, DW1
Johnston, JC1
Shrikanth, V1
Vanderheiden, A1
Simha, V1
Fernandez, A1
Schmidt, JM1
Claassen, J1
Pavlicova, M1
Huddleston, D1
Kreiter, KT1
Ostapkovich, ND1
Kowalski, RG1
Parra, A1
Connolly, ES1
Mayer, SA1
Rumack, CM1
Guggenheim, MA1
Rumack, BH1
Peterson, RG1
Johnson, ML1
Braithwaite, WR1
Niemi, T1
Tanskanen, P1
Taxell, C1
Juvela, S1
Randell, T1
Rosenberg, P1
Boysen, G1
Christensen, H1
Kurzel, RB1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of Bromocriptine to Reduce Body Temperature in Febrile Critically-ill Adults With Acute Neurologic Disease: an Open-label, Blinded Endpoint, Randomized Controlled Trial[NCT03496545]Phase 1/Phase 247 participants (Actual)Interventional2018-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Temperature Burden

Mean total body temperature burden above 37°C over 48 hours during which patient receives either control or intervention medication. (NCT03496545)
Timeframe: over 48 hours

InterventionTemperature in degrees Celsius (Mean)
Acetaminophen37.8
Bromocriptine and Acetaminophen37.7

Total Time That Temperature is ≥ 38.3ºC

Time in minutes where the temperature is ≥ 38.3ºC during the 48 hours of control versus intervention administration. (NCT03496545)
Timeframe: 48 hours

InterventionMinutes (Mean)
Acetaminophen216
Bromocriptine and Acetaminophen300

Total Time to First Temperature < 37.5ºC

Time in minutes it took after medication administration for the temperature to reach < 37.5ºC. (NCT03496545)
Timeframe: 48 hours

InterventionMinutes (Mean)
Acetaminophen253.5
Bromocriptine and Acetaminophen556

Incidence of Adverse Events - Symptomatic Hypotension, Nausea and Headache

Episodes of symptomatic hypotension, including decrease in supine systolic and diastolic pressures of greater than 20mm and 10mm Hg respectively with patient reported accompanying symptoms of light headedness or dizziness and incidence of nausea and headache. (NCT03496545)
Timeframe: Nursing assessment at every shift during 48 hour study period after first drug administration

,
InterventionParticipants (Count of Participants)
Decrease in blood pressureNauseaHeadache
Acetaminophen1228
Bromocriptine and Acetaminophen17312

Reviews

3 reviews available for acetaminophen and Brain Hemorrhage, Cerebral

ArticleYear
Systemic opioids versus other analgesics and sedatives for postoperative pain in neonates.
    The Cochrane database of systematic reviews, 2023, 03-03, Volume: 3

    Topics: Acetaminophen; Analgesics; Analgesics, Opioid; Cerebral Hemorrhage; Child; Child, Preschool; Fentany

2023
Pharmacological pain and sedation interventions for the prevention of intraventricular hemorrhage in preterm infants on assisted ventilation - an overview of systematic reviews.
    The Cochrane database of systematic reviews, 2023, 08-11, Volume: 8

    Topics: Acetaminophen; Analgesics, Opioid; Cerebral Hemorrhage; Female; Heroin; Humans; Ibuprofen; Infant, N

2023
Association of Placebo, Indomethacin, Ibuprofen, and Acetaminophen With Closure of Hemodynamically Significant Patent Ductus Arteriosus in Preterm Infants: A Systematic Review and Meta-analysis.
    JAMA, 2018, 03-27, Volume: 319, Issue:12

    Topics: Acetaminophen; Administration, Intravenous; Administration, Oral; Bayes Theorem; Cerebral Hemorrhage

2018

Trials

4 trials available for acetaminophen and Brain Hemorrhage, Cerebral

ArticleYear
Effect of fetal lung maturation on the efficacy of acetaminophen for premature infants with patent ductus arteriosus.
    Medicine, 2023, Jun-16, Volume: 102, Issue:24

    Topics: Acetaminophen; Bronchopulmonary Dysplasia; Cerebral Hemorrhage; Ductus Arteriosus, Patent; Enterocol

2023
PAIS 2 (Paracetamol [Acetaminophen] in Stroke 2): Results of a Randomized, Double-Blind Placebo-Controlled Clinical Trial.
    Stroke, 2017, Volume: 48, Issue:4

    Topics: Acetaminophen; Aged; Aged, 80 and over; Antipyretics; Brain Ischemia; Cerebral Hemorrhage; Double-Bl

2017
Effects of nonsteroidal anti-inflammatory drugs on hemostasis in patients with aneurysmal subarachnoid hemorrhage.
    Journal of neurosurgical anesthesiology, 1999, Volume: 11, Issue:3

    Topics: Acetaminophen; Adenosine Diphosphate; Adult; Anti-Inflammatory Agents, Non-Steroidal; Antithrombin I

1999
Stroke severity determines body temperature in acute stroke.
    Stroke, 2001, Volume: 32, Issue:2

    Topics: Acetaminophen; Acute Disease; Aged; Aged, 80 and over; Anticoagulants; Body Temperature; Cerebral He

2001

Other Studies

11 other studies available for acetaminophen and Brain Hemorrhage, Cerebral

ArticleYear
Evaluation of Health-Related Values and Preferences of Adults Who Were Preterm Infants and Parents of Preterm Infants Concerning Use of Prophylactic Cyclooxygenase Inhibitor Drugs.
    JAMA network open, 2023, 03-01, Volume: 6, Issue:3

    Topics: Acetaminophen; Adult; Cerebral Hemorrhage; Child; Cross-Sectional Studies; Cyclooxygenase Inhibitors

2023
Antihyperthermic treatment decreases perihematomal hypodensity.
    Neurology, 2020, 04-21, Volume: 94, Issue:16

    Topics: Acetaminophen; Aged; Aged, 80 and over; Antipyretics; Body Temperature; Cerebral Hemorrhage; Dipyron

2020
Over-the-counter analgesic powder use in patients presenting with intracerebral hemorrhage: A case series.
    Medicine, 2018, Volume: 97, Issue:15

    Topics: Acetaminophen; Adult; Aged; Analgesics; Aspirin; Black or African American; Cerebral Hemorrhage; Dos

2018
Feasibility and Safety of Transnasal High Flow Air to Reduce Core Body Temperature in Febrile Neurocritical Care Patients: A Pilot Study.
    Neurocritical care, 2019, Volume: 31, Issue:2

    Topics: Acetaminophen; Adult; Aged; Antipyretics; Body Temperature; Cerebral Hemorrhage; Cerebral Intraventr

2019
[Fatal intracerebral haemorrhage possibly caused by interaction between paracetamol and warfarin].
    Ugeskrift for laeger, 2015, Jun-01, Volume: 177, Issue:23

    Topics: Acetaminophen; Aged, 80 and over; Analgesics, Non-Narcotic; Anticoagulants; Cerebral Hemorrhage; Dru

2015
The Role of Paracetamol for Closing Patent Ductus Arteriosus. A Challenging Alternative for Ductal Closure?
    Revista espanola de cardiologia (English ed.), 2016, Volume: 69, Issue:11

    Topics: Acetaminophen; Administration, Intravenous; Anti-Inflammatory Agents, Non-Steroidal; Cerebral Hemorr

2016
Life threatening intracerebral hemorrhage with isometheptene mucate, dichlorophenazine and acetaminophen combination therapy.
    Journal of forensic and legal medicine, 2009, Volume: 16, Issue:8

    Topics: Acetaminophen; Analgesics; Antipyrine; Cerebral Hemorrhage; Chloral Hydrate; Drug Combinations; Fema

2009
Spontaneous intracerebral hemorrhage associated with ingestion of isometheptine containing anti-migraine medication.
    Clinical neurology and neurosurgery, 2011, Volume: 113, Issue:2

    Topics: Acetaminophen; Adult; Antipyrine; Cerebral Hemorrhage; Chloral Hydrate; Drug Combinations; Emergency

2011
Fever after subarachnoid hemorrhage: risk factors and impact on outcome.
    Neurology, 2007, Mar-27, Volume: 68, Issue:13

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Body Temperature; Brain; Cerebral Hemorrhage; Cognition Dis

2007
Neonatal intracranial hemorrhage and maternal use of aspirin.
    Obstetrics and gynecology, 1981, Volume: 58, Issue:5 Suppl

    Topics: Acetaminophen; Aspirin; Cerebral Hemorrhage; Female; Gestational Age; Humans; Infant, Low Birth Weig

1981
Can acetaminophen excess result in maternal and fetal toxicity?
    Southern medical journal, 1990, Volume: 83, Issue:8

    Topics: Acetaminophen; Adult; Blood Coagulation Disorders; Cerebral Hemorrhage; Chemical and Drug Induced Li

1990