Page last updated: 2024-10-22

acetaminophen and Methemoglobinemia

acetaminophen has been researched along with Methemoglobinemia in 37 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: A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Methemoglobinemia: The presence of methemoglobin in the blood, resulting in cyanosis. A small amount of methemoglobin is present in the blood normally, but injury or toxic agents convert a larger proportion of hemoglobin into methemoglobin, which does not function reversibly as an oxygen carrier. Methemoglobinemia may be due to a defect in the enzyme NADH methemoglobin reductase (an autosomal recessive trait) or to an abnormality in hemoglobin M (an autosomal dominant trait). (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"We present a case of early coma, metabolic acidosis and methemoglobinemia after substantial acetaminophen toxicity in the absence of hepatic failure."7.79Coma, metabolic acidosis, and methemoglobinemia in a patient with acetaminophen toxicity. ( Boucher, P; Dias, VC; Kanji, HD; Mithani, S; Yarema, MC, 2013)
" Topical anesthesia with benzocaine or lidocaine occasionally causes methemoglobinemia, an uncommon but potentially fatal disorder where the blood has a reduced ability to transport oxygen."3.85Characterization of the methemoglobin forming metabolites of benzocaine and lidocaine. ( Boyne, M; Colatsky, T; Hartman, N; Mans, D; Mao, J; Patel, V; Zhou, H, 2017)
"Methemoglobinemia (MetHb) after exposure to benzocaine (BZC) has been reported for more than 50 years, however the pathophysiologic mechanism has not been previously established."3.80Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure. ( Casavant, MJ; Gerona, RR; Ho, RY; Russell, JL; Spiller, HA, 2014)
" Methemoglobinemia, facial edema, and hemoglobinuria responded to treatment with intravenous fluids, N-acetylcysteine, ascorbic acid, and sodium bicarbonate."3.72Acetaminophen toxicosis in a Dalmatian. ( MacNaughton, SM, 2003)
"To investigate the effects of the association of inhaled nitric oxide (iNO) and oxidant drugs (acetaminophen, phytomenadione, and EMLA cream) on methemoglobinemia during the neonatal period."3.70Combined effects of inhaled nitric oxide (iNO) and oxidant agents on the production of methemoglobinemia in newborn piglets. ( Klosowski, S; Kongolo, G; Lequien, P; Martin-Ponthieu, A; Rakza, T; Riou, Y; Storme, L; Zerimech, F, 2000)
"Acetaminophen intoxication has become the leading cause of acute liver failure (ALF) in Europe and the USA."1.72Early biomarkers predicting outcome in a porcine model of acetaminophen intoxication: A pilot study. ( Königsrainer, A; Lischner, U; Morgalla, M; Peter, A; Schenk, M; Thiel, C; Thiel, K, 2022)
"Methemoglobinemia is a potentially fatal condition, mainly acquired after intoxication by certain drugs."1.46Methemoglobinemia After Paracetamol Ingestion: A Case Report. ( Lopes, D; Queirós, C; Salvador, P; Ventura, A, 2017)
"Buthionine sulfoximine is used to inactivate glutathione synthesis, and small increments of acetaminophen are given intravenously to maintain the plasma level at approximately 200 micrograms/ml for 20 hr."1.28An improved model of acetaminophen-induced fulminant hepatic failure in dogs. ( Chong, MG; He, DE; Kelly, JH; Koussayer, T; Shang, TA; Sussman, NL; Whisennand, HH, 1992)
" In cats, APAP-sulfate was the major metabolite in urine at all three dosage levels, but the fraction of the total urinary metabolites represented by APAP-sulfate decreased as the dosage increased."1.27The toxicity and biotransformation of single doses of acetaminophen in dogs and cats. ( Leipold, HW; Nash, SL; Oehme, FW; Savides, MC, 1984)
" A close correlation between administered dosage of the drug, acetaminophen blood levels and methemoglobinemia was found."1.27[Paracetamol poisoning in a swine model]. ( Artwohl, J; Dziwisch, L; Henne-Bruns, D; Kremer, B, 1988)

Research

Studies (37)

TimeframeStudies, this research(%)All Research%
pre-199016 (43.24)18.7374
1990's6 (16.22)18.2507
2000's5 (13.51)29.6817
2010's6 (16.22)24.3611
2020's4 (10.81)2.80

Authors

AuthorsStudies
Thiel, C1
Lischner, U1
Morgalla, M1
Peter, A1
Schenk, M1
Königsrainer, A1
Thiel, K1
Rianprakaisang, T2
Blumenberg, A2
Hendrickson, RG2
Sahu, KK1
Mishra, AK1
Lal, A1
George, SV1
Pruthi, S1
Shah, S1
Gambhir, HS1
Queirós, C1
Salvador, P1
Ventura, A1
Lopes, D1
Kanji, HD1
Mithani, S1
Boucher, P1
Dias, VC1
Yarema, MC1
Spiller, HA1
Russell, JL1
Casavant, MJ1
Ho, RY1
Gerona, RR1
Hartman, N1
Zhou, H1
Mao, J1
Mans, D1
Boyne, M1
Patel, V1
Colatsky, T1
McConkey, SE1
Grant, DM1
Cribb, AE1
Avizeh, R1
Najafzadeh, H1
Razijalali, M1
Shirali, S1
MacNaughton, SM1
Carstairs, SD1
Tanen, DA1
Nash, SL2
Oehme, FW2
Rabinovitz, M1
Garty, M1
Rosenfeld, JB1
Savides, MC1
Leipold, HW1
Cohen, SD1
Schlesinger, DP1
Dunn, RJ1
Lu, HC1
Shih, RD1
Marcus, S1
Ruck, B1
Jennis, T1
Riou, Y1
Storme, L1
Klosowski, S1
Rakza, T1
Kongolo, G1
Zerimech, F1
Martin-Ponthieu, A1
Lequien, P1
Kobayashi, T1
Kawabata, M1
Tanaka, S1
Maehara, M1
Mishima, A1
Murase, T1
Margetts, G1
Gazzard, BG1
Hughes, RD1
Mellon, PJ1
Portmann, B1
Williams, R1
Kelly, JH1
Koussayer, T1
He, DE1
Chong, MG1
Shang, TA1
Whisennand, HH1
Sussman, NL1
Udosen, EO2
Ebong, PE2
Weiss, DJ1
McClay, CB1
Christopher, MM1
Murphy, M1
Perman, V1
Ekanemessang, UM1
Mofenson, HC1
Caraccio, TR1
Hillebrand, G1
Mittermüller, J1
Henne-Bruns, D1
Artwohl, J1
Dziwisch, L1
Kremer, B1
Sutton, E1
Soyka, LF1
Leyland, A1
Peters, G1
Baechtold-Fowler, N1
Bonjour, JP1
Chométy-Diézi, F1
Filloux, B1
Guidoux, R1
Guignard, JP1
Peters-Haefeli, L1
Roch-Ramel, F1
Schelling, JL1
Hedinger, C1
Weber, E1
Azen, EA1
Bryan, GT1
Shahidi, NT1
Rossi, EC1
Clatanoff, DV1
MacLean, D1
Robertson, PG1
Bain, S1
Welch, RM1
Conney, AH1
Burns, JJ1

Reviews

2 reviews available for acetaminophen and Methemoglobinemia

ArticleYear
A review of acetaminophen's effect on methemoglobin, glutathione, and some related enzymes.
    Veterinary and human toxicology, 1984, Volume: 26, Issue:2

    Topics: Acetaminophen; Animals; Cat Diseases; Cats; Cytochrome-B(5) Reductase; Dog Diseases; Dogs; Glutathio

1984
How safe is acetaminophen? Some practical cautions with this widely used agent.
    Clinical pediatrics, 1973, Volume: 12, Issue:12

    Topics: Acetaminophen; Analgesics; Animals; Aspirin; Chemical Phenomena; Chemistry; Child; Drug Synergism; F

1973

Trials

1 trial available for acetaminophen and Methemoglobinemia

ArticleYear
Evaluation of prophylactic and therapeutic effects of silymarin and N-acetylcysteine in acetaminophen-induced hepatotoxicity in cats.
    Journal of veterinary pharmacology and therapeutics, 2010, Volume: 33, Issue:1

    Topics: Acetaminophen; Acetylcysteine; Animals; Bilirubin; Cat Diseases; Cats; Chemical and Drug Induced Liv

2010

Other Studies

34 other studies available for acetaminophen and Methemoglobinemia

ArticleYear
Early biomarkers predicting outcome in a porcine model of acetaminophen intoxication: A pilot study.
    Advances in clinical and experimental medicine : official organ Wroclaw Medical University, 2022, Volume: 31, Issue:12

    Topics: Acetaminophen; Albumins; Animals; Biomarkers; Lactates; Liver Failure, Acute; Methemoglobinemia; Pil

2022
Methemoglobinemia associated with massive acetaminophen ingestion: a case series.
    Clinical toxicology (Philadelphia, Pa.), 2020, Volume: 58, Issue:6

    Topics: Acetaminophen; Drug Overdose; Fatal Outcome; Female; Humans; Male; Methemoglobin; Methemoglobinemia;

2020
Acetaminophen induced methemoglobinemia.
    Clinical toxicology (Philadelphia, Pa.), 2020, Volume: 58, Issue:7

    Topics: Acetaminophen; Eating; Humans; Methemoglobin; Methemoglobinemia

2020
Acetaminophen-associated methemoglobinemia.
    Clinical toxicology (Philadelphia, Pa.), 2020, Volume: 58, Issue:7

    Topics: Acetaminophen; Eating; Humans; Methemoglobin; Methemoglobinemia

2020
Laundry Blues: a case of methemoglobinemia with laundry detergent and Tylenol ingestion.
    QJM : monthly journal of the Association of Physicians, 2017, Sep-01, Volume: 110, Issue:9

    Topics: Acetaminophen; Acetylcysteine; Analgesics, Non-Narcotic; Bipolar Disorder; Brain Diseases; Detergent

2017
Methemoglobinemia After Paracetamol Ingestion: A Case Report.
    Acta medica portuguesa, 2017, Oct-31, Volume: 30, Issue:10

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Female; Humans; Methemoglobinemia

2017
Coma, metabolic acidosis, and methemoglobinemia in a patient with acetaminophen toxicity.
    Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharmacologie clinique, 2013, Volume: 20, Issue:3

    Topics: Acetaminophen; Acidosis; Aged; Analgesics, Non-Narcotic; Coma; Female; Humans; Methemoglobinemia

2013
Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure.
    Clinical toxicology (Philadelphia, Pa.), 2014, Volume: 52, Issue:9

    Topics: 4-Aminobenzoic Acid; Acetaminophen; Administration, Topical; Benzocaine; Bupivacaine; Child; Cyanosi

2014
Characterization of the methemoglobin forming metabolites of benzocaine and lidocaine.
    Xenobiotica; the fate of foreign compounds in biological systems, 2017, Volume: 47, Issue:5

    Topics: Acetaminophen; Anesthetics, Local; Benzocaine; Humans; Lidocaine; Methemoglobin; Methemoglobinemia

2017
The role of para-aminophenol in acetaminophen-induced methemoglobinemia in dogs and cats.
    Journal of veterinary pharmacology and therapeutics, 2009, Volume: 32, Issue:6

    Topics: Acetaminophen; Acetyltransferases; Aminophenols; Animals; Cat Diseases; Cats; Dog Diseases; Dogs; Do

2009
Acetaminophen toxicosis in a Dalmatian.
    The Canadian veterinary journal = La revue veterinaire canadienne, 2003, Volume: 44, Issue:2

    Topics: Acetaminophen; Acetylcysteine; Analgesics, Non-Narcotic; Animals; Ascorbic Acid; Dog Diseases; Dogs;

2003
Case studies in pediatric toxicology.
    Pediatric annals, 2005, Volume: 34, Issue:12

    Topics: Acetaminophen; Antidotes; Antivenins; Charcoal; Child; Child, Preschool; Crotalid Venoms; Drug Overd

2005
[Rare side effects following paracetamol poisoning].
    Harefuah, 1984, Feb-01, Volume: 106, Issue:3

    Topics: Acetaminophen; Acidosis; Adolescent; Chemical and Drug Induced Liver Injury; Female; Humans; Methemo

1984
The toxicity and biotransformation of single doses of acetaminophen in dogs and cats.
    Toxicology and applied pharmacology, 1984, Jun-15, Volume: 74, Issue:1

    Topics: Acetaminophen; Alanine Transaminase; Animals; Biotransformation; Cats; Dogs; Dose-Response Relations

1984
Mechanisms of toxicological interactions involving organophosphate insecticides.
    Fundamental and applied toxicology : official journal of the Society of Toxicology, 1984, Volume: 4, Issue:3 Pt 1

    Topics: Acetaminophen; Acetanilides; Anesthetics; Animals; Drug Interactions; Esterases; Esters; Fenitrothio

1984
Methemoglobinemia and anemia in a dog with acetaminophen toxicity.
    The Canadian veterinary journal = La revue veterinaire canadienne, 1995, Volume: 36, Issue:8

    Topics: Acetaminophen; Anemia; Animals; Dog Diseases; Dogs; Male; Methemoglobinemia

1995
Massive sulfasalazine and paracetamol ingestion causing acidosis, hyperglycemia, coagulopathy, and methemoglobinemia.
    Journal of toxicology. Clinical toxicology, 1998, Volume: 36, Issue:3

    Topics: Acetaminophen; Acetylcysteine; Acidosis, Lactic; Acute Disease; Adult; Anti-Inflammatory Agents; Blo

1998
Pseudomethemoglobinemia: a case report and review of sulfhemoglobinemia.
    Archives of pediatrics & adolescent medicine, 1998, Volume: 152, Issue:8

    Topics: Acetaminophen; Adolescent; Cimetidine; Diagnosis, Differential; Female; Humans; Ibuprofen; Methemogl

1998
Combined effects of inhaled nitric oxide (iNO) and oxidant agents on the production of methemoglobinemia in newborn piglets.
    Critical care medicine, 2000, Volume: 28, Issue:4

    Topics: Acetaminophen; Administration, Inhalation; Animals; Animals, Newborn; Drug Evaluation, Preclinical;

2000
Methemoglobinemia induced by combined use of sodium nitrate and acetoaminophen.
    Internal medicine (Tokyo, Japan), 2000, Volume: 39, Issue:10

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Arthritis, Rheumatoid; Diabetes Mellitus, Type 2; Dru

2000
Phenacetin and paracetamol.
    The Journal of international medical research, 1976, Volume: 4, Issue:4 Suppl

    Topics: Acetaminophen; Anemia, Hemolytic; Central Nervous System; Chemical Phenomena; Chemistry; Humans; Kid

1976
A dog model of fulminant hepatic failure produced by paracetamol administration.
    British journal of experimental pathology, 1975, Volume: 56, Issue:5

    Topics: Acetaminophen; Administration, Oral; Animals; Chemical and Drug Induced Liver Injury; Disease Models

1975
An improved model of acetaminophen-induced fulminant hepatic failure in dogs.
    Hepatology (Baltimore, Md.), 1992, Volume: 15, Issue:2

    Topics: Acetaminophen; Alanine Transaminase; Animals; Biopsy; Blood Glucose; Buthionine Sulfoximine; Chemica

1992
The effect of prolonged exposure of rats to sub-lethal dose of acetaminophen.
    The Central African journal of medicine, 1991, Volume: 37, Issue:4

    Topics: Acetaminophen; Alkaline Phosphatase; Animals; Bilirubin; Drug Evaluation, Preclinical; Liver Functio

1991
Effects of propylene glycol-containing diets on acetaminophen-induced methemoglobinemia in cats.
    Journal of the American Veterinary Medical Association, 1990, Jun-01, Volume: 196, Issue:11

    Topics: Acetaminophen; Animal Feed; Animals; Cat Diseases; Cats; Erythrocyte Count; Erythrocytes; Heinz Bodi

1990
Hepatoxicity evaluation in rats given a single overdose of Acetaminophen (Paracetamol).
    The Central African journal of medicine, 1989, Volume: 35, Issue:10

    Topics: Acetaminophen; Alkaline Phosphatase; Animals; Bilirubin; Chemical and Drug Induced Liver Injury; Liv

1989
Toxidromes.
    Comprehensive therapy, 1985, Volume: 11, Issue:2

    Topics: Acetaminophen; Alkalies; Amphetamines; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Carbo

1985
[Hemolysis, methemoglobinemia and renal failure in a 30-year-old patient].
    Der Internist, 1988, Volume: 29, Issue:5

    Topics: Acetaminophen; Acute Kidney Injury; Adult; Analgesics; Anemia, Hemolytic; Female; Humans; Kidney; Me

1988
[Paracetamol poisoning in a swine model].
    Zeitschrift fur experimentelle Chirurgie, Transplantation, und kunstliche Organe : Organ der Sektion Experimentelle Chirurgie der Gesellschaft fur Chirurgie der DDR, 1988, Volume: 21, Issue:5

    Topics: Acetaminophen; Acute Disease; Alanine Transaminase; Alkaline Phosphatase; Animals; Aspartate Aminotr

1988
Probable paracetamol toxicity in a cat.
    The Veterinary record, 1974, Feb-09, Volume: 94, Issue:6

    Topics: Acetaminophen; Animals; Cat Diseases; Cats; Chloramphenicol; Conjunctivitis; Edema; Kidney; Liver; L

1974
General and renal toxicity of phenacetin, paracetamol and some anti-mitotic agents in the rat.
    Archiv fur Toxikologie, 1972, Volume: 28, Issue:4

    Topics: Acetaminophen; Anemia, Macrocytic; Anilides; Animals; Blood; Blood Glucose; Body Weight; Caffeine; D

1972
Obscure hemolytic anemia due to analgesic abuse. Does enterogenous cyanosis exist?
    The American journal of medicine, 1970, Volume: 48, Issue:6

    Topics: Acetaminophen; Analgesics; Anemia, Hemolytic; Cyanosis; Female; Glucuronates; Humans; Methemoglobine

1970
Methaemoglobinaemia and paracetamol.
    British medical journal, 1968, Nov-09, Volume: 4, Issue:5627

    Topics: Acetaminophen; Adult; Female; Humans; Methemoglobinemia; Postpartum Period; Pregnancy

1968
The metabolism of acetophenetidin and N-acetyl-p-aminophenol in the cat.
    Biochemical pharmacology, 1966, Volume: 15, Issue:5

    Topics: Acetaminophen; Animals; Cats; Chromatography; Dogs; Glucuronates; Liver; Male; Methemoglobinemia; Me

1966