Page last updated: 2024-10-22

acetaminophen and Renal Insufficiency

acetaminophen has been researched along with Renal Insufficiency in 21 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: A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Renal Insufficiency: Conditions in which the KIDNEYS perform below the normal level in the ability to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal insufficiency can be classified by the degree of kidney damage (as measured by the level of PROTEINURIA) and reduction in GLOMERULAR FILTRATION RATE.

Research Excerpts

ExcerptRelevanceReference
"Renal insufficiency is less common than liver failure in acetaminophen overdose but renal tubular damage occurs even in the absence of hepatotoxicity."7.73Experiences of a poison center network with renal insufficiency in acetaminophen overdose: an analysis of 17 cases. ( Hengstler, JG; Hermanns-Clausen, M; Kaes, J; Koch, I; Lauterbach, M; von Mach, MA; Weilemann, LS, 2005)
" Although her consciousness and hemodynamic status gradually improved after treatment with N-acetylcysteine and other supportive measures, she was found to have pancytopenia, pancreatitis and hepatorenal failure during the hospitalization and eventually died 18 d post-admission."7.71Pancytopenia, hyperglycemia, shock, coma, rhabdomyolysis, and pancreatitis associated with acetaminophen poisoning. ( Deng, JF; Lin, TJ; Yang, CC, 2001)
"Renal insufficiency is less common than liver failure in acetaminophen overdose but renal tubular damage occurs even in the absence of hepatotoxicity."3.73Experiences of a poison center network with renal insufficiency in acetaminophen overdose: an analysis of 17 cases. ( Hengstler, JG; Hermanns-Clausen, M; Kaes, J; Koch, I; Lauterbach, M; von Mach, MA; Weilemann, LS, 2005)
" Although her consciousness and hemodynamic status gradually improved after treatment with N-acetylcysteine and other supportive measures, she was found to have pancytopenia, pancreatitis and hepatorenal failure during the hospitalization and eventually died 18 d post-admission."3.71Pancytopenia, hyperglycemia, shock, coma, rhabdomyolysis, and pancreatitis associated with acetaminophen poisoning. ( Deng, JF; Lin, TJ; Yang, CC, 2001)
" Like every other drug(s), APAP also undergo metabolism by oxidation or conjugation by glucuronate and sulphate to form the toxic metabolite N-acetyl-p-benzoquinone imine (NAPQI)."2.82Protective effect of probiotics against acetaminophen induced nephrotoxicity. ( Dua, TK; Palai, S; Paul, P; Roy, A, 2022)
"Rhabdomyolysis-induced renal failure represents up to 15% of all cases of acute renal failure."2.47Mechanism-based therapeutic approaches to rhabdomyolysis-induced renal failure. ( Boutaud, O; Roberts, LJ, 2011)
"Acetaminophen (paracetamol) is a widely used drug and known as a safety antipyretic and analgesic drug in childhood."2.46A case of acetaminophen (paracetamol) causing renal failure without liver damage in a child and review of literature. ( Bek, K; Genc, G; Ozkaya, O; Sullu, Y, 2010)
"We wondered whether renal failure would affect APAP-CYS elimination half-life and whether continuous venovenous hemodiafiltration (CVVHDF), commonly used in liver failure patients, would remove adducts to lower their serum concentrations."1.42Prolonged Acetaminophen-Protein Adduct Elimination During Renal Failure, Lack of Adduct Removal by Hemodiafiltration, and Urinary Adduct Concentrations After Acetaminophen Overdose. ( Bikin, DS; Curry, SC; Gerkin, RD; O'Connor, AD; Padilla-Jones, A; Rollins, DE; Ruha, AM; Slawson, MH; Wilkins, DG, 2015)
"Chronic kidney disease, end-stage renal failure, and liver diseases are increasing worldwide and constitute a huge burden on health care costs, with attendant high morbidity and debility."1.40Hepato- and nephroprotective activities of a Nigerian local king tuber oyster mushroom, Pleurotus tuberregium (higher Basidiomycetes), in chemically induced organ toxicities in rats. ( Akah, PA; Ihim, SA; Laiyemo, KA; Nworu, CS; Ugwu, LE, 2014)
"In addition to hepatic dysfunction, renal failure and disseminated intravascular coagulopathy, we should pay attention to various symptoms like in this case when treating for a acetaminophen poisoning."1.33[Case report of repeated acetaminophen overdosing with various symptoms]. ( Inagawa, H; Ishida, J; Kojima, N; Machida, M; Okada, Y; Terada, T, 2006)
"The reported incidence of renal failure in unselected patients with paracetamol poisoning is about 1-2%."1.29Renal failure is uncommon in Chinese patients with paracetamol (acetaminophen) poisoning. ( Chan, AY; Chan, TY; Critchley, JA, 1995)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (19.05)18.2507
2000's7 (33.33)29.6817
2010's9 (42.86)24.3611
2020's1 (4.76)2.80

Authors

AuthorsStudies
Dua, TK1
Palai, S1
Roy, A1
Paul, P1
Rajaram, P1
Subramanian, R1
Le Vaillant, J1
Pellerin, L1
Brouard, J1
Eckart, P1
Nworu, CS1
Ihim, SA1
Ugwu, LE1
Laiyemo, KA1
Akah, PA1
Curry, SC1
Padilla-Jones, A1
O'Connor, AD1
Ruha, AM1
Bikin, DS1
Wilkins, DG1
Rollins, DE1
Slawson, MH1
Gerkin, RD1
Manakkat Vijay, GK1
Kronsten, VT1
Bain, BJ1
Shawcross, DL1
Phadke, G1
Mahale, A1
Chemiti, G1
Levitski, T1
Ahlin, T1
Mistry, B1
Boutaud, O2
Moore, KP1
Reeder, BJ1
Harry, D1
Howie, AJ1
Wang, S1
Carney, CK1
Masterson, TS1
Amin, T1
Wright, DW1
Wilson, MT1
Oates, JA1
Roberts, LJ2
Ozkaya, O1
Genc, G1
Bek, K1
Sullu, Y1
Anthony, OE1
Mbuh, AF1
Emmanuel, MP1
Ng, KL1
Davidson, JS1
Bathgate, AJ1
Adams, MW1
Chrispin, P1
Spice, M1
von Mach, MA1
Hermanns-Clausen, M1
Koch, I1
Hengstler, JG1
Lauterbach, M1
Kaes, J1
Weilemann, LS1
Kojima, N1
Ishida, J1
Inagawa, H1
Okada, Y1
Machida, M1
Terada, T1
Chan, TY1
Critchley, JA1
Chan, AY1
Bonkovsky, HL1
Kane, RE1
Jones, DP1
Galinsky, RE1
Banner, B1
Gleiter, CH1
Bernal, W1
Wendon, J1
Rexrode, KM1
Buring, JE1
Glynn, RJ1
Stampfer, MJ1
Youngman, LD1
Gaziano, JM1
Yang, CC1
Deng, JF1
Lin, TJ1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Does Preoperative Acetaminophen Reduce Biochemical Markers of Oxidative Stress From Cardiopulmonary Bypass?[NCT01228305]30 participants (Actual)Interventional2011-07-31Completed
Inhibition of Lipid Peroxidation During Cardiopulmonary Bypass[NCT01366976]67 participants (Actual)Interventional2011-07-31Completed
[NCT00000500]Phase 30 participants Interventional1981-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Plasma F2-isoprostane Concentrations

Plasma F2-isoprostane concentrations as a measure of lipid peroxidation (NCT01366976)
Timeframe: 24 hours

,
Interventionpg/mL (Mean)
baseline30min of bypass60min of bypasspost-bypassICUpostoperative day 1
Acetaminophen27.845.852.03432.026.5
Placebo30.649.152.848.447.526.0

Plasma Isofuran Concentrations

Plasma isofuran concentrations as a measure of lipid peroxidation (NCT01366976)
Timeframe: 24 hours

,
Interventionpg/mL (Mean)
baseline30min of bypass60min of bypasspost-bypassICUpostoperative day 1
Acetaminophen61.572.183.482.985.370.4
Placebo67.782.7110.896.188.068.5

Serum Creatinine

Serum creatinine measured over a 72 hour period (NCT01366976)
Timeframe: 72 hours

,
Interventionmg/dL (Mean)
baselinepostoperative day 1postoperative day 2postoperative day 3
Acetaminophen0.980.890.960.93
Placebo0.940.900.960.88

Urinary NGAL (Neutrophil Gelatinase-associated Lipocalin)

Changes in urinary NGAL (neutrophil gelatinase-associated lipocalin) as marker of acute kidney injury (NCT01366976)
Timeframe: 24 hours

,
Interventionng/mL (Mean)
baselinepos-bypasspostoperative day 1
Acetaminophen19.21145.846.04
Placebo23.2138.416.8

Reviews

6 reviews available for acetaminophen and Renal Insufficiency

ArticleYear
Protective effect of probiotics against acetaminophen induced nephrotoxicity.
    Molecular biology reports, 2022, Volume: 49, Issue:8

    Topics: Acetaminophen; Glutathione; Humans; Probiotics; Renal Insufficiency; Uremia

2022
Acute Liver Failure.
    Seminars in respiratory and critical care medicine, 2018, Volume: 39, Issue:5

    Topics: Acetaminophen; Chemical and Drug Induced Liver Injury; Critical Care; Drug Overdose; Hepatitis, Auto

2018
A case of acetaminophen (paracetamol) causing renal failure without liver damage in a child and review of literature.
    Renal failure, 2010, Volume: 32, Issue:9

    Topics: Acetaminophen; Adolescent; Analgesics, Non-Narcotic; Female; Humans; Liver Function Tests; Renal Ins

2010
Mechanism-based therapeutic approaches to rhabdomyolysis-induced renal failure.
    Free radical biology & medicine, 2011, Sep-01, Volume: 51, Issue:5

    Topics: Acetaminophen; Animals; Disease Models, Animal; Humans; Hydrogen Peroxide; Iron; Kidney; Lipid Perox

2011
[Paracetamol--the safe analgesic].
    Der Internist, 1997, Volume: 38, Issue:7

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Dose-Response Relationship, Drug; Female; Humans; Infant; I

1997
Acute liver failure; clinical features and management.
    European journal of gastroenterology & hepatology, 1999, Volume: 11, Issue:9

    Topics: Acetaminophen; Brain Edema; Diuretics, Osmotic; Hepatitis, Viral, Human; Humans; Liver Failure, Acut

1999

Other Studies

15 other studies available for acetaminophen and Renal Insufficiency

ArticleYear
[Acetaminophen (paracetamol) causing renal failure: report on 3 pediatric cases].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 2013, Volume: 20, Issue:6

    Topics: Acetaminophen; Acute Kidney Injury; Adolescent; Creatinine; Drug Overdose; Female; Follow-Up Studies

2013
Hepato- and nephroprotective activities of a Nigerian local king tuber oyster mushroom, Pleurotus tuberregium (higher Basidiomycetes), in chemically induced organ toxicities in rats.
    International journal of medicinal mushrooms, 2014, Volume: 16, Issue:4

    Topics: Acetaminophen; Animals; Anti-Bacterial Agents; Carbon Tetrachloride; Complex Mixtures; Disease Model

2014
Prolonged Acetaminophen-Protein Adduct Elimination During Renal Failure, Lack of Adduct Removal by Hemodiafiltration, and Urinary Adduct Concentrations After Acetaminophen Overdose.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2015, Volume: 11, Issue:2

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Chemical and Drug Induced Liver Injury; Cohort Studi

2015
Neutrophil vacuolation in acetaminophen-induced acute liver failure.
    American journal of hematology, 2015, Volume: 90, Issue:5

    Topics: Acetaminophen; Adolescent; Analgesics, Non-Narcotic; Female; Granulocyte Colony-Stimulating Factor;

2015
Successful kidney transplants from a donor with acute hepatic failure due to acetaminophen overdose and acute kidney injury.
    Transplantation, 2008, Jul-27, Volume: 86, Issue:2

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Brain Death; Drug Overdose; Female; Graft Survival;

2008
Acetaminophen inhibits hemoprotein-catalyzed lipid peroxidation and attenuates rhabdomyolysis-induced renal failure.
    Proceedings of the National Academy of Sciences of the United States of America, 2010, Feb-09, Volume: 107, Issue:6

    Topics: Acetaminophen; Animals; Arachidonic Acids; Catalysis; Dose-Response Relationship, Drug; Hemeproteins

2010
Acetaminophen inhibits hemoprotein-catalyzed lipid peroxidation and attenuates rhabdomyolysis-induced renal failure.
    Proceedings of the National Academy of Sciences of the United States of America, 2010, Feb-09, Volume: 107, Issue:6

    Topics: Acetaminophen; Animals; Arachidonic Acids; Catalysis; Dose-Response Relationship, Drug; Hemeproteins

2010
Acetaminophen inhibits hemoprotein-catalyzed lipid peroxidation and attenuates rhabdomyolysis-induced renal failure.
    Proceedings of the National Academy of Sciences of the United States of America, 2010, Feb-09, Volume: 107, Issue:6

    Topics: Acetaminophen; Animals; Arachidonic Acids; Catalysis; Dose-Response Relationship, Drug; Hemeproteins

2010
Acetaminophen inhibits hemoprotein-catalyzed lipid peroxidation and attenuates rhabdomyolysis-induced renal failure.
    Proceedings of the National Academy of Sciences of the United States of America, 2010, Feb-09, Volume: 107, Issue:6

    Topics: Acetaminophen; Animals; Arachidonic Acids; Catalysis; Dose-Response Relationship, Drug; Hemeproteins

2010
Phytochemical screening, and assessment of ameliorating effect of aqueous and ethanolic extracts of Gmelina arborea on drug induced hepatic and renal insufficiency in rats.
    Pakistan journal of pharmaceutical sciences, 2012, Volume: 25, Issue:2

    Topics: Acetaminophen; Animals; Cisplatin; Hepatic Insufficiency; Phytotherapy; Plant Extracts; Rats; Rats,

2012
Serum phosphate is not a reliable early predictor of outcome in paracetamol induced hepatotoxicity.
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2004, Volume: 10, Issue:1

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Humans; Liver Failure; Phosphates; Prognosis; Recovery of F

2004
An unusual paracetamol overdose.
    Journal of the Royal Society of Medicine, 2004, Volume: 97, Issue:5

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Critical Care; Drug Overdose; Humans; Hypernatremia; Male;

2004
Experiences of a poison center network with renal insufficiency in acetaminophen overdose: an analysis of 17 cases.
    Clinical toxicology (Philadelphia, Pa.), 2005, Volume: 43, Issue:1

    Topics: Acetaminophen; Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Aged; Analgesics, Non-Nar

2005
[Case report of repeated acetaminophen overdosing with various symptoms].
    Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology, 2006, Volume: 19, Issue:2

    Topics: Abdominal Pain; Acetaminophen; Adult; Chemical and Drug Induced Liver Injury; Disseminated Intravasc

2006
Renal failure is uncommon in Chinese patients with paracetamol (acetaminophen) poisoning.
    Veterinary and human toxicology, 1995, Volume: 37, Issue:2

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; China; Female; Hong Kong; Humans; Inciden

1995
Acute hepatic and renal toxicity from low doses of acetaminophen in the absence of alcohol abuse or malnutrition: evidence for increased susceptibility to drug toxicity due to cardiopulmonary and renal insufficiency.
    Hepatology (Baltimore, Md.), 1994, Volume: 19, Issue:5

    Topics: Acetaminophen; Aged; Alcoholism; Chronic Disease; Glutathione; Heart Failure; Humans; Kidney; Liver;

1994
Analgesic use and renal function in men.
    JAMA, 2001, Jul-18, Volume: 286, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Cohort St

2001
Pancytopenia, hyperglycemia, shock, coma, rhabdomyolysis, and pancreatitis associated with acetaminophen poisoning.
    Veterinary and human toxicology, 2001, Volume: 43, Issue:6

    Topics: Acetaminophen; Acetylcysteine; Adult; Anti-Inflammatory Agents, Non-Steroidal; Coma; Diagnosis, Diff

2001