Page last updated: 2024-10-22

acetaminophen and Rhabdomyolysis

acetaminophen has been researched along with Rhabdomyolysis in 19 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: A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Rhabdomyolysis: Necrosis or disintegration of skeletal muscle often followed by myoglobinuria.

Research Excerpts

ExcerptRelevanceReference
"Of the 345 patients included in the study, elevated AST/ALT levels were attributed to rhabdomyolysis in 168 patients and attributed to acetaminophen toxicity in 177 patients."8.02Patterns of transaminase elevation in rhabdomyolysis versus acetaminophen toxicity. ( Maskell, KF; Okhomina, V; Powell, SW; Sima, AP; Willis, D; Wills, BK, 2021)
"Rhabdomyolysis and delayed acetaminophen hepatotoxicity may be associated with elevated serum transaminase values."7.88Transaminase and Creatine Kinase Ratios for Differentiating Delayed Acetaminophen Overdose from Rhabdomyolysis. ( Albertson, TE; Algren, DA; Chenoweth, JA; Ford, JB; Owen, KP; Radke, JB; Sutter, ME, 2018)
" We describe considerations of concurrent buprenorphine/naloxone therapy during episodes of severe acute pain."7.79Acute pain control challenges with buprenorphine/naloxone therapy in a patient with compartment syndrome secondary to McArdle's disease: a case report and review. ( Chang-Chien, GC; Chu, SK; Joseph, P; McCormick, Z, 2013)
"A 28-year-old man with schizophrenia intentionally ingested a lethal dose of acetaminophen and an unknown quantity of ibuprofen."7.74Rhabdomyolysis and necrotic bowel after acetaminophen and ibuprofen overdose. ( Dunn, T; Katz, D; Nelson, H; Singh, G; Thomsen, D; Voigt, M; Whitaker, E, 2007)
" 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)
"Rhabdomyolysis is an important cause of acute renal failure (ARF) and renal vasoconstriction is the main mechanism in the pathogenesis of ARF."5.38Endothelial dysfunction and increased responses to renal nerve stimulation in rat kidneys during rhabdomyolysis-induced acute renal failure: role of hydroxyl radical. ( Cil, O; Ertunc, M; Gucer, KS; Iskit, AB; Onur, R; Ozaltin, F, 2012)
"Of the 345 patients included in the study, elevated AST/ALT levels were attributed to rhabdomyolysis in 168 patients and attributed to acetaminophen toxicity in 177 patients."4.02Patterns of transaminase elevation in rhabdomyolysis versus acetaminophen toxicity. ( Maskell, KF; Okhomina, V; Powell, SW; Sima, AP; Willis, D; Wills, BK, 2021)
"Rhabdomyolysis and delayed acetaminophen hepatotoxicity may be associated with elevated serum transaminase values."3.88Transaminase and Creatine Kinase Ratios for Differentiating Delayed Acetaminophen Overdose from Rhabdomyolysis. ( Albertson, TE; Algren, DA; Chenoweth, JA; Ford, JB; Owen, KP; Radke, JB; Sutter, ME, 2018)
" We describe considerations of concurrent buprenorphine/naloxone therapy during episodes of severe acute pain."3.79Acute pain control challenges with buprenorphine/naloxone therapy in a patient with compartment syndrome secondary to McArdle's disease: a case report and review. ( Chang-Chien, GC; Chu, SK; Joseph, P; McCormick, Z, 2013)
"A 28-year-old man with schizophrenia intentionally ingested a lethal dose of acetaminophen and an unknown quantity of ibuprofen."3.74Rhabdomyolysis and necrotic bowel after acetaminophen and ibuprofen overdose. ( Dunn, T; Katz, D; Nelson, H; Singh, G; Thomsen, D; Voigt, M; Whitaker, E, 2007)
" 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)
"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 or paracetamol, a commonly used over-the-counter analgesic, is known to elicit severe adverse reactions when taken in overdose, chronically at therapeutic dosage or, sporadically, following single assumptions of a therapeutic dose."1.39Possible fatal acetaminophen intoxication with atypical clinical presentation. ( Carbone, A; Chiarotti, M; d'Aloja, E; De-Giorgio, F; Lodise, M; Valerio, L, 2013)
"Rhabdomyolysis is an important cause of acute renal failure (ARF) and renal vasoconstriction is the main mechanism in the pathogenesis of ARF."1.38Endothelial dysfunction and increased responses to renal nerve stimulation in rat kidneys during rhabdomyolysis-induced acute renal failure: role of hydroxyl radical. ( Cil, O; Ertunc, M; Gucer, KS; Iskit, AB; Onur, R; Ozaltin, F, 2012)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.26)18.7374
1990's4 (21.05)18.2507
2000's3 (15.79)29.6817
2010's7 (36.84)24.3611
2020's4 (21.05)2.80

Authors

AuthorsStudies
Finsterer, J1
Schomaker, S1
Potter, D1
Warner, R1
Larkindale, J1
King, N1
Porter, AC1
Owens, J1
Tomlinson, L1
Sauer, JM1
Johnson, K1
Aubrecht, J1
Maskell, KF1
Powell, SW1
Willis, D1
Okhomina, V1
Sima, AP1
Wills, BK1
Desgrouas, M1
Boulain, T1
Radke, JB1
Algren, DA1
Chenoweth, JA1
Owen, KP1
Ford, JB1
Albertson, TE1
Sutter, ME1
McCormick, Z1
Chu, SK1
Chang-Chien, GC1
Joseph, P1
De-Giorgio, F1
Lodise, M1
Chiarotti, M1
d'Aloja, E1
Carbone, A1
Valerio, L1
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
Chen, SC1
Liu, KS1
Chang, HR1
Lee, YT1
Chen, CC1
Lee, MC1
Cil, O1
Ertunc, M1
Gucer, KS1
Ozaltin, F1
Iskit, AB1
Onur, R1
Giles, FJ1
Cortes, JE1
Halliburton, TA1
Mallard, SJ1
Estey, EH1
Waddelow, TA1
Lim, JT1
Nelson, H1
Katz, D1
Dunn, T1
Singh, G1
Voigt, M1
Whitaker, E1
Thomsen, D1
Rees, GW1
Trull, AK1
Doyle, S1
Riggs, JE1
Schochet, SS1
Parmar, JP1
Moneret-Vautrin, DA1
Morisset, M1
Humbert, JC1
Beaudouin, E1
Tupin, N1
Plantier, L1
Yang, CC1
Deng, JF1
Lin, TJ1
Michaelis, HC1
Sharifi, S1
Schoel, G1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Prospective, Randomized Trial of the Effect of Standard of Care Reduced Dose Versus Full Dose Buprenorphine/Naloxone in the Perioperative Period on Pain Control and Post Operative Opioid Use Disorder Symptoms[NCT03266445]Phase 476 participants (Anticipated)Interventional2018-10-05Not yet recruiting
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
[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

1 review available for acetaminophen and Rhabdomyolysis

ArticleYear
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

Trials

1 trial available for acetaminophen and Rhabdomyolysis

ArticleYear
Intravenous corticosteroids to reduce gemtuzumab ozogamicin infusion reactions.
    The Annals of pharmacotherapy, 2003, Volume: 37, Issue:9

    Topics: Acetaminophen; Adult; Aminoglycosides; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Anti-Inflamm

2003

Other Studies

17 other studies available for acetaminophen and Rhabdomyolysis

ArticleYear
Letter to the Editor: Propacetamol-Induced Rhabdomyolysis or COVID-Vaccine-Related Inflammatory Myopathy?
    Journal of Korean medical science, 2022, 05-30, Volume: 37, Issue:21

    Topics: Acetaminophen; BNT162 Vaccine; COVID-19; COVID-19 Vaccines; Humans; Myositis; Rhabdomyolysis; Vaccin

2022
Serum glutamate dehydrogenase activity enables early detection of liver injury in subjects with underlying muscle impairments.
    PloS one, 2020, Volume: 15, Issue:5

    Topics: Acetaminophen; Adolescent; Adult; Alanine Transaminase; Animals; Aspartate Aminotransferases; Biomar

2020
Patterns of transaminase elevation in rhabdomyolysis versus acetaminophen toxicity.
    The American journal of emergency medicine, 2021, Volume: 44

    Topics: Acetaminophen; Adult; Chemical and Drug Induced Liver Injury; Clinical Enzyme Tests; Diagnosis, Diff

2021
Paracetamol use and lowered risk of acute kidney injury in patients with rhabdomyolysis.
    Journal of nephrology, 2021, Volume: 34, Issue:5

    Topics: Acetaminophen; Acute Kidney Injury; Animals; Cohort Studies; Humans; Mice; Renal Replacement Therapy

2021
Transaminase and Creatine Kinase Ratios for Differentiating Delayed Acetaminophen Overdose from Rhabdomyolysis.
    The western journal of emergency medicine, 2018, Volume: 19, Issue:4

    Topics: Acetaminophen; Adult; Creatine Kinase; Diagnosis, Differential; Drug Overdose; Female; Humans; Male;

2018
Acute pain control challenges with buprenorphine/naloxone therapy in a patient with compartment syndrome secondary to McArdle's disease: a case report and review.
    Pain medicine (Malden, Mass.), 2013, Volume: 14, Issue:8

    Topics: Acetaminophen; Acute Pain; Analgesia, Patient-Controlled; Analgesics, Non-Narcotic; Analgesics, Opio

2013
Possible fatal acetaminophen intoxication with atypical clinical presentation.
    Journal of forensic sciences, 2013, Volume: 58, Issue:5

    Topics: Acetaminophen; Acute Kidney Injury; Analgesics, Non-Narcotic; Disseminated Intravascular Coagulation

2013
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
Rhabdomyolysis following pandemic influenza A (H1N1) infection.
    The Netherlands journal of medicine, 2010, Volume: 68, Issue:1

    Topics: Acetaminophen; Adolescent; Alanine Transaminase; Analgesics, Non-Narcotic; Antiviral Agents; Asparta

2010
Endothelial dysfunction and increased responses to renal nerve stimulation in rat kidneys during rhabdomyolysis-induced acute renal failure: role of hydroxyl radical.
    Renal failure, 2012, Volume: 34, Issue:2

    Topics: Acetaminophen; Acute Kidney Injury; Animals; Electric Stimulation; Endothelium, Vascular; Female; Fr

2012
Rhabdomyolysis and necrotic bowel after acetaminophen and ibuprofen overdose.
    Pharmacotherapy, 2007, Volume: 27, Issue:4

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Blood Chemical Analysis; Drug Overdose; Humans; Ibup

2007
Dihydrocodeine overdose treated with naloxone infusion.
    British medical journal (Clinical research ed.), 1983, Nov-19, Volume: 287, Issue:6404

    Topics: Acetaminophen; Aged; Codeine; Dextropropoxyphene; Drug Combinations; Female; Humans; Male; Middle Ag

1983
Evaluation of an enzyme-immunometric assay for serum alpha-glutathione S-transferase.
    Annals of clinical biochemistry, 1995, Volume: 32 ( Pt 6)

    Topics: Acetaminophen; Alkaline Phosphatase; Analgesics, Non-Narcotic; Analysis of Variance; Arthritis, Rheu

1995
Rhabdomyolysis with acute renal failure and disseminated intravascular coagulation: association with acetaminophen and ethanol.
    Military medicine, 1996, Volume: 161, Issue:11

    Topics: Acetaminophen; Acute Kidney Injury; Alcohol Drinking; Disseminated Intravascular Coagulation; Ethano

1996
Acetaminophen-induced rhabdomyolysis.
    Allergy, 1999, Volume: 54, Issue:10

    Topics: Acetaminophen; Adolescent; Drug Hypersensitivity; Humans; Male; Rhabdomyolysis

1999
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
Rhabdomyolysis after suicidal ingestion of an overdose of caffeine, acetaminophen and phenazone as a fixed-dose combination (Spalt N).
    Journal of toxicology. Clinical toxicology, 1991, Volume: 29, Issue:4

    Topics: Acetaminophen; Adult; Antipyrine; Caffeine; Creatine Kinase; Drug Combinations; Drug Overdose; Human

1991