title: Hepatotoxicity due to repeated intake of low doses of paracetamol.
abstract: The cases of two patients with fulminant hepatic failure after intake of therapeutic doses (4-8 g) of paracetamol, and who were admitted to hospital for assessment for liver transplantation, are described. In both patients starvation, due to abdominal pain, nausea and vomiting or diarrhoea, was probably contributing to the toxic effect of the drug. One of the patients also had an excessive alcohol intake. Paracetamol should not be prescribed for patients with alcoholism or with low food intake.
authors.affiliation: Department of Medicine, Huddinge University Hospital, Karolinska Institute, Sweden.
authors.forename: L S
authors.initials: LS
authors.lastname: Eriksson
authors.forename: U
authors.initials: U
authors.lastname: Broomé
authors.forename: M
authors.initials: M
authors.lastname: Kalin
authors.forename: M
authors.initials: M
authors.lastname: Lindholm
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage / Q000633:toxicity*; D000328:Adult; D000428:Alcohol Drinking; D003967:Diarrhea / Q000150:complications; D004435:Eating; D005260:Female; D006501:Hepatic Encephalopathy / Q000139:chemically induced*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013217:Starvation / Q000150:complications; D014839:Vomiting / Q000150:complications
chemical_list: D000082:Acetaminophen