{"id":"paracetamol","rwe":[{"pmid":"41901258","year":"2026","title":"Comparative Evaluation of Electronic Syringe and Pan Coating Techniques for Loading of FDM 3D Printed Tablets.","finding":"","journal":"Pharmaceuticals (Basel, Switzerland)","studyType":"Clinical Study"},{"pmid":"41899312","year":"2026","title":"Clinical Characteristics and Outcomes of Hospitalized Malaria Patients in Rural Madagascar.","finding":"","journal":"Journal of clinical medicine","studyType":"Clinical Study"},{"pmid":"41898408","year":"2026","title":"Potential Therapeutic Strategies for Steatosis, Oxidative Stress, Inflammation, and Fibrosis in Liver Disease.","finding":"","journal":"International journal of molecular sciences","studyType":"Clinical Study"},{"pmid":"41896927","year":"2026","title":"Toxicological evaluation of paracetamol and ibuprofen: genetic and hematological alterations in male albino mice.","finding":"","journal":"BMC pharmacology & toxicology","studyType":"Clinical Study"},{"pmid":"41895309","year":"2026","title":"Familial confounding and causal inference in child and adolescent neurodevelopment and mental health.","finding":"","journal":"The Lancet. Child & adolescent health","studyType":"Clinical Study"}],"_fda":{"id":"9bd24daa-3c59-4608-b967-d4fe2640358b","set_id":"00146b91-008d-4b16-95b0-6077f98821be","openfda":{"unii":["362O9ITL9D"],"route":["ORAL"],"rxcui":["198440"],"spl_id":["9bd24daa-3c59-4608-b967-d4fe2640358b"],"brand_name":["basic care acetaminophen"],"spl_set_id":["00146b91-008d-4b16-95b0-6077f98821be"],"package_ndc":["72288-300-78","72288-300-79"],"product_ndc":["72288-300"],"generic_name":["ACETAMINOPHEN"],"product_type":["HUMAN OTC DRUG"],"substance_name":["ACETAMINOPHEN"],"manufacturer_name":["Amazon.com Services LLC"],"application_number":["M013"],"is_original_packager":[true]},"purpose":["Purpose Pain reliever/fever reducer"],"version":"3","stop_use":["Stop use and ask a doctor if • pain gets worse or lasts more than 10 days • fever gets worse or lasts more than 3 days • new symptoms occur • redness or swelling is present These could be signs of a serious condition."],"warnings":["Warnings Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take • more than 4,000 mg of acetaminophen in 24 hours • with other drugs containing acetaminophen • 3 or more alcoholic drinks every day while using this product Allergy alert: Acetaminophen may cause severe skin reactions. Symptoms may include: • skin reddening • blisters • rash If a skin reaction occurs, stop use and seek medical help right away. Do not use • with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist. • if you have ever had an allergic reaction to this product or any of its ingredients Ask a doctor before use if you have liver disease Ask a doctor or pharmacist before use if you are taking the blood thinning drug warfarin Stop use and ask a doctor if • pain gets worse or lasts more than 10 days • fever gets worse or lasts more than 3 days • new symptoms occur • redness or swelling is present These could be signs of a serious condition. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. Overdose warning: In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222). Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms."],"questions":["Questions or comments? 1-800-719-9260"],"ask_doctor":["Ask a doctor before use if you have liver disease"],"do_not_use":["Do not use • with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist. • if you have ever had an allergic reaction to this product or any of its ingredients"],"effective_time":"20241024","active_ingredient":["Active ingredient (in each caplet) Acetaminophen 500 mg"],"inactive_ingredient":["Inactive ingredients croscarmellose sodium, crospovidone, FD&C red #40 aluminum lake, FD&C yellow #6 aluminum lake, hypromellose, mica-based pearlescent pigment, polyethylene glycol, polysorbate 80, povidone, pregelatinized starch, stearic acid"],"storage_and_handling":["Other information • store at 20-25 ° C (68-77 ° F)"],"indications_and_usage":["Uses • temporarily relieves minor aches and pains due to: • headache • muscular aches • backache • minor pain of arthritis • the common cold • toothache • premenstrual and menstrual cramps • temporarily reduces fever"],"ask_doctor_or_pharmacist":["Ask a doctor or pharmacist before use if you are taking the blood thinning drug warfarin"],"dosage_and_administration":["Directions • do not take more than directed (see overdose warning) adults and children 12 years and over • take 2 caplets every 6 hours while symptoms last • do not take more than 6 caplets in 24 hours, unless directed by a doctor • do not use for more than 10 days unless directed by a doctor children under 12 years ask a doctor"],"spl_product_data_elements":["basic care acetaminophen Acetaminophen ACETAMINOPHEN ACETAMINOPHEN CROSCARMELLOSE SODIUM CROSPOVIDONE (120 .MU.M) HYPROMELLOSE, UNSPECIFIED POLYETHYLENE GLYCOL, UNSPECIFIED POLYSORBATE 80 POVIDONE, UNSPECIFIED STEARIC ACID FD&C RED NO. 40 FD&C YELLOW NO. 6 3S0"],"pregnancy_or_breast_feeding":["If pregnant or breast-feeding, ask a health professional before use."],"keep_out_of_reach_of_children":["Keep out of reach of children. Overdose warning: In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222). Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms."],"dosage_and_administration_table":["<table width=\"100%\"><col width=\"20%\"/><col width=\"80%\"/><tbody><tr><td styleCode=\"Rrule Botrule Lrule Toprule \" valign=\"top\"><paragraph>adults and children 12 years and over</paragraph></td><td styleCode=\"Rrule Botrule Lrule Toprule \" valign=\"top\"><list listType=\"unordered\"><item><caption>&#x2022;</caption>take 2 caplets every 6 hours while symptoms last</item><item><caption>&#x2022;</caption>do not take more than 6 caplets in 24 hours, unless directed by a doctor</item><item><caption>&#x2022;</caption>do not use for more than 10 days unless directed by a doctor</item></list></td></tr><tr><td styleCode=\"Rrule Botrule Lrule Toprule \" valign=\"top\"><paragraph>children under</paragraph><paragraph>12 years</paragraph></td><td styleCode=\"Rrule Botrule Lrule Toprule \" valign=\"top\"><paragraph>ask a doctor</paragraph></td></tr></tbody></table>"],"package_label_principal_display_panel":["Package/Label Principal Display Panel Extra Strength Rapid Release Compare to Tylenol ® Extra Strength Rapid Release Gels active ingredient Acetaminophen Pain Reliever/Fever Reducer actual size Fast Relief For Adults 100 CAPLETS-500 mg Each acetaminophen image"]},"tags":[{"label":"acetaminophen","category":"class"},{"label":"Small Molecule","category":"modality"},{"label":"Transient receptor potential cation channel subfamily V member 4","category":"target"},{"label":"TRPV4","category":"gene"},{"label":"MB","category":"gene"},{"label":"CA12","category":"gene"},{"label":"N02AJ01","category":"atc"},{"label":"Oral","category":"route"},{"label":"Bar","category":"form"},{"label":"Capsule","category":"form"},{"label":"Active","category":"status"},{"label":"Allergic rhinitis","category":"indication"},{"label":"Arthritic 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(0406-3930-30)","marketingStartDate":"11-FEB-13"}],"dosageForm":"POWDER","genericName":"Acetaminophen Anhydrous Basis / Paracetamol Ph Eur","productType":"DRUG FOR FURTHER PROCESSING","activeIngredients":[{"name":"ACETAMINOPHEN","strength":".97 kg/kg"}],"marketingCategory":"DRUG FOR FURTHER PROCESSING"},{"route":[],"labeler":"SpecGx LLC","brandName":"","packaging":[{"ndc":"0406-3973-25","description":"50 kg in 1 DRUM (0406-3973-25)","marketingStartDate":"08-FEB-13"},{"ndc":"0406-3973-30","description":"500 kg in 1 SUPERSACK (0406-3973-30)","marketingStartDate":"08-FEB-13"}],"dosageForm":"POWDER","genericName":"PARACETAMOL","productType":"DRUG FOR FURTHER PROCESSING","activeIngredients":[{"name":"ACETAMINOPHEN","strength":".96 kg/kg"}],"marketingCategory":"DRUG FOR FURTHER PROCESSING"},{"route":[],"labeler":"SpecGx LLC","brandName":"","packaging":[{"ndc":"0406-4377-25","description":"50 kg in 1 DRUM 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(62207-934-04)","marketingStartDate":"14-APR-25"}],"dosageForm":"POWDER","genericName":"Paracetamol Ph.Eur","productType":"BULK INGREDIENT","activeIngredients":[{"name":"ACETAMINOPHEN","strength":"1 kg/kg"}],"marketingCategory":"BULK INGREDIENT"},{"route":[],"labeler":"Bayer HealthCare LLC","brandName":"","packaging":[{"ndc":"0280-1199-05","description":"5000 CAPSULE, LIQUID FILLED in 1 CONTAINER (0280-1199-05)","marketingStartDate":"01-JAN-17"}],"dosageForm":"CAPSULE, LIQUID FILLED","genericName":"Dextromethorphan Hydrobromide, Paracetamol, Phenylephrine Hydrochloride","productType":"DRUG FOR FURTHER PROCESSING","activeIngredients":[{"name":"ACETAMINOPHEN","strength":"325 mg/1"},{"name":"DEXTROMETHORPHAN HYDROCHLORIDE","strength":"10 mg/1"},{"name":"PHENYLEPHRINE HYDROCHLORIDE","strength":"5 mg/1"}],"marketingCategory":"DRUG FOR FURTHER PROCESSING"},{"route":[],"labeler":"Bayer HealthCare LLC.","brandName":"","packaging":[{"ndc":"0280-1203-05","description":"5000 CAPSULE, LIQUID 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LLC","brandName":"","packaging":[{"ndc":"0406-0081-24","description":"50 kg in 1 DRUM (0406-0081-24)","marketingStartDate":"01-FEB-13"}],"dosageForm":"POWDER","genericName":"Paracetamol","productType":"BULK INGREDIENT","activeIngredients":[{"name":"ACETAMINOPHEN","strength":"1 kg/kg"}],"marketingCategory":"BULK INGREDIENT"},{"route":[],"labeler":"SpecGx LLC","brandName":"","packaging":[{"ndc":"0406-0057-23","description":"100 kg in 1 DRUM (0406-0057-23)","marketingStartDate":"01-FEB-13"}],"dosageForm":"POWDER","genericName":"Paracetamol","productType":"BULK INGREDIENT","activeIngredients":[{"name":"ACETAMINOPHEN","strength":"1 kg/kg"}],"marketingCategory":"BULK INGREDIENT"},{"route":[],"labeler":"SpecGx LLC","brandName":"","packaging":[{"ndc":"0406-0167-35","description":"401 kg in 1 SUPERSACK (0406-0167-35)","marketingStartDate":"01-FEB-13"}],"dosageForm":"POWDER","genericName":"Paracetamol","productType":"BULK INGREDIENT","activeIngredients":[{"name":"ACETAMINOPHEN","strength":"1 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INGREDIENT"}],"safety":{"safetySignals":[{"llr":4256.034,"date":"","count":16522,"signal":"Toxicity to various agents","source":"DrugCentral FAERS","actionTaken":"Reported 16,522 times (LLR=4256)"},{"llr":2643.79,"date":"","count":8621,"signal":"Overdose","source":"DrugCentral FAERS","actionTaken":"Reported 8,621 times (LLR=2644)"},{"llr":2492.089,"date":"","count":2937,"signal":"Acute hepatic failure","source":"DrugCentral FAERS","actionTaken":"Reported 2,937 times (LLR=2492)"},{"llr":2435.809,"date":"","count":5691,"signal":"Intentional overdose","source":"DrugCentral FAERS","actionTaken":"Reported 5,691 times (LLR=2436)"},{"llr":2132.151,"date":"","count":8474,"signal":"Completed suicide","source":"DrugCentral FAERS","actionTaken":"Reported 8,474 times (LLR=2132)"},{"llr":1516.565,"date":"","count":16528,"signal":"Drug ineffective","source":"DrugCentral FAERS","actionTaken":"Reported 16,528 times (LLR=1517)"},{"llr":1503.261,"date":"","count":828,"signal":"Analgesic drug level increased","source":"DrugCentral FAERS","actionTaken":"Reported 828 times (LLR=1503)"},{"llr":1162.604,"date":"","count":2464,"signal":"Hepatocellular injury","source":"DrugCentral FAERS","actionTaken":"Reported 2,464 times (LLR=1163)"},{"llr":1022.099,"date":"","count":8886,"signal":"Infusion related reaction","source":"DrugCentral FAERS","actionTaken":"Reported 8,886 times (LLR=1022)"},{"llr":887.274,"date":"","count":3427,"signal":"Blood pressure fluctuation","source":"DrugCentral FAERS","actionTaken":"Reported 3,427 times (LLR=887)"},{"llr":861.478,"date":"","count":1278,"signal":"Poisoning deliberate","source":"DrugCentral FAERS","actionTaken":"Reported 1,278 times (LLR=861)"},{"llr":835.261,"date":"","count":3469,"signal":"Suicide attempt","source":"DrugCentral FAERS","actionTaken":"Reported 3,469 times (LLR=835)"},{"llr":832.784,"date":"","count":846,"signal":"Exposure to toxic agent","source":"DrugCentral FAERS","actionTaken":"Reported 846 times (LLR=833)"},{"llr":559.18,"date":"","count":3227,"signal":"Product dose omission issue","source":"DrugCentral FAERS","actionTaken":"Reported 3,227 times (LLR=559)"},{"llr":529.999,"date":"","count":119,"signal":"Drug resistance","source":"DrugCentral FAERS","actionTaken":"Reported 119 times (LLR=530)"}],"drugInteractions":[{"url":"/drug/isoniazid","drug":"isoniazid","action":"Monitor closely","effect":"May interact with Acetaminophen, Isoniazid","source":"DrugCentral","drugSlug":"isoniazid"},{"url":"/drug/sulfinpyrazone","drug":"sulfinpyrazone","action":"Monitor closely","effect":"May interact with Acetaminophen, Sulfinpyrazone","source":"DrugCentral","drugSlug":"sulfinpyrazone"}],"commonSideEffects":[],"contraindications":["Cirrhosis of liver","Disease of liver","Hepatic encephalopathy","Hepatic failure"],"specialPopulations":{"Pregnancy":"There are no adequate and well-controlled studies in pregnant women. Hydrocodone bitartrate and acetaminophen tablets should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.Nonteratogenic Effects:Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased","Geriatric use":"No overall differences in safety or effectiveness were observed between geriatric and younger subjects. Elderly patients (aged 65 years or older) may have increased sensitivity to acetaminophen and codeine phosphate tablets. In general, use caution when selecting dosage for an elderly patient, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy.","Paediatric use":"The effectiveness of ACETAMINOPHEN injection for intravenous use for the treatment of acute pain in pediatric patients younger than years of age has not been established. The safety and effectiveness of ACETAMINOPHEN injection for intravenous use in pediatric patients is supported by evidence from adequate and well controlled studies in adults with additional safety and pharmacokinetic data for this age group.","Renal impairment":"In cases of severe renal impairment, longer dosing intervals and reduced total daily dose of acetaminophen may be warranted.","Hepatic impairment":"ACETAMINOPHEN injection for intravenous use is contraindicated in patients with severe hepatic impairment or severe active liver disease and should be used with caution in patients with hepatic impairment or active liver disease."},"seriousAdverseEvents":[]},"trials":[],"aliases":["Parol","Paracetamol Saft Hexal","Perfalgan","Acetaminophen","Acephen"],"company":"Polymedica","patents":[{"source":"FDA Orange Book via DrugCentral","expires":"2039-02-27","territory":"US","patentNumber":"11197830"},{"source":"FDA Orange Book via 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DrugCentral","expires":"2025-09-22","territory":"US","patentNumber":"10532036"}],"pricing":[],"_sources":{"_fda":{"url":"","method":"api_direct","source":"FDA OpenFDA Label","rawText":"","confidence":1,"sourceType":"fda_label","retrievedAt":"2026-04-20T07:54:48.844171+00:00"},"fdaNDC":{"url":"","method":"api_direct","source":"FDA NDC Directory","rawText":"","confidence":1,"sourceType":"fda_ndc","retrievedAt":"2026-04-19T20:44:32.143139+00:00"},"patents":{"url":"","method":"deterministic","source":"FDA Orange Book + Purple Book","rawText":"","confidence":1,"sourceType":"fda_orange_book","retrievedAt":"2026-04-19T20:44:47.486169+00:00"},"dailyMed":{"url":"","method":"api_direct","source":"DailyMed (NIH/NLM)","rawText":"","confidence":1,"sourceType":"dailymed","retrievedAt":"2026-04-19T20:44:32.844754+00:00"},"aiSummary":{"url":"","method":"ai_extraction","source":"Haiku strategic summary","rawText":"","confidence":0.9,"sourceType":"ai_extraction","retrievedAt":"2026-04-20T07:54:50.886231+00:00"},"chemblData":{"url":"https://www.ebi.ac.uk/chembl/compound_report_card/CHEMBL5592090/","method":"api_direct","source":"ChEMBL (EMBL-EBI)","rawText":"","confidence":1,"sourceType":"chembl","retrievedAt":"2026-04-19T20:44:39.286915+00:00"},"trialDetails":{"url":"","method":"deterministic","source":"ClinicalTrials.gov (0 trials with endpoints)","rawText":"","confidence":1,"sourceType":"ctgov_results","retrievedAt":"2026-04-19T20:45:19.391569+00:00"},"publicationCount":{"url":"","method":"api_direct","source":"PubMed/NCBI","rawText":"","confidence":1,"sourceType":"pubmed","retrievedAt":"2026-04-19T20:44:37.815290+00:00"},"recentPublications":{"url":"","method":"api_direct","source":"PubMed/NCBI","rawText":"","confidence":1,"sourceType":"pubmed","retrievedAt":"2026-04-19T20:44:38.753751+00:00"},"rxnormFormulations":{"url":"https://rxnav.nlm.nih.gov/REST/drugs.json?name=Paracetamol","method":"api_direct","source":"RxNorm (NIH)","rawText":"","confidence":1,"sourceType":"rxnorm","retrievedAt":"2026-04-19T20:44:31.549903+00:00"},"participantFlowData":{"url":"","method":"deterministic","source":"ClinicalTrials.gov participantFlowModule","rawText":"","confidence":1,"sourceType":"ctgov_results","retrievedAt":"2026-04-19T20:45:19.391495+00:00"},"structuredTrialResults":{"url":"","method":"deterministic","source":"ClinicalTrials.gov resultsSection (0 trials)","rawText":"","confidence":1,"sourceType":"ctgov_results","retrievedAt":"2026-04-19T20:45:19.391491+00:00"},"safety.commonSideEffects":{"url":"","method":"deterministic","source":"ClinicalTrials.gov (0 trials with results)","rawText":"","confidence":1,"sourceType":"ctgov_results","retrievedAt":"2026-04-19T20:45:19.391411+00:00"},"safety.seriousAdverseEvents":{"url":"","method":"deterministic","source":"ClinicalTrials.gov (0 trials)","rawText":"","confidence":1,"sourceType":"ctgov_results","retrievedAt":"2026-04-19T20:45:19.391435+00:00"}},"allNames":"acetaminophen","dailyMed":[{"url":"https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=bf001b70-6164-1ec9-e053-2a95a90a1274","setid":"bf001b70-6164-1ec9-e053-2a95a90a1274","title":"AC FAST (PARACETAMOL) CAPSULE, COATED [GRIMANN SA DE CV]"}],"offLabel":[],"synonyms":["acetaminophen","acetaminofen","aminofen","panadol","paracetamol","neopap"],"timeline":[{"date":"1968-11-07","type":"positive","source":"DrugCentral","milestone":"FDA approval (Polymedica)"},{"date":"2023-02-24","type":"positive","source":"DrugCentral","milestone":"PMDA approval (Ayumi Pharmaceutical Corporation)"}],"aiSummary":"The provided FDA label for Paracetamol (Acetaminophen) contains only the Indications and Usage section. The drug is indicated for temporary relief of minor aches and pains including headache, muscular aches, backache, arthritis pain, cold symptoms, toothache, and menstrual cramps, as well as fever reduction. Critical sections including Mechanism of Action, Pharmacokinetics, Contraindications, Adverse Reactions, and Drug Interactions are not available in the provided text. Without these sections, a complete safety and efficacy profile cannot be established.","brandName":"Acetaminophen","ecosystem":[{"indication":"Allergic rhinitis","otherDrugs":[{"name":"acrivastine","slug":"acrivastine","company":"Auxilium Pharms Inc"},{"name":"alimemazine","slug":"alimemazine","company":"Allergan Herbert"},{"name":"antazoline","slug":"antazoline","company":"Novartis"},{"name":"astemizole","slug":"astemizole","company":""}],"globalPrevalence":null},{"indication":"Arthritic Pain","otherDrugs":[{"name":"acetylsalicylic acid","slug":"acetylsalicylic-acid","company":"Endo Pharms"},{"name":"camphor","slug":"camphor","company":""},{"name":"capsaicin","slug":"capsaicin","company":"Acorda"},{"name":"levomenthol","slug":"levomenthol","company":""}],"globalPrevalence":null},{"indication":"Backache","otherDrugs":[{"name":"aceclofenac","slug":"aceclofenac","company":""},{"name":"acetylsalicylic acid","slug":"acetylsalicylic-acid","company":"Endo Pharms"},{"name":"caffeine","slug":"caffeine","company":"Novartis"},{"name":"camphor","slug":"camphor","company":""}],"globalPrevalence":null},{"indication":"Common cold","otherDrugs":[{"name":"acetylsalicylic acid","slug":"acetylsalicylic-acid","company":"Endo Pharms"},{"name":"acrivastine","slug":"acrivastine","company":"Auxilium Pharms Inc"},{"name":"ammonium chloride","slug":"ammonium-chloride","company":"B Braun"},{"name":"azatadine","slug":"azatadine","company":""}],"globalPrevalence":null},{"indication":"Fever","otherDrugs":[{"name":"choline magnesium trisalicylate","slug":"choline-magnesium-trisalicylate","company":""},{"name":"codeine","slug":"codeine","company":"Ani Pharms"},{"name":"dextromethorphan","slug":"dextromethorphan","company":"Ani Pharms"},{"name":"guaifenesin","slug":"guaifenesin","company":"Reckitt Benckiser"}],"globalPrevalence":2000000000},{"indication":"Headache disorder","otherDrugs":[{"name":"acetylsalicylic acid","slug":"acetylsalicylic-acid","company":"Endo Pharms"},{"name":"caffeine","slug":"caffeine","company":"Novartis"},{"name":"citric acid","slug":"citric-acid","company":"Baxter Hlthcare"},{"name":"codeine","slug":"codeine","company":"Ani Pharms"}],"globalPrevalence":1400000000},{"indication":"Influenza-like symptoms","otherDrugs":[{"name":"acetylsalicylic acid","slug":"acetylsalicylic-acid","company":"Endo Pharms"},{"name":"brompheniramine","slug":"brompheniramine","company":""},{"name":"caffeine","slug":"caffeine","company":"Novartis"},{"name":"chlorphenamine","slug":"chlorphenamine","company":"Bayer Healthcare Llc"}],"globalPrevalence":null},{"indication":"Joint pain","otherDrugs":[{"name":"acetylsalicylic acid","slug":"acetylsalicylic-acid","company":"Endo Pharms"},{"name":"caffeine","slug":"caffeine","company":"Novartis"},{"name":"magnesium salicylate","slug":"magnesium-salicylate","company":""},{"name":"methyl nicotinate","slug":"methyl-nicotinate","company":""}],"globalPrevalence":null}],"mechanism":{"target":"Transient receptor potential cation channel subfamily V member 4","novelty":"Follow-on","targets":[{"gene":"TRPV4","source":"DrugCentral","target":"Transient receptor potential cation channel subfamily V member 4","protein":"Transient receptor potential cation channel subfamily V member 4"},{"gene":"MB","source":"DrugCentral","target":"Myoglobin","protein":"Myoglobin"},{"gene":"CA12","source":"DrugCentral","target":"Carbonic anhydrase 12","protein":"Carbonic anhydrase 12"},{"gene":"CA2","source":"DrugCentral","target":"Carbonic anhydrase 2","protein":"Carbonic anhydrase 2"},{"gene":"CA3","source":"DrugCentral","target":"Carbonic anhydrase 3","protein":"Carbonic anhydrase 3"},{"gene":"CA7","source":"DrugCentral","target":"Carbonic anhydrase 7","protein":"Carbonic anhydrase 7"},{"gene":"CA1","source":"DrugCentral","target":"Carbonic anhydrase 1","protein":"Carbonic anhydrase 1"},{"gene":"CA14","source":"DrugCentral","target":"Carbonic anhydrase 14","protein":"Carbonic anhydrase 14"},{"gene":"CA4","source":"DrugCentral","target":"Carbonic anhydrase 4","protein":"Carbonic anhydrase 4"},{"gene":"ALOX5AP","source":"DrugCentral","target":"Arachidonate 5-lipoxygenase-activating protein","protein":"Arachidonate 5-lipoxygenase-activating protein"}],"modality":"Small Molecule","drugClass":"acetaminophen","explanation":"Mechanismof Action. Hydrocodone is full opioid agonist with relative selectivity for the mu-opioid (u) receptor, although it can interact with other opioid receptors at higher doses. The principal therapeutic action of hydrocodone is analgesia. Like all full opioid agonists, there is no ceiling effect for analgesia with hydrocodone. Clinically, dosage is titrated to provide adequate analgesia and may be limited by adverse reactions, including respiratory and CNS depression.The precise mechanism of the analgesic action is unknown. However, specific CNS opioid receptors for endogenous compounds with opioid-like activity have been identified throughout the brain and spinal cord and are thought to play role in the analgesic effects of this drug. The precise mechanism of the analgesic properties of acetaminophen is not established but is thought to involve central actions.","oneSentence":"Acetaminophen works by blocking pain signals in the brain.","technicalDetail":"Acetaminophen exerts its analgesic and antipyretic effects by inhibiting the activity of the transient receptor potential cation channel subfamily V member 4 (TRPV4), which is involved in the transmission of pain and temperature signals in the brain."},"_wikipedia":{"url":"https://en.wikipedia.org/wiki/Paracetamol","title":"Paracetamol","extract":"Paracetamol, or acetaminophen, is an analgesic and antipyretic agent used to treat fever and mild to moderate pain. It is a widely available over-the-counter drug sold generically or under various brand names, including Tylenol and Panadol.","wiki_history":"==History==\nthumb|[[Julius Axelrod (pictured) and Bernard Brodie demonstrated that acetanilide and phenacetin are both metabolized to paracetamol, which is a better-tolerated analgesic.]]\n\nAcetanilide was the first aniline derivative serendipitously found to possess analgesic as well as antipyretic properties, and was quickly introduced into medical practice under the name of Antifebrin by Cahn & Hepp in 1886. But its unacceptable toxic effectsthe most alarming being cyanosis due to methemoglobinemia, an increase of hemoglobin in its ferric [Fe<sup>3+</sup>] state, called methemoglobin, which cannot bind oxygen, and thus decreases overall carriage of oxygen to tissueprompted the search for less toxic aniline derivatives. Some reports state that Cahn & Hepp or a French chemist called Charles Gerhardt first synthesized paracetamol in 1852. Von Mering claimed that, unlike phenacetin, paracetamol had a slight tendency to produce methemoglobinemia. Paracetamol was then quickly discarded in favor of phenacetin. The sales of phenacetin established Bayer as a leading pharmaceutical company.\n\nVon Mering's claims remained essentially unchallenged for half a century until two teams of researchers from the United States analysed the metabolism of acetanilide and phenacetin. In 1948, Bernard Brodie, Julius Axelrod and Frederick Flinn confirmed that paracetamol was the major metabolite of acetanilide in humans, and established that it was just as efficacious an analgesic as its precursor. They also suggested that methemoglobinemia is produced in humans mainly by another metabolite, phenylhydroxylamine. A follow-up paper by Brodie and Axelrod in 1949 established that phenacetin was also metabolized to paracetamol. This led to a \"rediscovery\" of paracetamol. In 1963, paracetamol was added to the British Pharmacopoeia, and has gained popularity since then as an analgesic agent with few side-effects and little interaction with other pharmaceutical agents.\n\nConcerns about paracetamol'","wiki_society_and_culture":"==Society and culture==\nthumb|Awareness poster on acetaminophen abuse as issued by the FDA\n===Naming===\nParacetamol is the Australian Approved Name and the British Approved Name Both paracetamol and acetaminophen are contractions of chemical names for the compound. The word paracetamol is a shortened form of para-acetylaminophenol, and was coined by Frederick Stearns & Co in 1956, while the word acetaminophen is a shortened form of N-acetyl-p-aminophenol (APAP), which was coined and first marketed by McNeil Laboratories in 1955. The initialism APAP is used by dispensing pharmacists in the United States.\n\n===Available forms===\n\n\nParacetamol is available in oral, suppository, and intravenous forms. Intravenous paracetamol is sold under the brand name Ofirmev in the United States.\n\nIn some formulations, paracetamol is combined with the opiate codeine, sometimes referred to as co-codamol (BAN) and Panadeine in Australia. In the U.S., this combination is available only by prescription. As of 1 February 2018, medications containing codeine also became prescription-only in Australia. Paracetamol is also combined with other opioids such as dihydrocodeine, referred to as co-dydramol (British Approved Name (BAN)), oxycodone or hydrocodone. Another very commonly used analgesic combination includes paracetamol in combination with propoxyphene napsylate. A combination of paracetamol, codeine, and the doxylamine succinate is also available. Paracetamol is also available combined with butalbital and caffeine as a treatment for tension and migraine headaches.\n\nParacetamol is sometimes combined with phenylephrine hydrochloride. Sometimes a third active ingredient, such as ascorbic acid, caffeine, chlorpheniramine maleate, or guaifenesin is added to this combination.\n\n"},"chemblData":{"prodrug":-1,"chemblId":"CHEMBL5592090","maxPhase":null,"chirality":-1,"parenteral":false,"availability":-1,"moleculeType":null,"withdrawnFlag":false,"naturalProduct":1,"blackBoxWarning":0,"oralBioavailable":false},"commercial":{"launchDate":"1968","_launchSource":"DrugCentral (FDA 1968-11-07, POLYMEDICA)"},"fdaRecalls":[],"references":[{"id":1,"url":"https://drugcentral.org/drugcard/52","fields":["approvals","synonyms","ATC","PK","indications","contraindications","DDIs","targets","patents","FAERS"],"source":"DrugCentral"},{"id":2,"url":"https://clinicaltrials.gov/search?intr=Paracetamol","fields":["trials"],"source":"ClinicalTrials.gov"},{"id":3,"url":"https://pubmed.ncbi.nlm.nih.gov/?term=Paracetamol","fields":["publications"],"source":"PubMed/NCBI"},{"id":4,"url":"https://en.wikipedia.org/wiki/Paracetamol","fields":["history","overview"],"source":"Wikipedia"}],"_enrichedAt":"2026-03-30T02:34:50.144023","_validation":{"fieldsValidated":0,"lastValidatedAt":"2026-04-20T08:28:10.262180+00:00","fieldsConflicting":0,"overallConfidence":0.95},"biosimilars":[],"competitors":[{"drugName":"dihydrocodeine","drugSlug":"dihydrocodeine","fdaApproval":"1958-07-07","relationship":"same-class"},{"drugName":"acetylsalicylic 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rhinitis","source":"DrugCentral","snomedId":61582004,"regulator":"FDA"},{"name":"Arthritic Pain","source":"DrugCentral","snomedId":"","regulator":"FDA","eligibility":null},{"name":"Backache","source":"DrugCentral","snomedId":161891005,"regulator":"FDA","eligibility":null},{"name":"Common cold","source":"DrugCentral","snomedId":82272006,"regulator":"FDA"},{"name":"Fever","source":"DrugCentral","snomedId":386661006,"regulator":"FDA","eligibility":null,"usPrevalence":null,"globalPrevalence":2000000000,"prevalenceMethod":"curated","prevalenceSource":"Common symptom, not a disease"},{"name":"Headache disorder","source":"DrugCentral","snomedId":230461009,"regulator":"FDA","usPrevalence":null,"globalPrevalence":1400000000,"prevalenceMethod":"curated","prevalenceSource":"Cell Mol Neurobiol, 2023 (PMID:17381554)"},{"name":"Influenza-like symptoms","source":"DrugCentral","snomedId":315642008,"regulator":"FDA"},{"name":"Joint pain","source":"DrugCentral","snomedId":57676002,"regulator":"FDA"},{"name":"Migraine","source":"DrugCentral","snomedId":37796009,"regulator":"FDA","eligibility":null,"usPrevalence":39000000,"globalPrevalence":1000000000,"prevalenceMethod":"curated","prevalenceSource":"Lancet Neurology, 2023"},{"name":"Pain","source":"DrugCentral","snomedId":22253000,"regulator":"FDA","eligibility":null,"usPrevalence":51600000,"globalPrevalence":1500000000,"prevalenceMethod":"curated","prevalenceSource":"CDC, 2023"},{"name":"Pain Treatment Adjunct","source":"DrugCentral","snomedId":"","regulator":"FDA"},{"name":"Sinus headache","source":"DrugCentral","snomedId":4969004,"regulator":"FDA"},{"name":"Tension-type headache","source":"DrugCentral","snomedId":398057008,"regulator":"FDA"},{"name":"Toothache","source":"DrugCentral","snomedId":27355003,"regulator":"FDA"}],"offLabel":[{"name":"Fibromyalgia","source":"DrugCentral","drugName":"Paracetamol","evidenceCount":79,"evidenceLevel":"strong"},{"name":"Vascular headache","source":"DrugCentral","drugName":"Paracetamol","evidenceCount":36,"evidenceLevel":"moderate"}],"pipeline":[]},"drugCategory":"active","labelChanges":[],"relatedDrugs":[{"drugId":"dihydrocodeine","brandName":"dihydrocodeine","genericName":"dihydrocodeine","approvalYear":"1958","relationship":"same-class"},{"drugId":"acetylsalicylic-acid","brandName":"acetylsalicylic acid","genericName":"acetylsalicylic acid","approvalYear":"1950","relationship":"same-class"},{"drugId":"codeine","brandName":"codeine","genericName":"codeine","approvalYear":"1952","relationship":"same-class"},{"drugId":"ibuprofen","brandName":"ibuprofen","genericName":"ibuprofen","approvalYear":"1974","relationship":"same-class"},{"drugId":"tramadol","brandName":"tramadol","genericName":"tramadol","approvalYear":"1995","relationship":"same-class"},{"drugId":"celecoxib","brandName":"celecoxib","genericName":"celecoxib","approvalYear":"1998","relationship":"same-class"},{"drugId":"oxycodone","brandName":"oxycodone","genericName":"oxycodone","approvalYear":"1950","relationship":"same-class"}],"trialDetails":[],"whoEssential":true,"genericFilers":[],"latestUpdates":[],"manufacturing":[],"administration":{"route":"Oral","formulation":"Bar, Capsule","formulations":[{"form":"BAR, CHEWABLE","route":"ORAL","productName":"Acetaminophen"},{"form":"BAR, CHEWABLE","route":"ORAL","productName":"DrKids Childrens Pain and Fever"},{"form":"CAPSULE","route":"ORAL","productName":"Acetaminophen, Caffeine, Dihydrocodeine Bitartrate"},{"form":"CAPSULE","route":"ORAL","productName":"BUTALBITAL, ACETAMINOPHEN AND CAFFEINE"},{"form":"CAPSULE","route":"ORAL","productName":"BUTALBITAL, ACETAMINOPHEN, CAFFEINE, AND CODEINE PHOSPHATE"},{"form":"CAPSULE","route":"ORAL","productName":"Butalbita,Acetaminophen and Caffeine"},{"form":"CAPSULE","route":"ORAL","productName":"Butalbital, Acetaminophen and Caffeine"},{"form":"CAPSULE","route":"ORAL","productName":"Butalbital, Acetaminophen, Caffeine and Codeine Phosphate"},{"form":"CAPSULE","route":"ORAL","productName":"Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate"},{"form":"CAPSULE","route":"ORAL","productName":"Butalbital, Acetaminophen, and Caffeine"},{"form":"CAPSULE","route":"ORAL","productName":"Butalbital/Acetaminophen/Caffeine"},{"form":"CAPSULE","route":"ORAL","productName":"Esgic"},{"form":"CAPSULE","route":"ORAL","productName":"Fioricet"},{"form":"CAPSULE","route":"ORAL","productName":"Fioricet with Codeine"},{"form":"CAPSULE","route":"ORAL","productName":"ORBIVAN"}]},"_patentsChecked":true,"crossReferences":{"NUI":"N0000145898","MMSL":"4119","NDDF":"001605","UNII":"362O9ITL9D","VUID":"4017513","CHEBI":"CHEBI:46195","VANDF":"4017513","INN_ID":"626","RXNORM":"161","UMLSCUI":"C0000970","chemblId":"CHEMBL5592090","ChEMBL_ID":"CHEMBL112","KEGG_DRUG":"D00217","DRUGBANK_ID":"DB00316","PDB_CHEM_ID":" NNS","PUBCHEM_CID":"1983","SNOMEDCT_US":"387517004","IUPHAR_LIGAND_ID":"5239","MESH_DESCRIPTOR_UI":"D000082"},"formularyStatus":[],"_enricherVersion":"v2","_offLabelChecked":true,"chemblMechanisms":[],"developmentCodes":[],"ownershipHistory":[{"period":"1968-","companyName":"Polymedica","relationship":"Original Developer"},{"period":"2023","companyName":"Ayumi Pharmaceutical Corporation","relationship":"PMDA Licensee"}],"pharmacokinetics":{"source":"DrugCentral","halfLife":"2.5 hours","clearance":"5.0 mL/min/kg","bioavailability":"88%","fractionUnbound":"0.52%","volumeOfDistribution":"1.0 L/kg"},"publicationCount":15565,"therapeuticAreas":["Immunology"],"atcClassification":{"source":"DrugCentral","atcCode":"N02AJ01","allCodes":["N02AJ01","N02AJ06","N02AJ13","N02AJ17","N02BE01","N02BE51","N02BE71"]},"biosimilarFilings":[],"originalDeveloper":"Polymedica","recentPublications":[{"pmid":"41998668","title":"Clinical characteristics and outcomes of pediatric paracetamol poisoning presenting to the emergency department.","authors":"Karabacak B, Özaydın E","journal":"BMC Pediatr","pubDate":"2026 Apr 17"},{"pmid":"41994855","title":"Commentary on the \"Diagnostic utility of the paracetamol concentration aminotransferase activity multiplication product in identifying patients exceeding the 150 mg/L treatment line on the Rumack-Matthew nomogram\".","authors":"Su MK, Brunette H","journal":"Clin Toxicol (Phila)","pubDate":"2026 Apr 17"},{"pmid":"41994854","title":"Comment on: We need a standardized North American acetylcysteine dosing regimen for the treatment of paracetamol (acetaminophen) poisoning.","authors":"Mullins ME, Sivilotti MLA, Thompson M, Beuhler MC, Liss DB","journal":"Clin Toxicol (Phila)","pubDate":"2026 Apr 17"},{"pmid":"41994852","title":"Comparative evaluation of ammonium chloride-modified and hospital-grade activated charcoal for paracetamol adsorption under simulated gastric (pepsin) and intestinal (pancreatin) fluid.","authors":"Riahimanesh F, Alahabadi A, Salari M, Nazemi S","journal":"Clin Toxicol (Phila)","pubDate":"2026 Apr 17"},{"pmid":"41992641","title":"Correction to \"Sustainable Beckmann Rearrangement Using Bead-Milling Technology: The Route to Paracetamol\".","authors":"","journal":"ChemSusChem","pubDate":"2026 Apr 28"},{"pmid":"41989843","title":"RETRACTED: Peritore et al. Ultramicronized Palmitoylethanolamide and Paracetamol, a New Association to Relieve Hyperalgesia and Pain in a Sciatic Nerve Injury Model in Rat. Int. J. Mol. Sci. 2020, 21, 3509.","authors":"Peritore AF, Siracusa R, Fusco R, Gugliandolo E, D'Amico R","journal":"Int J Mol Sci","pubDate":"2026 Apr 16"},{"pmid":"41976147","title":"Paracetamol Removal from Aqueous Media Through Fenton Reaction Using ZSM-5 Zeolite Produced from Fly Ash.","authors":"Horta N, Martins S, Silva HF, Nunes N, Mestre AS","journal":"Molecules","pubDate":"2026 Mar 27"},{"pmid":"41963379","title":"First-principles investigation of aspirin, paracetamol, and ibuprofen adsorption on triquinoxalinylene and benzoquinone-based covalent organic framework.","authors":"Bawazeer S","journal":"Sci Rep","pubDate":"2026 Apr 10"},{"pmid":"41955444","title":"Lemna minor's accumulation and physiological response to common over-the-counter pharmaceuticals: paracetamol, pseudoephedrine, and their combination.","authors":"Urbaniak M, Tomczyk P, Kózka B, Giebułtowicz J","journal":"Int J Phytoremediation","pubDate":"2026 Apr 9"},{"pmid":"41952124","title":"The effect of preemptive intravenous paracetamol-mannitol on postoperative analgesia and quality of recovery in elderly patients undergoing total hip arthroplasty.","authors":"Zhou X, Jing J, Xu P, Wu Q, Chen M","journal":"BMC Anesthesiol","pubDate":"2026 Apr 9"}],"rxnormFormulations":[{"tty":"BPCK","name":"{100 (acetaminophen 250 MG / aspirin 250 MG / caffeine 65 MG Oral Tablet [Excedrin]) / 24 (acetaminophen 250 MG / aspirin 250 MG / diphenhydramine citrate 38 MG Oral Tablet [Excedrin PM Triple Action]) } Pack [Excedrin PM Triple Action Caplets and Excedrin Extra Strength Pain Reliever]","rxcui":"2047428","synonym":"Excedrin PM Triple Action Caplets and Excedrin Extra Strength Pain Reliever Kit"},{"tty":"GPCK","name":"{1 (acetaminophen 500 MG / chlorpheniramine maleate 2 MG / phenylephrine hydrochloride 5 MG Oral Tablet) / 1 (acetaminophen 500 MG / phenylephrine hydrochloride 5 MG Oral Tablet) } Pack","rxcui":"1101555","synonym":"1 daytime (acetaminophen 500 MG / phenylephrine HCl 5 MG Oral Tablet) / 1 nighttime 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