Mechanism of action of Acetaminophen
Inhibits the synthesis of prostaglandins in the central nervous system and peripherally blocks pain impulse generation; produces antipyresis from inhibition of hypothalamic heat-regulating center.
Indications of Acetaminophen
- Analgesic-antipyretic in patients with aspirin allergy, hemostatic disturbances, bleeding diatheses, upper GI disease, gouty arthritis
- Arthritis and rheumatic disorders involving musculoskeletal pain (but lacks clinically significant antirheumatic and anti- inflammatory effects)
- Common cold, "flu," other viral and bacterial infections accompanied by pain and fever
- Unlabeled use: prophylactic for children receiving DPT vaccination to reduce incidence of fever and pain
Contraindications of Acetaminophen
- Contraindicated in the presence of allergy to acetaminophen.
- Use caution in the presence of impaired hepatic function, chronic alcoholism, pregnancy, lactation.
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