Acetaminophen is responsible for over half of all cases of acute liver failure in the US and is the second most common cause of liver transplant worldwide.[11]Yoon E, Babar A, Choudhary M, et al. Acetaminophen-induced hepatotoxicity: a comprehensive update. J Clin Transl Hepatol. 2016 Jun 28;4(2):131-42.
https://www.xiahepublishing.com/ArticleFullText.aspx?sid=2&jid=1&id=10.14218%2fJCTH.2015.00052
http://www.ncbi.nlm.nih.gov/pubmed/27350943?tool=bestpractice.com
The 2022 Annual Report of the National Poison Data System in the US reported 94,782 single substance exposures to acetaminophen alone, representing a 42% increase when compared with the previous year. In the same report, acetaminophen-containing combination product exposures totaled 27,432 during 2022, an 8.9% decrease from the previous year.[12]Gummin DD, Mowry JB, Beuhler MC, et al. 2022 annual report of the National Poison Data System® (NPDS) from America's Poison Centers®: 40th annual report. Clin Toxicol (Phila). 2023 Oct;61(10):717-939.
https://www.tandfonline.com/doi/full/10.1080/15563650.2023.2268981#abstract
http://www.ncbi.nlm.nih.gov/pubmed/38084513?tool=bestpractice.com
Exposure cases are defined as actual or suspected contact; for example, ingestion, inhalation, absorption, reported with a substance.
Although a leading cause of liver failure worldwide, acetaminophen is one of the most widely used analgesic and antipyretic drugs.[13]Zacharia GS, Jacob A. Acetaminophen: a liver killer or thriller. Cureus. 2023 Oct 15;15(10):e47071.
https://www.cureus.com/articles/191785-acetaminophen-a-liver-killer-or-thriller#!
http://www.ncbi.nlm.nih.gov/pubmed/38022064?tool=bestpractice.com
Toxicity may occur during self-medication for pain where unintentional “double-dipping” with two acetaminophen-containing products, and misunderstanding the instructions for proper over-the-counter use are common.[14]Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012 Dec;27(12):1587-93.
http://www.ncbi.nlm.nih.gov/pubmed/22638604?tool=bestpractice.com
The potential for errors and subsequent adverse events from unintentional misuse is higher among frequent acetaminophen users, those with limited literacy, and patients with dental pain.[14]Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012 Dec;27(12):1587-93.
http://www.ncbi.nlm.nih.gov/pubmed/22638604?tool=bestpractice.com
[15]Daly FF, O'Malley GF, Heard K, et al. Prospective evaluation of repeated supratherapeutic acetaminophen (paracetamol) ingestion. Ann Emerg Med. 2004 Oct;44(4):393-8.
http://www.ncbi.nlm.nih.gov/pubmed/15459622?tool=bestpractice.com
[16]Heard K, Sloss D, Weber S, et al. Overuse of over-the-counter analgesics by emergency department patients. Ann Emerg Med. 2006 Sep;48(3):315-8.
http://www.ncbi.nlm.nih.gov/pubmed/16934651?tool=bestpractice.com
[17]Vogel J, Heard KJ, Carlson C, et al. Dental pain as a risk factor for accidental acetaminophen overdose: a case-control study. Am J Emerg Med. 2011 Nov;29(9):1125-9.
http://www.ncbi.nlm.nih.gov/pubmed/20951526?tool=bestpractice.com
Reports suggest that approximately 6% frequent acetaminophen users unintentionally take more than the recommended dose of 4 g/day at least once a week.[18]Kaufman DW, Kelly JP, Battista DR, et al. Five-year trends in acetaminophen use exceeding the recommended daily maximum dose. Br J Clin Pharmacol. 2019 May;85(5):1028-34.
https://bpspubs.onlinelibrary.wiley.com/doi/10.1111/bcp.13894
http://www.ncbi.nlm.nih.gov/pubmed/30740763?tool=bestpractice.com
Acetaminophen-opioid combination products increase the risk of hepatotoxicity, both from double-dipping and substance misuse. This finding led the Food and Drug Administration (FDA) to limit the doses of acetaminophen found in combination products, and the US Drug Enforcement Administration to change hydrocodone/acetaminophen from Schedule III to Schedule II. Subsequent to these changes, the rates of combination product overdoses may be declining.[12]Gummin DD, Mowry JB, Beuhler MC, et al. 2022 annual report of the National Poison Data System® (NPDS) from America's Poison Centers®: 40th annual report. Clin Toxicol (Phila). 2023 Oct;61(10):717-939.
https://www.tandfonline.com/doi/full/10.1080/15563650.2023.2268981#abstract
http://www.ncbi.nlm.nih.gov/pubmed/38084513?tool=bestpractice.com
[19]Harris E, Harms M, Cao D, et al. Declining rates of opioid/acetaminophen combination product overdose: 2011-2020. Hepatol Commun. 2023 Mar 24;7(4):e0067.
https://journals.lww.com/hepcomm/fulltext/2023/04010/declining_rates_of_opioid_acetaminophen.21.aspx
http://www.ncbi.nlm.nih.gov/pubmed/36972394?tool=bestpractice.com
[20]Gummin DD, Mowry JB, Beuhler MC, et al. 2021 annual report of the National Poison Data System© (NPDS) from America's Poison Centers: 39th annual report. Clin Toxicol (Phila). 2022 Dec;60(12):1381-643.
https://www.tandfonline.com/doi/abs/10.1080/15563650.2022.2132768
http://www.ncbi.nlm.nih.gov/pubmed/36602072?tool=bestpractice.com
Acetaminophen is one of the most frequently used drugs in intentional overdose, particularly in young people, and has historically accounted for similar proportions of acetaminophen-induced liver failure cases as unintentional chronic poisoning.[21]Gunnell D, Murray V, Hawton K. Use of paracetamol (acetaminophen) for suicide and nonfatal poisoning: worldwide patterns of use and misuse. Suicide Life Threat Behav. 2000 Winter;30(4):313-26.
http://www.ncbi.nlm.nih.gov/pubmed/11210057?tool=bestpractice.com
[22]Hawton K, Harriss L. Deliberate self-harm in young people: characteristics and subsequent mortality in a 20-year cohort of patients presenting to hospital. J Clin Psychiatry. 2007 Oct;68(10):1574-83.
http://www.ncbi.nlm.nih.gov/pubmed/17960975?tool=bestpractice.com
[23]Larson AM, Polson J, Fontana RJ, et al. Acetaminophen-induced acute liver failure: results of a United States multicenter, prospective study. Hepatology. 2005 Dec;42(6):1364-72.
https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep.20948
http://www.ncbi.nlm.nih.gov/pubmed/16317692?tool=bestpractice.com
Pediatric patients may be at unique risk for therapeutic excess of acetaminophen due to miscommunication amongst caregivers (e.g., timing of last dose or number of doses in a day), discomfort with the recommended exclusive dosing for pediatric liquid medications (which is typically dosed in milliliters rather than milligram), and use of nonstandard tools (e.g., kitchen spoons) for medication administration.[24]Torres A, Parker RM, Sanders LM, et al. Parent preferences and perceptions of milliliters and teaspoons: role of health literacy and experience. Acad Pediatr. 2018 Jan-Feb;18(1):26-34.
http://www.ncbi.nlm.nih.gov/pubmed/28400304?tool=bestpractice.com
[25]Yin HS, Parker RM, Sanders LM, et al. Effect of medication label units of measure on parent choice of dosing tool: a randomized experiment. Acad Pediatr. 2016 Nov-Dec;16(8):734-41.
http://www.ncbi.nlm.nih.gov/pubmed/27155289?tool=bestpractice.com
[26]Balıkçı BB, Güneş Ü. Accuracy of liquid drug dose measurements using different tools by caregivers: a prospective observational study. Eur J Pediatr. 2024 Feb;183(2):853-62.
http://www.ncbi.nlm.nih.gov/pubmed/37875630?tool=bestpractice.com
[27]Neville K, Galinkin JL, Green TP, et al. Metric units and the preferred dosing of orally administered liquid medications. Pediatrics. 2015 Apr;135(4):784-7.
https://publications.aap.org/pediatrics/article/140/3/e20170072/33600/Metric-Units-and-the-Preferred-Dosing-of-Orally
There are rare case reports relating to iatrogenic acetaminophen poisoning following intravenous administration of acetaminophen in both the adult and the pediatric population.[28]Berling I, Anscombe M, Isbister GK. Intravenous paracetamol toxicity in a malnourished child. Clin Toxicol (Phila). 2012 Jan;50(1):74-6.
http://www.ncbi.nlm.nih.gov/pubmed/22115056?tool=bestpractice.com
[29]Beringer RM, Thompson JP, Parry S, et al. Intravenous paracetamol overdose: two case reports and a change to national treatment guidelines. Arch Dis Child. 2011 Mar;96(3):307-8.
http://www.ncbi.nlm.nih.gov/pubmed/21127004?tool=bestpractice.com