Increased hepatotoxicity of acetaminophen by concomitant administration of caffeine in the rat.

Since caffeine is frequently co-administered with acetaminophen, it is of clinical interest to study the effect of caffeine on the hepatotoxicity of acetaminophen. In male Sprague-Dawley rats fasted for 18 h, concomitant administration of caffeine (0.1 g/kg, i.p.) as judged by increased serum enzyme activities and increased incidence of hepatic necrosis. Careful observations on hepatotoxicity are suggested when acetaminophen is prescribed with caffeine.

[1]  D. F. HEATH,et al.  Normal or Log-normal: Appropriate Distributions , 1967, Nature.

[2]  B B Brodie,et al.  Acetaminophen-induced hepatic necrosis. I. Role of drug metabolism. , 1973, The Journal of pharmacology and experimental therapeutics.

[3]  S. Govindwar,et al.  Partial inhibition of hepatic microsomal aminopyrine N-demethylase by caffeine in partially purified cytochrome P450. , 1983, Biochimica et biophysica acta.

[4]  C. Lieber,et al.  Mechanism of the preventive effect of ethanol on acetaminophen-induced hepatoxicity. , 1981, The Journal of pharmacology and experimental therapeutics.

[5]  C. Lieber,et al.  Prevention of acetaminophen-induced hepatotoxicity by acute ethanol administration in the rat: comparison with carbon tetrachloride-induced hepatoxicity. , 1981, The Journal of pharmacology and experimental therapeutics.

[6]  E. M. Boyd,et al.  Liver necrosis from paracetamol. , 1966, British journal of pharmacology and chemotherapy.

[7]  C. Lieber,et al.  Increased hepatotoxicity of acetaminophen after chronic ethanol consumption in the rat , 1981 .

[8]  A. Karmen A note on the spectrometric assay of glutamic-oxalacetic transaminase in human blood serum. , 1955, The Journal of clinical investigation.

[9]  G. W. Snedecor Statistical Methods , 1964 .

[10]  M. Horsman,et al.  The effect of caffeine on the cytotoxicity of misonidazole and some other nitroheterocyclic compounds. , 1982, Chemico-biological interactions.

[11]  C. Mitoma,et al.  Effect of caffeine on hepatic microsomal cytochrome P-450. , 1970, Biochemical pharmacology.

[12]  F. Wróblewski,et al.  Serum Glutamic Pyruvic Transaminase in Cardiac and Hepatic Disease.∗ , 1956, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine.

[13]  Jerry R. Mitchell,et al.  Metabolic Activation of Drugs to Toxic Substances , 1975 .

[14]  E. Laska,et al.  Effect of caffeine on acetaminophen analgesia , 1983, Clinical pharmacology and therapeutics.

[15]  D. Davidson,et al.  Acute liver necrosis following overdose of paracetamol. , 1966, British medical journal.