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Under the therapeutic concentrations, approximately 60%90% of APAP is metabolized in the liver by glucuronidation and sulfation, with a small part (approximately 5%15%) being metabolized by the cytochrome P450 pathway (CYP450) ( via two pathways to form the toxic intermediate N-acetyl-p-benzoquinone imine (NAPQI) and the non-toxic catechol metabolite 3-hydroxy-APAP (3-OH-APAP) (Figure 1)

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The preparation should not be used by pregnant or breastfeeding women and children and adolescents under 18 years of age

Understanding the potential causes and recognising warning signs enables patients to manage their treatment safely and seek appropriate advice when necessary

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