An Example of a Drug That Causes Toxicity Through the Formation of a Chemically Reactive Intermediate Mechanisms of Adverse Drug Reactions Pharmacovigilance A 48 hour fast can turn standard Paracetamol into acute liver failure. Fasting depletes Glutathione, leaving the liver defenseless against toxic NAPQI. Review the latest guidelines on BMJ Best Practice: https: bestpractice.bmj.com topics en us 1010 Silymarin prevents acetaminophen induced hepatotoxicity via up regulation of the glutathione conjugation capacity in mice ScienceDirect Interleukin 4 deficiency protects mice from acetaminophen induced liver injury and inflammation by prevention of glutathione depletion Inflammation Research Springer Nature Link Pyroglutamic Acidosis LITFL CCC Acid base
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glutathione depletion paracetamol Paracetamol-Induced Hepatotoxicity ⚠️, Overdose → ↑ NAPQI formation → Glutathione depletion → Liver cell necrosis. Early N-acetylcysteine (NAC) can save the liver., #Pharmacology #mbbs #Hepatotoxicity