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活性炭对乙酰氨基酚吸收的影响。

Effect of activated charcoal on acetaminophen absorption.

作者信息

Levy G, Houston J B

出版信息

Pediatrics. 1976 Sep;58(3):432-5.

PMID:958771
Abstract

Acetaminophen intoxication can cause hepatic, renal, and myocardial necrosis which is often fatal. These lesions develop very rapidly, perhaps during the first pass of the drug through the liver. In case of acute ingestion of an overdose it is therefore essential to employ measures for reducing the absorption of acetaminophen. The effect of activated charcoal on acetaminophen absorption by normal volunteers was determined as a function of the dose of charcoal, the dosage form of acetaminophen, and the charcoal-to-acetaminophen dose ratio. The results indicate that activated charcoal can be an effective antidote for acute acetaminophen intoxication, if administered promptly and in sufficient quantity.

摘要

对乙酰氨基酚中毒可导致肝、肾和心肌坏死,往往是致命的。这些损伤发展非常迅速,可能在药物首次通过肝脏时就发生了。因此,在急性过量摄入的情况下,采取措施减少对乙酰氨基酚的吸收至关重要。研究了活性炭对正常志愿者对乙酰氨基酚吸收的影响,该影响是活性炭剂量、对乙酰氨基酚剂型以及活性炭与对乙酰氨基酚剂量比的函数。结果表明,如果及时给予足够量的活性炭,它可以成为急性对乙酰氨基酚中毒的有效解毒剂。

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1
Effect of activated charcoal on acetaminophen absorption.活性炭对乙酰氨基酚吸收的影响。
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引用本文的文献

1
Quantitative Systems Toxicology Modeling of Acetaminophen Pharmacokinetics and Hepatic Biomarkers After Overdoses of Extended-Release and Immediate-Release Formulations in Adults With Chronic Alcohol Use or Low Glutathione.对慢性饮酒或谷胱甘肽水平低的成年人过量服用缓释和速释制剂后对乙酰氨基酚的药代动力学和肝脏生物标志物进行定量系统毒理学建模。
CPT Pharmacometrics Syst Pharmacol. 2025 Jul;14(7):1236-1251. doi: 10.1002/psp4.70045. Epub 2025 May 14.
2
A study on paracetamol cardiotoxicity.对乙酰氨基酚心脏毒性的研究。
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3
Effectiveness of delayed activated charcoal administration in simulated paracetamol (acetaminophen) overdose.
延迟给予活性炭在模拟对乙酰氨基酚过量中的有效性。
Br J Clin Pharmacol. 2000 Jan;49(1):11-4. doi: 10.1046/j.1365-2125.2000.00107.x.
4
Effect of activated charcoal on absorption and elimination of phenobarbitone, carbamazepine and phenylbutazone in man.活性炭对人体内苯巴比妥、卡马西平和保泰松吸收及消除的影响。
Eur J Clin Pharmacol. 1980 Jan;17(1):51-7. doi: 10.1007/BF00561677.
5
Clinical pharmacokinetics of paracetamol.对乙酰氨基酚的临床药代动力学
Clin Pharmacokinet. 1982 Mar-Apr;7(2):93-107. doi: 10.2165/00003088-198207020-00001.
6
Clinical pharmacokinetics of oral activated charcoal in acute intoxications.口服活性炭在急性中毒中的临床药代动力学
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Effect of dose of charcoal on the absorption of disopyramide, indomethacin and trimethoprim by man.
Eur J Clin Pharmacol. 1984;26(6):761-7. doi: 10.1007/BF00541939.
8
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Comparison of activated charcoal and ipecac syrup in prevention of drug absorption.活性炭与吐根糖浆在预防药物吸收方面的比较。
Eur J Clin Pharmacol. 1983;24(4):557-62. doi: 10.1007/BF00609903.
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