Literature DB >> 12911683

Paracetamol poisoning--impact of pack size restrictions.

B Hughes1, A Durran, N J Langford, D Mutimer.   

Abstract

BACKGROUND: Pack sizes of paracetamol available to the public were reduced by legislation in 1998.
OBJECTIVE: To study the effect of the legislation on paracetamol poisoning related admissions to an accident and emergency department and to a tertiary referral liver unit.
METHOD: Data were obtained from the University Hospitals, Birmingham, UK (UHB) Trust Information Service and the Queen Elizabeth Hospital liver unit records on (a) the number of patients admitted to hospital because of paracetamol overdose and (b) the number of patients admitted to the liver unit with parcetamol-induced hepatotoxicity.
RESULTS: Prior to legislation, an average of 360 people a year were admitted to UHB. However, following the change in legislation the number of admissions has fallen to an average of 250 people per year. This represents a reduction of 31%. Prior to legislation, an average of 76 people per year were admitted to the liver unit. Post-legislation this number has dropped to an average of 38 per year representing a reduction of 50%.
CONCLUSION: Legislation restricting paracetamol pack-size reduced the incidence and severity of poisoning.

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Year:  2003        PMID: 12911683     DOI: 10.1046/j.1365-2710.2003.00497.x

Source DB:  PubMed          Journal:  J Clin Pharm Ther        ISSN: 0269-4727            Impact factor:   2.512


  9 in total

1.  From prescription-only (Rx) to over-the-counter (OTC) status in Germany 2006-2015: pharmacological perspectives on regulatory decisions.

Authors:  Eva Barrenberg; Edeltraut Garbe
Journal:  Eur J Clin Pharmacol       Date:  2017-03-28       Impact factor: 2.953

2.  Pack-size legislation reduces severity of paracetamol overdoses in Ireland.

Authors:  E Donohoe; N Walsh; J A Tracey
Journal:  Ir J Med Sci       Date:  2006 Jul-Sep       Impact factor: 1.568

Review 3.  Impact of restricting paracetamol pack sizes on paracetamol poisoning in the United Kingdom: a review of the literature.

Authors:  Leonard C Hawkins; John N Edwards; Paul I Dargan
Journal:  Drug Saf       Date:  2007       Impact factor: 5.606

4.  Acute liver failure: Summary of a workshop.

Authors:  William M Lee; Robert H Squires; Scott L Nyberg; Edward Doo; Jay H Hoofnagle
Journal:  Hepatology       Date:  2008-04       Impact factor: 17.425

5.  Does restricting pack size of paracetamol (acetaminophen) reduce suicides?

Authors:  Nicholas A Buckley; David Gunnell
Journal:  PLoS Med       Date:  2007-04       Impact factor: 11.069

Review 6.  Acetaminophen-Induced Hepatotoxicity: a Comprehensive Update.

Authors:  Eric Yoon; Arooj Babar; Moaz Choudhary; Matthew Kutner; Nikolaos Pyrsopoulos
Journal:  J Clin Transl Hepatol       Date:  2016-06-15

7.  Characteristics of Presentations to the Emergency Department Following Attempted Suicide with Drugs.

Authors:  Mirjam Kummer; Thomas Müller; Aristomenis K Exadaktylos; Stephan Krähenbühl; Evangelia Liakoni
Journal:  Int J Environ Res Public Health       Date:  2021-09-28       Impact factor: 3.390

8.  Hospitalizations for acetaminophen overdose: a Canadian population-based study from 1995 to 2004.

Authors:  Robert P Myers; Bing Li; Andrew Fong; Abdel Aziz M Shaheen; Hude Quan
Journal:  BMC Public Health       Date:  2007-07-05       Impact factor: 3.295

9.  Measuring the impact of medicines regulatory interventions - Systematic review and methodological considerations.

Authors:  Thomas Goedecke; Daniel R Morales; Alexandra Pacurariu; Xavier Kurz
Journal:  Br J Clin Pharmacol       Date:  2017-12-20       Impact factor: 4.335

  9 in total

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