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. 2023 Mar 29;16:1081–1094. doi: 10.2147/JPR.S393809

Figure 1.

Figure 1

Schematic representation of the central mechanism of action of paracetamol to its antinociceptive activity. Paracetamol is deacetylated in p-aminophenol in the liver, then metabolized in the brain by FAAH into AM404. AM404 activates the TRPV1 channel‐mGlu5 receptor‐PLC‐DAGL‐CB1 pathway and co-activates the Cav 3.2 T-type calcium channel, which in turn reinforces the activity of the descending serotonergic pathways.