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British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1974 Jun;1(3):271–275. doi: 10.1111/j.1365-2125.1974.tb00249.x

Charcoal haemoperfusion for paracetamol overdose

B G Gazzard, R A Willison, M J Weston, R P H Thompson, R Williams
PMCID: PMC1402556  PMID: 22454960

Abstract

1 A controlled trial of charcoal haemoperfusion as an early treatment for paracetamol overdose showed no benefit.

2 The plasma clearances of paracetamol by the charcoal column were variable and disappointingly small (range 4-119 ml/minute). The cumulative amounts removed were also low, mean 1.4 g (range 0.2-5.2 g).

3 No clinical problems were encountered with the technique of haemoperfusion and in particular the drop in blood platelet counts was small (mean fall 16%).

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clark R., Borirakchanyavat V., Davidson A. R., Thompson R. P., Widdop B., Goulding R., Williams R. Hepatic damage and death from overdose of paracetamol. Lancet. 1973 Jan 13;1(7794):66–70. doi: 10.1016/s0140-6736(73)90466-2. [DOI] [PubMed] [Google Scholar]
  2. Dordoni B., Willson R. A., Thompson R. P., Williams R. Reduction of absorption of paracetamol by activated charcoal and cholestyramine: a possible therapeutic measure. Br Med J. 1973 Jul 14;3(5871):86–87. doi: 10.1136/bmj.3.5871.86. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gazzard B. G., Ford-Hutchinson A. W., Smith M. J., Williams R. The binding of paracetamol to plasma proteins of man and pig. J Pharm Pharmacol. 1973 Dec;25(12):964–967. doi: 10.1111/j.2042-7158.1973.tb09987.x. [DOI] [PubMed] [Google Scholar]
  4. Jollow D. J., Mitchell J. R., Potter W. Z., Davis D. C., Gillette J. R., Brodie B. B. Acetaminophen-induced hepatic necrosis. II. Role of covalent binding in vivo. J Pharmacol Exp Ther. 1973 Oct;187(1):195–202. [PubMed] [Google Scholar]
  5. O'Shea M. J., Flute P. T., Pannell G. M. Laboratory control of heparin therapy. J Clin Pathol. 1971 Sep;24(6):542–546. doi: 10.1136/jcp.24.6.542. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Willson R. A., Thompson R. P., Winch J., Williams R. Rapid removal of paracetamol by haemoperfusion through coated charcoal. In vivo and in-vitro studies in the pig. Lancet. 1973 Jan 13;1(7794):77–79. doi: 10.1016/s0140-6736(73)90470-4. [DOI] [PubMed] [Google Scholar]

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