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. 2020 Nov 30;11:580289. doi: 10.3389/fphar.2020.580289

TABLE 1.

Analgesic mechanism of acetaminophen.

Medicine Target site Effect/mechanism References
Acetaminophen COX-1, COX-2 Inhibitory Aminoshariae and Khan (2015)
Acetaminophen COX-2 Inhibitory Graham et al. (2013)
Acetaminophen COX-3 Inhibitory Chandrasekharan et al. (2002)
Acetaminophen COX-3 No clinically relevant effects Graham and Scott (2005)
NAPQI TRPA1 Activating Andersson et al. (2011)
Acetaminophen TRPA1 Activating Gentry et al. (2015)
AM404 Anandamide transport inhibitor, CB1 receptor Re-uptake inhibitor, Activating Beltramo et al. (1997)
AM404 TRPV1 receptor Activating Zygmunt et al. (2000), Hogestatt et al. (2005), Roberts et al. (2002), Jennings et al. (2003), Mallet et al. (2010), Barrière et al. (2013),
AM404 CB1 receptor, TRPV1 receptor Activating Rodella et al. (2005), Borsani et al. (2007)
AM404 CB1 receptor, TRPV1 receptor Not activating, Activating Ohashi et al. (2017)
AM404 CB1 receptor < TRPV1 receptor Activating Szallasi and Di Marzo (2000)
Acetaminophen Opioids Activating Raffa et al. (2000), Raffa et al. (2004)
Acetaminophen Serotonin Increases content Pini et al. (1996)
Acetaminophen 5-HT3 receptor Activating Alloui et al. (2002), Pickering et al. (2006), Pickering et al. (2008)

NAPQI, N-acetyl-p-benzoquinoneimine; AM404, N-acylphenolamine; COX, cyclooxygenase; TRPA1, transient receptor potential ankyrin 1; CB1, cannabinoid 1; TRPV1, transient receptor potential vanilloid 1.