General Information of Drug (ID: DMUIE76)

Drug Name
Acetaminophen
Synonyms
acetaminophen; 4-Acetamidophenol; Paracetamol; 103-90-2; Tylenol; N-(4-Hydroxyphenyl)acetamide; APAP; Acetaminofen; Panadol; Datril; p-Hydroxyacetanilide; N-Acetyl-p-aminophenol; p-Acetamidophenol; Algotropyl; Naprinol; Lonarid; 4'-Hydroxyacetanilide; Multin; Acenol; Acamol; Anelix; p-Acetaminophenol; Liquagesic; Acetagesic; Gelocatil; Servigesic; Acetalgin; Abensanil; Pyrinazine; Injectapap; Clixodyne; Valgesic; Tussapap; Finimal; Paracet; Homoolan; Febrolin; Febrilix; Febridol; Dymadon; Anaflon; Apamide; Valadol; Tralgon; Tabalgin; Lestemp; Alvedon; Abenol; Abrol; Abrolet; Acephen; Acertol; Acetaco; Acetamol; Acetavance; Acetofen; Actamin; Actimol; Afebrin; Afebryl; Aferadol; Algesidal; Algina; Algomol; Alpiny; Alpinyl; Amadil; Aminofen; Analter; Anapap; Andox; Anhiba; Antidol; Anuphen; Apacet; Apadon; Apitrelal; Arfen; Arthralgen; Asetam; Asomal; Aspac; Asplin; Atasol; Atralidon; Babikan; Bacetamol; Banesin; Benmyo; Biocetamol; Cadafen; Calapol; Calmanticold; Calonal; Calpol; Capital; Captin; Causalon; Cefalex; Cetadol; Codabrol; Codalgin; Codapane; Codicet; Codisal; Codoliprane; Cofamol; Conacetol; Cosutone; Cuponol; Curadon; Curpol; Custodial; Dafalgan; Darocet; Darvocet; Daygrip; Deminofen; Democyl; Demogripal; Desfebre; Dhamol; Dimindol; Dirox; Disprol; Dolcor; Dolefin; Dolegrippin; Dolgesic; Doliprane; Dolko; Dolofugin; Doloreduct; Dolorfug; Dolorstop; Dolotec; Dolprone; Dorocoff; Dresan; Dristancito; Duaneo; Dularin; Duorol; Duracetamol; Durapan; Dypap; Ecosetol; Elixodyne; Empracet; Enelfa; Eneril; Excipain; Exdol; Fanalgic; Farmadol; Febranine; Febrectal; Febrectol; Febrex; Febricet; Febrin; Febrinol; Fendon; Fensum; Fepanil; Fevor; Finiweh; Fluparmol; Geluprane; Genapap; Genebs; Grippostad; Gynospasmine; Hedex; Ildamol; Inalgex; Infadrops; Janupap; Kataprin; Korum; Labamol; Lekadol; Lemgrip; Lemsip; Liqiprine; Lupocet; Lyteca; Magnidol; Malgis; Malidens; Maxadol; Medocodene; Mexalen; Minafen; Minoset; Miralgin; Momentum; NEBS; Napafen; Nealgyl; NeoCitran; Neodol; Neodolito; Neopap; Neotrend; Neuridon; NilnOcen; Nina; Nobedon; Nodolex; Noral; Ofirmev; Oltyl; Oralgan; Ortensan; Oxycocet; Paceco; Pacemo; Pacemol; Pacet; Pacimol; Paedialgon; Paedol; Painex; Paldesic; Pamol; Panacete; Panadeine; Panadiene; Panaleve; Panamax; Panasorb; Panasorbe; Panets; Panex; Panodil; Panofen; Pantalgin; Paracemol; Paracenol; Paracetamole; Paracetamolo; Paracetanol; Paracetol; Paracin; Paracod; Paracodol; Parador; Paradrops; Parakapton; Parake; Paralen; Paralief; Paralink; Paralyoc; Paramol; Paramolan; Paranox; Parapan; Parasedol; Parasin; Paraspen; Parcetol; Parelan; Parmol; Parogal; Paroma; Pasolind; Pediapirin; Pediatrix; Pedric; Perfalgan; Phendon; Phenipirin; Phogoglandin; Pinex; Piramin; Pirinasol; Plicet; Polmofen; Predimol; Predualito; Prodol; Prompt; Prontina; Puernol; Pulmofen; Pyrigesic; Pyromed; Redutemp; Reliv; Remedol; Rivalgyl; Robigesic; Rounox; RubieMol; Rubophen; Rupemol; Salzone; Sanicet; Sanicopyrine; Scanol; Scentalgyl; Schmerzex; Sedalito; Semolacin; Seskamol; Setakop; Setamol; Setol; Sifenol; Sinaspril; Sinedol; Sinmol; Stanback; Stopain; Sunetheton; Supofen; Suppap; TYL; Tachiprina; Tapanol; Tapar; Tazamol; Temlo; Tempanal; Tempra; Termacet; Termalgin; Termalgine; Termofren; Tiffy; Titralgan; Treuphadol; Tricoton; Tylex; Tylol; Tymol; Upsanol; Utragin; Valorin; Veralgina; Vermidon; Verpol; Vips; Viruflu; Vivimed; Volpan; Zatinol; Zolben; Aceta Elixir; Actifed Plus; Aspirin free anacin; Bayer Select; D oliprane; Dymadon Co; Fortalidon P; Gattaphen T; Gripin Bebe; Helon N; Influbene N; Jin Gang; Lonarid Mono; Lyteca Syrup; Malex N; Panadeine Co; Panale ve; Pasolind N; Spalt N; Supadol mono; Toximer P; Treupel N; Treupel mon; Ty lenol; Tylex CD; Anacin 3; A-Per; Accu-Tap; Ultracet
Indication
Disease Entry ICD 11 Status REF
Allergic rhinitis CA08.0 Approved [1]
Arrhythmia BC9Z Approved [1]
Back pain ME84.Z Approved [1]
Common cold CA00 Approved [1]
Fever MG26 Approved [1]
Headache 8A80-8A84 Approved [1]
Migraine disorder N.A. Approved [1]
Pain MG30-MG3Z Approved [2]
⏷ Show the Full List of Indication(s)
Therapeutic Class
Analgesics
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 151.16
Logarithm of the Partition Coefficient (xlogp) 0.5
Rotatable Bond Count (rotbonds) 1
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 2
ADMET Property
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 90 min [3]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 1: high solubility and high permeability [4]
Bioavailability
The bioavailability of drug is 88% [3]
Clearance
The drug present in the plasma can be removed from the body at the rate of 5 mL/min/kg [5]
Elimination
Less than 5% is excreted in the urine as free (unconjugated) acetaminophen and at least 90% of the administered dose is excreted within 24 hours []
Half-life
The concentration or amount of drug in body reduced by one-half in 2.5 hours [3]
Metabolism
The drug is metabolized via the liver []
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 330.76126 micromolar/kg/day [6]
Unbound Fraction
The unbound fraction of drug in plasma is 0.52% [5]
Vd
The volume of distribution (Vd) of drug is 0.9 L/kg [7]
Water Solubility
The ability of drug to dissolve in water is measured as 23.7 mg/mL [4]
Adverse Drug Reaction (ADR)
ADR Term Variation Related DOT DOT ID REF
Cytogenetic abnormality Not Available PAP OTIODT03 [8]
Hepatotoxicity rs6852435 KIAA1712 OTZLD83K [9]
Hepatotoxicity rs2880961 C3orf38 OTK4O2C1 [9]
Hepatotoxicity rs1532815 LMX1A OTEEYD5L [9]
Hepatotoxicity Not Available SLC12A3 OTAO2PG6 [8]
Hepatotoxicity Not Available ODC1 OTNDAGRR [8]
Hepatotoxicity Not Available FOS-FOX OTXKFLFB [8]
Hyperglycaemia Not Available GPT2 OTS5VF7N [8]
Lysosomal storage disorders Not Available lytD OTYJDOLG [8]
Renal function abnormal Not Available CYP11B1 OTKKL894 [8]
Renal impairment Not Available CYP76B1 OTKGRXC4 [8]
Respiratory, thoracic and mediastinal disorders Not Available MPO OTOOXLIN [8]
Toxic epidermal necrolysis HLA-A*33:03 HLA-A OTAH14LU [10]
⏷ Show the Full List of 13 ADR Information of This Drug
Chemical Identifiers
Formula
C8H9NO2
IUPAC Name
N-(4-hydroxyphenyl)acetamide
Canonical SMILES
CC(=O)NC1=CC=C(C=C1)O
InChI
InChI=1S/C8H9NO2/c1-6(10)9-7-2-4-8(11)5-3-7/h2-5,11H,1H3,(H,9,10)
InChIKey
RZVAJINKPMORJF-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
1983
ChEBI ID
CHEBI:46195
CAS Number
103-90-2
DrugBank ID
DB00316
TTD ID
D0U5QK
VARIDT ID
DR01006
INTEDE ID
DR0037
ACDINA ID
D00009
Combinatorial Drugs (CBD) Click to Jump to the Detailed CBD Information of This Drug
Repurposed Drugs (RPD) Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Norepinephrine transporter (NET) TTAWNKZ SC6A2_HUMAN Inhibitor [11]
Prostaglandin G/H synthase (COX) TTK0943 PGH1_HUMAN ; PGH2_HUMAN Inhibitor [12]
Serotonin transporter (SERT) TT3ROYC SC6A4_HUMAN Inhibitor [11]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Multidrug resistance-associated protein 2 (ABCC2) DTFI42L MRP2_HUMAN Substrate [13]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4) DE4LYSA CP3A4_HUMAN Substrate [14]
Cytochrome P450 2E1 (CYP2E1)
Main DME
DEVDYN7 CP2E1_HUMAN Substrate [15]
Cytochrome P450 2D6 (CYP2D6) DECB0K3 CP2D6_HUMAN Substrate [14]
Cytochrome P450 2C9 (CYP2C9) DE5IED8 CP2C9_HUMAN Substrate [16]
Cytochrome P450 1A1 (CYP1A1) DE6OQ3W CP1A1_HUMAN Substrate [17]
UDP-glucuronosyltransferase 1A1 (UGT1A1) DEYGVN4 UD11_HUMAN Substrate [18]
Glutathione S-transferase alpha-1 (GSTA1) DE4ZHS1 GSTA1_HUMAN Substrate [19]
Cytochrome P450 2A6 (CYP2A6) DEJVYAZ CP2A6_HUMAN Substrate [14]
Cytochrome P450 1A2 (CYP1A2) DEJGDUW CP1A2_HUMAN Substrate [20]
Cytochrome P450 3A5 (CYP3A5) DEIBDNY CP3A5_HUMAN Substrate [21]
UDP-glucuronosyltransferase 1A9 (UGT1A9) DE85D2P UD19_HUMAN Substrate [22]
Sulfotransferase 1A1 (SULT1A1) DEYWLRK ST1A1_HUMAN Substrate [23]
UDP-glucuronosyltransferase 1A6 (UGT1A6) DESD26P UD16_HUMAN Substrate [24]
UDP-glucuronosyltransferase 2B15 (UGT2B15) DENZ6B1 UDB15_HUMAN Substrate [25]
Cytochrome P450 102A1 (cyp102) DE4OGUF CPXB_BACMB Substrate [26]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
(3R)-3-hydroxyacyl-CoA dehydrogenase (HSD17B8) OTX1DWEF DHB8_HUMAN Gene/Protein Processing [27]
1,25-dihydroxyvitamin D(3) 24-hydroxylase, mitochondrial (CYP24A1) OTG2T749 CP24A_HUMAN Gene/Protein Processing [28]
1-acyl-sn-glycerol-3-phosphate acyltransferase beta (AGPAT2) OT5I4Y9K PLCB_HUMAN Gene/Protein Processing [29]
1-acyl-sn-glycerol-3-phosphate acyltransferase epsilon (AGPAT5) OTNY3VMD PLCE_HUMAN Gene/Protein Processing [28]
1-acyl-sn-glycerol-3-phosphate acyltransferase gamma (AGPAT3) OTAUR5TG PLCC_HUMAN Gene/Protein Processing [30]
1-acylglycerol-3-phosphate O-acyltransferase ABHD5 (ABHD5) OTY829Z3 ABHD5_HUMAN Gene/Protein Processing [30]
1-acylglycerol-3-phosphate O-acyltransferase PNPLA3 (PNPLA3) OTR4990X PLPL3_HUMAN Gene/Protein Processing [30]
1-phosphatidylinositol 3-phosphate 5-kinase (PIKFYVE) OTO3HGAA FYV1_HUMAN Gene/Protein Processing [31]
1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase beta-1 (PLCB1) OT9HYT7A PLCB1_HUMAN Gene/Protein Processing [27]
1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase beta-4 (PLCB4) OTPA0QHW PLCB4_HUMAN Gene/Protein Processing [31]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Allergic rhinitis
ICD Disease Classification CA08.0
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Serotonin transporter (SERT) DTT SLC6A4 8.76E-01 7.18E-05 6.19E-04
Multidrug resistance-associated protein 2 (ABCC2) DTP MRP2 6.25E-01 8.95E-02 8.58E-01
Sulfotransferase 1A1 (SULT1A1) DME SULT1A1 2.45E-01 1.10E-01 2.25E-01
UDP-glucuronosyltransferase 1A1 (UGT1A1) DME UGT1A1 4.53E-01 4.14E-02 1.83E-01
Cytochrome P450 2E1 (CYP2E1) DME CYP2E1 9.45E-02 -1.86E-01 -9.83E-01
UDP-glucuronosyltransferase 2B15 (UGT2B15) DME UGT2B15 4.75E-01 9.00E-02 8.57E-01
Cytochrome P450 2A6 (CYP2A6) DME CYP2A6 8.99E-01 4.59E-03 2.19E-02
Cytochrome P450 1A2 (CYP1A2) DME CYP1A2 8.46E-01 -6.63E-03 -4.49E-02
Cytochrome P450 3A5 (CYP3A5) DME CYP3A5 9.57E-01 9.43E-03 1.29E-01
Cytochrome P450 2D6 (CYP2D6) DME CYP2D6 8.70E-01 2.98E-02 1.22E-01
Cytochrome P450 1A1 (CYP1A1) DME CYP1A1 7.84E-01 -1.03E-01 -4.48E-01
Cytochrome P450 2C9 (CYP2C9) DME CYP2C9 2.35E-01 2.78E-02 2.09E-01
Glutathione S-transferase alpha-1 (GSTA1) DME GSTA1 5.78E-01 3.39E-02 1.54E-01
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 1.76E-01 1.26E-01 8.27E-01
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Acetaminophen
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Prilocaine DMI7DZ2 Major Increased risk of methemoglobinemia by the combination of Acetaminophen and Prilocaine. Pain [MG30-MG3Z] [32]
Flavoxate DMKV4NL Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Flavoxate. Pain [MG30-MG3Z] [33]
Coadministration of a Drug Treating the Disease Different from Acetaminophen (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Remdesivir DMBFZ6L Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Remdesivir. 1D6YCoronavirus Disease 2019 [1D6YCoronavirus Disease 2019] [32]
Thioguanine DM7NKEV Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Thioguanine. Acute myeloid leukaemia [2A60] [34]
Arn-509 DMT81LZ Moderate Increased metabolism of Acetaminophen caused by Arn-509 mediated induction of UGT. Acute myeloid leukaemia [2A60] [35]
Scopolamine DMOM8AL Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Scopolamine. Addictive disorder [6C50-6C5Z] [33]
Bedaquiline DM3906J Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Bedaquiline. Antimicrobial drug resistance [MG50-MG52] [36]
Methylphenobarbital DMDSWAG Moderate Increased metabolism of Acetaminophen caused by Methylphenobarbital mediated induction of CYP450 enzyme. Anxiety disorder [6B00-6B0Z] [37]
Oxazepam DMXNZM4 Minor Decreased metabolism of Acetaminophen caused by Oxazepam mediated inhibition of CYP450 enzyme. Anxiety disorder [6B00-6B0Z] [38]
Pexidartinib DMS2J0Z Major Increased risk of hepatotoxicity by the combination of Acetaminophen and Pexidartinib. Bone/articular cartilage neoplasm [2F7B] [39]
Secobarbital DM14RF5 Moderate Increased metabolism of Acetaminophen caused by Secobarbital mediated induction of CYP450 enzyme. Chronic insomnia [7A00] [40]
Anisindione DM2C48U Moderate Increased risk of bleeding by the combination of Acetaminophen and Anisindione. Coagulation defect [3B10] [41]
Methohexital DM7YMIT Moderate Increased metabolism of Acetaminophen caused by Methohexital mediated induction of CYP450 enzyme. Corneal disease [9A76-9A78] [40]
Thiopental DMGP8AX Moderate Increased metabolism of Acetaminophen caused by Thiopental mediated induction of CYP450 enzyme. Corneal disease [9A76-9A78] [40]
Ethanol DMDRQZU Major Increased risk of hepatotoxicity by the combination of Acetaminophen and Ethanol. Cystitis [GC00] [42]
Hyoscyamine DM804UR Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Hyoscyamine. Digestive system disease [DE2Z] [33]
Mepenzolate DM8YU2F Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Mepenzolate. Digestive system disease [DE2Z] [33]
Oxybutynine DMJPBAX Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Oxybutynine. Discovery agent [N.A.] [33]
Trihexyphenidyl DMB19L8 Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Trihexyphenidyl. Dystonic disorder [8A02] [33]
Primidone DM0WX6I Moderate Increased metabolism of Acetaminophen caused by Primidone mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [40]
Mephenytoin DM5UGDK Moderate Increased metabolism of Acetaminophen caused by Mephenytoin mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [43]
Fosphenytoin DMOX3LB Moderate Increased metabolism of Acetaminophen caused by Fosphenytoin mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [43]
Ethotoin DMXWOCP Moderate Increased metabolism of Acetaminophen caused by Ethotoin mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [43]
Phenobarbital DMXZOCG Moderate Increased metabolism of Acetaminophen caused by Phenobarbital mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [40]
Carbamazepine DMZOLBI Moderate Increased metabolism of Acetaminophen caused by Carbamazepine mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [44]
Cannabidiol DM0659E Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Cannabidiol. Epileptic encephalopathy [8A62] [35]
Solifenacin DMG592Q Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Solifenacin. Functional bladder disorder [GC50] [33]
Tolterodine DMSHPW8 Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Tolterodine. Functional bladder disorder [GC50] [33]
Darifenacin DMWXLYZ Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Darifenacin. Functional bladder disorder [GC50] [33]
Propantheline DM2EN6G Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Propantheline. Gastric ulcer [DA60] [33]
Sulfinpyrazone DMEV954 Moderate Increased metabolism of Acetaminophen caused by Sulfinpyrazone mediated induction of CYP450 enzyme. Gout [FA25] [44]
Isoniazid DM5JVS3 Moderate Increased metabolism of Acetaminophen caused by Isoniazid mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [45]
Rifampin DMA8J1G Minor Increased risk of hepatotoxicity by the combination of Acetaminophen and Rifampin. HIV-infected patients with tuberculosis [1B10-1B14] [40]
Brentuximab vedotin DMWLC57 Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Brentuximab vedotin. Hodgkin lymphoma [2B30] [46]
Zidovudine DM4KI7O Minor Increased risk of hepatotoxicity by the combination of Acetaminophen and Zidovudine. Human immunodeficiency virus disease [1C60-1C62] [47]
Efavirenz DMC0GSJ Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Efavirenz. Human immunodeficiency virus disease [1C60-1C62] [48]
Fenofibrate DMFKXDY Moderate Decreased metabolism of Acetaminophen caused by Fenofibrate mediated inhibition of CYP450 enzyme. Hyper-lipoproteinaemia [5C80] [32]
Mipomersen DMGSRN1 Major Increased risk of hepatotoxicity by the combination of Acetaminophen and Mipomersen. Hyper-lipoproteinaemia [5C80] [49]
Teriflunomide DMQ2FKJ Major Increased risk of hepatotoxicity by the combination of Acetaminophen and Teriflunomide. Hyper-lipoproteinaemia [5C80] [50]
BMS-201038 DMQTAGO Major Increased risk of hepatotoxicity by the combination of Acetaminophen and BMS-201038. Hyper-lipoproteinaemia [5C80] [51]
Givosiran DM5PFIJ Moderate Decreased metabolism of Acetaminophen caused by Givosiran mediated inhibition of CYP450 enzyme. Inborn porphyrin/heme metabolism error [5C58] [52]
Belladonna DM2RBWK Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Belladonna. Infectious gastroenteritis/colitis [1A40] [33]
Amobarbital DM0GQ8N Moderate Increased metabolism of Acetaminophen caused by Amobarbital mediated induction of CYP450 enzyme. Insomnia [7A00-7A0Z] [40]
Clidinium DMUMQZ0 Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Clidinium. Irritable bowel syndrome [DD91] [33]
Dicyclomine DMZSDGX Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Dicyclomine. Irritable bowel syndrome [DD91] [33]
Methotrexate DM2TEOL Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Methotrexate. Leukaemia [2A60-2B33] [35]
Glycerol phenylbutyrate DMDGRQO Moderate Decreased metabolism of Acetaminophen caused by Glycerol phenylbutyrate mediated inhibition of CYP450 enzyme. Liver disease [DB90-DB9Z] [35]
Ceritinib DMB920Z Moderate Decreased metabolism of Acetaminophen caused by Ceritinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [32]
PF-06463922 DMKM7EW Moderate Increased metabolism of Acetaminophen caused by PF-06463922 mediated induction of UGT. Lung cancer [2C25] [32]
Calaspargase pegol DMQZBXI Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Calaspargase pegol. Malignant haematopoietic neoplasm [2B33] [53]
Idelalisib DM602WT Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Idelalisib. Mature B-cell leukaemia [2A82] [54]
Clofarabine DMCVJ86 Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Clofarabine. Mature B-cell lymphoma [2A85] [55]
Vemurafenib DM62UG5 Moderate Decreased metabolism of Acetaminophen caused by Vemurafenib mediated inhibition of CYP450 enzyme. Melanoma [2C30] [56]
Propranolol DM79NTF Minor Decreased metabolism of Acetaminophen caused by Propranolol. Migraine [8A80] [57]
Exjade DMHPRWG Moderate Decreased metabolism of Acetaminophen caused by Exjade mediated inhibition of CYP450 enzyme. Mineral absorption/transport disorder [5C64] [58]
Imatinib DM7RJXL Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Imatinib. Myeloproliferative neoplasm [2A20] [59]
Metoclopramide DMFA5MY Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Metoclopramide. Nausea/vomiting [MD90] [32]
Rucaparib DM9PVX8 Moderate Decreased metabolism of Acetaminophen caused by Rucaparib mediated inhibition of CYP450 enzyme. Ovarian cancer [2C73] [60]
Biperiden DME78OA Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Biperiden. Parkinsonism [8A00] [33]
Procyclidine DMHFJDT Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Procyclidine. Parkinsonism [8A00] [33]
Ranitidine DM0GUSX Minor Increased risk of hepatotoxicity by the combination of Acetaminophen and Ranitidine. Peptic ulcer [DA61] [61]
Methylscopolamine DM5VWOB Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Methylscopolamine. Peptic ulcer [DA61] [33]
Leflunomide DMR8ONJ Major Increased risk of hepatotoxicity by the combination of Acetaminophen and Leflunomide. Rheumatoid arthritis [FA20] [50]
Trabectedin DMG3Y89 Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Trabectedin. Solid tumour/cancer [2A00-2F9Z] [35]
Epirubicin DMPDW6T Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Epirubicin. Solid tumour/cancer [2A00-2F9Z] [32]
Pitolisant DM8RFNJ Moderate Increased metabolism of Acetaminophen caused by Pitolisant mediated induction of CYP450 enzyme. Somnolence [MG42] [35]
Naltrexone DMUL45H Moderate Increased risk of hepatotoxicity by the combination of Acetaminophen and Naltrexone. Substance abuse [6C40] [62]
Warfarin DMJYCVW Moderate Increased risk of bleeding by the combination of Acetaminophen and Warfarin. Supraventricular tachyarrhythmia [BC81] [41]
Liraglutide DM3FXPS Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Liraglutide. Type 2 diabetes mellitus [5A11] [63]
Atropine DMEN6X7 Minor Altered absorption of Acetaminophen due to GI dynamics variation caused by Atropine. Unspecific substance harmful effect [NE6Z] [33]
⏷ Show the Full List of 68 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Acesulfame E00341 36573 Flavoring agent
Allura red AC dye E00338 33258 Colorant
Ascorbyl palmitate E00581 54680660 Antioxidant
Aspartame E00402 134601 Flavoring agent
Benzyl alcohol E00010 244 Antimicrobial preservative; Solvent
Butylparaben E00142 7184 Antimicrobial preservative
Calcium carbonate E00198 10112 Binding agent; Buffering agent; Diluent; Opacifying agent
D&C red no. 27 E00381 83511 Colorant
D&C red no. 30 E00456 3000709 Colorant
D&C red no. 33 E00261 19116 Colorant
DL-alpha-tocopherol E00052 2116 Antioxidant
FD&C blue no. 1 E00263 19700 Colorant
FD&C blue no. 2 E00446 2723854 Colorant
FD&C yellow no. 5 free acid E00246 16014 Colorant
Isopropyl alcohol E00070 3776 Antimicrobial preservative; Solvent
Kyselina citronova E00014 311 Acidulant; Antioxidant; Buffering agent; Complexing agent; Flavoring agent
Lauryl sulfate E00189 8778 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Maltitol E00423 493591 Binding agent; Coating agent; Diluent; Flavoring agent
Mannitol E00103 6251 Diluent; Flavoring agent; Lyophilization aid; Plasticizing agent; Tonicity agent
Menthol E00050 1254 Flavoring agent
methylparaben E00149 7456 Antimicrobial preservative
Oleic acid E00421 445639 Emulsifying agent; Penetration agent; Solubilizing agent
Potassium acetate E00430 517044 Film/membrane-forming agent
Propyl 4-hydroxybenzoate E00141 7175 Antimicrobial preservative
Propylparaben sodium E00567 23679044 Antimicrobial preservative
Quinoline yellow WS E00309 24671 Colorant
Sodium benzoate E00432 517055 Antimicrobial preservative; lubricant
Sodium citrate anhydrous E00102 6224 Alkalizing agent; Buffering agent; Complexing agent; Emulsifying agent
Sodium ethylparaben E00568 23681179 Antimicrobial preservative
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Sodium methylparaben E00543 23663626 Antimicrobial preservative
Stearic acid E00079 5281 Emulsifying agent; Solubilizing agent; Viscosity-controlling agent; lubricant
Sucralose E00370 71485 Flavoring agent
Sunset yellow FCF E00255 17730 Colorant
Vanillin E00049 1183 Flavoring agent
Ammonia E00007 222 Alkalizing agent
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Brushite E00392 104805 Diluent
Butyl alcohol E00011 263 Flavoring agent; Solvent
Calcium hydrogenphosphate E00294 24441 Diluent
Carboxymethylcellulose sodium E00621 Not Available Adsorbent; Binding agent; Disintegrant; Emulsifying agent; Suspending agent; Viscosity-controlling agent
Carmellose sodium E00625 Not Available Disintegrant
Citric acid monohydrate E00271 22230 Acidulant; Antioxidant; Buffering agent; Complexing agent; Flavoring agent
Crospovidone E00626 Not Available Disintegrant
Dextrin E00359 62698 Binding agent; Diluent; Microencapsulating agent; Stiffening agent; Suspending agent; Viscosity-controlling agent
Dextrose monohydrate E00538 22814120 Binding agent; Diluent; Flavoring agent; Tonicity agent
Edetate calcium disodium E00487 6093170 Complexing agent
Edetate disodium E00186 8759 Complexing agent
Eisenoxyd E00585 56841934 Colorant
Ferric hydroxide oxide yellow E00539 23320441 Colorant
Ferrosoferric oxide E00231 14789 Colorant
Fructose E00447 2723872 Flavoring agent
Glycerin E00026 753 Antimicrobial preservative; Emollient; Flavoring agent; Humectant; Lubricant; Plasticizing agent; Solvent; Suppository base; Tonicity agent; Viscosity-controlling agent
Hexahydric alcohol E00083 5780 Diluent; Flavoring agent; Humectant; Plasticizing agent
Hexasodium hexametaphosphate E00316 24968 Other agent
Hypromellose E00634 Not Available Coating agent
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Lithol rubin BCA E00607 135423095 Colorant
Magnesium stearate E00208 11177 lubricant
Medium-chain triglyceride E00640 Not Available Emollient; Lubricant; Surfactant
Polyethylene glycol 1000 E00647 Not Available Coating agent; Diluent; Ointment base; Plasticizing agent; Solvent; Suppository base; lubricant
Polyethylene glycol 2000 E00649 Not Available Coating agent; Diluent; Ointment base; Plasticizing agent; Solvent; Suppository base; lubricant
Polyethylene glycol 300 E00651 Not Available Coating agent; Diluent; Ointment base; Plasticizing agent; Solvent; Suppository base; lubricant
Polyethylene glycol 400 E00653 Not Available Coating agent; Diluent; Ointment base; Plasticizing agent; Solvent; Suppository base; lubricant
Polyethylene glycol 6000 E00655 Not Available Coating agent; Diluent; Ointment base; Plasticizing agent; Solvent; Suppository base; lubricant
Polysorbate 80 E00665 Not Available Dispersing agent; Emollient; Emulsifying agent; Plasticizing agent; Solubilizing agent; Surfactant; Suspending agent
Polyvinyl alcohol E00666 Not Available Coating agent; Emulsion stabilizing agent; Film/Membrane-forming agent
Potassium hydroxide E00233 14797 Alkalizing agent
Potassium sorbate E00566 23676745 Antimicrobial preservative
Povidone E00667 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
Propylene glycol E00040 1030 Antimicrobial preservative; Humectant; Plasticizing agent; Solvent
Saccharose E00091 5988 Binding agent; Coating agent; Cryoprotectant; Diluent; Flavoring agent; Suspending agent; Viscosity-controlling agent
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Sodium bicarbonate E00424 516892 Alkalizing agent; Diluent
Sodium chloride E00077 5234 Diluent; Tonicity agent
Sodium hydroxide E00234 14798 Alkalizing agent
Sodium metabisulfite E00444 656671 Antimicrobial preservative; Antioxidant
Sodium propionate E00445 2723816 Antimicrobial preservative
Talc E00520 16211421 Anticaking agent; Diluent; Glidant; lubricant
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
Triacetin E00080 5541 Humectant; Plasticizing agent; Solvent
Vinylpyrrolidone E00668 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
Water E00035 962 Solvent
⏷ Show the Full List of 83 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Acetaminophen 500 mg tablet 500 mg Oral Tablet Oral
Acetaminophen 160 mg tablet 160 mg Disintegrating Oral Tablet Oral
Acetaminophen 160 mg tablet 160 mg Chewable Tablet Oral
Acetaminophen 325 mg tablet 325 mg Disintegrating Oral Tablet Oral
Acetaminophen 650 mg tablet 650 mg 8 HR Extended Release Tablet Oral
Acetaminophen 650 mg tablet 650 mg Extended Release Oral Tablet Oral
Acetaminophen 80 mg tablet 80 mg Disintegrating Oral Tablet Oral
Acetaminophen 80 mg tablet 80 mg Chewable Tablet Oral
Acetaminophen 500 mg capsule 500 mg Oral Capsule Oral
Acetaminophen 80 mg tablet 80 mg Oral Tablet Oral
Acetaminophen 650 mg tablet 650 mg 8 HR Extended Release Oral Tablet Oral
Acetaminophen 325 mg capsule 325 mg Oral Capsule Oral
Acetaminophen 325 mg tablet 325 mg Oral Tablet Oral
Acetaminophen 650 mg tablet 650 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 Acetaminophen FDA Label
2 The Diversion of Ultram, Ultracet, and generic tramadol HCL. J Addict Dis. 2006;25(2):53-8.
3 PharmGKB summary: pathways of acetaminophen metabolism at the therapeutic versus toxic doses. Pharmacogenet Genomics. 2015 Aug;25(8):416-26. doi: 10.1097/FPC.0000000000000150.
4 BDDCS applied to over 900 drugs
5 Trend Analysis of a Database of Intravenous Pharmacokinetic Parameters in Humans for 1352 Drug Compounds
6 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
7 Bannwarth B, Pehourcq F: [Pharmacologic basis for using paracetamol: pharmacokinetic and pharmacodynamic issues]. Drugs. 2003;63 Spec No 2:5-13.
8 ADReCS-Target: target profiles for aiding drug safety research and application. Nucleic Acids Res. 2018 Jan 4;46(D1):D911-D917. doi: 10.1093/nar/gkx899.
9 Acetaminophen-NAPQI hepatotoxicity: a cell line model system genome-wide association study. Toxicol Sci. 2011 Mar;120(1):33-41. doi: 10.1093/toxsci/kfq375. Epub 2010 Dec 22.
10 A study of HLA class I and class II 4-digit allele level in Stevens-Johnson syndrome and toxic epidermal necrolysis. Int J Immunogenet. 2011 Aug;38(4):303-9. doi: 10.1111/j.1744-313X.2011.01011.x. Epub 2011 May 4.
11 Augmentation effect of combination therapy of aripiprazole and antidepressants on forced swimming test in mice. Psychopharmacology (Berl). 2009 Sep;206(1):97-107.
12 Mechanism of action of paracetamol. Am J Ther. 2005 Jan-Feb;12(1):46-55.
13 Effect of acetaminophen on expression and activity of rat liver multidrug resistance-associated protein 2 and P-glycoprotein. Biochem Pharmacol. 2004 Aug 15;68(4):791-8.
14 Metabolic interactions between acetaminophen (paracetamol) and two flavonoids, luteolin and quercetin, through in-vitro inhibition studies. J Pharm Pharmacol. 2017 Dec;69(12):1762-1772.
15 Acetaminophen induced acute liver failure via oxidative stress and JNK activation: protective role of taurine by the suppression of cytochrome P450 2E1. Free Radic Res. 2010 Mar;44(3):340-55.
16 Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448.
17 Preferred orientations in the binding of 4'-hydroxyacetanilide (acetaminophen) to cytochrome P450 1A1 and 2B1 isoforms as determined by 13C- and 15N-NMR relaxation studies. J Med Chem. 1994 Mar 18;37(6):860-7.
18 Effect of UDP-glucuronosyltransferase (UGT) 1A polymorphism (rs8330 and rs10929303) on glucuronidation status of acetaminophen. Dose Response. 2017 Sep 11;15(3):1559325817723731.
19 Retinoid X receptor alpha regulates the expression of glutathione s-transferase genes and modulates acetaminophen-glutathione conjugation in mouse liver. Mol Pharmacol. 2005 Dec;68(6):1590-6.
20 PharmGKB summary: pathways of acetaminophen metabolism at the therapeutic versus toxic doses. Pharmacogenet Genomics. 2015 Aug;25(8):416-26.
21 Induction of hepatic CYP2E1 by a subtoxic dose of acetaminophen in rats: increase in dichloromethane metabolism and carboxyhemoglobin elevation. Drug Metab Dispos. 2007 Oct;35(10):1754-8.
22 Polymorphic expression of UGT1A9 is associated with variable acetaminophen glucuronidation in neonates: a population pharmacokinetic and pharmacogenetic study. Clin Pharmacokinet. 2018 Oct;57(10):1325-1336.
23 Interindividual variability in acetaminophen sulfation by human fetal liver: implications for pharmacogenetic investigations of drug-induced birth defects. Birth Defects Res A Clin Mol Teratol. 2008 Mar;82(3):155-65.
24 UGT1A6 and UGT2B15 polymorphisms and acetaminophen conjugation in response to a randomized, controlled diet of select fruits and vegetables. Drug Metab Dispos. 2011 Sep;39(9):1650-7.
25 Characterization of niflumic acid as a selective inhibitor of human liver microsomal UDP-glucuronosyltransferase 1A9: application to the reaction phenotyping of acetaminophen glucuronidation. Drug Metab Dispos. 2011 Apr;39(4):644-52.
26 The bacterial P450 BM3: a prototype for a biocatalyst with human P450 activities. Trends Biotechnol. 2007 Jul;25(7):289-98.
27 Multiple microRNAs function as self-protective modules in acetaminophen-induced hepatotoxicity in humans. Arch Toxicol. 2018 Feb;92(2):845-858.
28 Increased mitochondrial ROS formation by acetaminophen in human hepatic cells is associated with gene expression changes suggesting disruption of the mitochondrial electron transport chain. Toxicol Lett. 2015 Apr 16;234(2):139-50.
29 Predictive toxicology using systemic biology and liver microfluidic "on chip" approaches: application to acetaminophen injury. Toxicol Appl Pharmacol. 2012 Mar 15;259(3):270-80.
30 Gene expression analysis of precision-cut human liver slices indicates stable expression of ADME-Tox related genes. Toxicol Appl Pharmacol. 2011 May 15;253(1):57-69.
31 Blood transcript immune signatures distinguish a subset of people with elevated serum ALT from others given acetaminophen. Clin Pharmacol Ther. 2016 Apr;99(4):432-41.
32 Cerner Multum, Inc. "Australian Product Information.".
33 Clark JM, Seager SJ "Gastric emptying following premedication with glycopyrrolate or atropine." Br J Anaesth 55 (1983): 1195-9. [PMID: 6652009]
34 Product Information. Aubagio (teriflunomide). Genzyme Corporation, Cambridge, MA.
35 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
36 Product Information. Sirturo (bedaquiline). Janssen Pharmaceuticals, Titusville, NJ.
37 Douidar SM, Ahmed AE "A novel mechanism for the enhancement of acetaminophen hepatotoxicity by phenobarbital." J Pharmacol Exp Ther 240 (1987): 578-83. [PMID: 3806412]
38 Dybing E "Inhibition of acetaminophen glucuronidation by oxazepam." Biochem Pharmacol 25 (1976): 1421-5. [PMID: 938564]
39 Product Information. Turalio (pexidartinib). Daiichi Sankyo, Inc., Parsippany, NJ.
40 Bock KW, Wiltfang J, Blume R, Ullrich D, Bircher J "Paracetamol as a test drug to determine glucuronide formation in man: effects of inducers and of smoking." Eur J Clin Pharmacol 31 (1987): 677-83. [PMID: 3556375]
41 Antlitz AM, Mead JA Jr, Tolentino MA "Potentiation of oral anticoagulant therapy by acetaminophen." Curr Ther Res Clin Exp 10 (1968): 501-7. [PMID: 4971464]
42 Bonkovsky HL "Acetaminophen hepatotoxicity, fasting, and ethanol." JAMA 274 (1995): 301. [PMID: 7609254]
43 Bivins BA, Rapp RP, Griffen WO Jr, Blouin R, Bustrack J "Dopamine-phenytoin interaction. A cause of hypotension in the critically ill." Arch Surg 113 (1978): 245-9. [PMID: 637689]
44 Miners JO, Attwood J, Birkett DJ "Determinants of acetaminophen metabolism: effect of inducers and inhibitors of drug metabolism on acetaminophen's metabolic pathways." Clin Pharmacol Ther 35 (1984): 480-6. [PMID: 6705446]
45 Crippin JS "Acetaminophen hepatotoxicity: potentiation by isoniazid." Am J Gastroenterol 88 (1993): 590-2. [PMID: 8470644]
46 Product Information. Adcetris (brentuximab vedotin). Seattle Genetics Inc, Bothell, WA.
47 Ameer B "Acetaminophen hepatotoxicity augmented by zidovudine." Am J Med 95 (1993): 342. [PMID: 8368234]
48 Elsharkawy AM, Schwab U, McCarron B, et al. "Efavirenz induced acute liver failure requiring liver transplantation in a slow drug metaboliser." J Clin Virol 58 (2013): 331-3. [PMID: 23763943]
49 Product Information. Kynamro (mipomersen). Genzyme Corporation, Cambridge, MA.
50 Canadian Pharmacists Association.
51 Product Information. Juxtapid (lomitapide). Aegerion Pharmaceuticals Inc, Cambridge, MA.
52 Product Information. Givlaari (givosiran). Alnylam Pharmaceuticals, Cambridge, MA.
53 Al-Nawakil C, Willems L, Mauprivez C, et.al "Successful treatment of l-asparaginase-induced severe acute hepatotoxicity using mitochondrial cofactors." Leuk Lymphoma 55 (2014): 1670-4. [PMID: 24090500]
54 Product Information. Zydelig (idelalisib). Gilead Sciences, Foster City, CA.
55 Product Information. Clolar (clofarabine). sanofi-aventis, Bridgewater, NJ.
56 Product Information. Zelboraf (vemurafenib). Genentech, South San Francisco, CA.
57 Baraka OZ, Truman CA, Ford JM, Roberts CJ. The effect of propranolol on paracetamol metabolism in man.?Br J Clin Pharmacol. 1990;29(2):261-264. [PMID: 2306420]
58 Product Information. Exjade (deferasirox). Novartis Pharmaceuticals, East Hanover, NJ.
59 Lin NU, Sarantopoulos S, Stone JR, et al. "Fatal hepatic necrosis following imatinib mesylate therapy." Blood 102 (2003): 3455-6. [PMID: 14568907]
60 EMA. European Medicines Agency. European Union "EMA - List of medicines under additional monitoring.".
61 Jack D, Thomas M, Skidmore IF "Ranitidine and paracetamol metabolism." Lancet 2 (1985): 1067. [PMID: 2865542]
62 Product Information. ReVia (naltrexone). DuPont Pharmaceuticals, Wilmington, DE.
63 Product Information. Victoza (liraglutide). Novo Nordisk Pharmaceuticals Inc, Princeton, NJ.