Model could help counteract poisoning from popular painkiller

http://goo.gl/g0s2Jz

New research could help reverse deadly side effects caused by excessive doses of the drug acetaminophen, the major ingredient in Tylenol and many other over-the-counter and prescription medicines.

Researchers at Duke University have developed a mathematical model of acetaminophen metabolism based on data from lab rats. The findings suggest that giving patients glutamine -- a common amino acid in the body -- alongside the standard antidote for acetaminophen overdose could prevent liver damage and boost the body's ability to recover.

The results appear online and are scheduled to be published in the July 2015 issue of the Journal of Theoretical Biology.

Known for relieving minor aches and pains without upsetting the stomach like some other pain medicines, acetaminophen is a major ingredient in Tylenol and more than 600 other store brand pain relievers, fever reducers, cold remedies and allergy medicines, as well as prescription painkillers like Percocet and Vicodin.

One in four people in the U.S. take at least one acetaminophen-containing product a week. More than 27 billion doses of acetaminophen-containing products were sold in the U.S. in 2009 alone, making it the most widely-used over-the-counter or prescription drug in the country.

Available without a prescription for more than 50 years, the drug is safe when used as directed. But taking more than the maximum recommended dose of four grams per day can damage the liver. In extreme cases patients die unless they get a liver transplant.