Navigation Links
Caffeine Plus Acetaminophen Toxic for Some
Date:9/26/2007

Rat study suggests liver danger, but doses must be very high

WEDNESDAY, Sept. 26 (HealthDay News) -- Very high doses of caffeine and acetaminophen (such as Tylenol), taken together, could lead to liver damage, researchers warn.

This combo produces a byproduct enzyme that's toxic to the organ, researchers from the University of Washington report.

This toxic twosome can occur not only by drinking caffeine while taking acetaminophen, the experts added, but also from large doses of painkillers that combine caffeine and acetaminophen. These painkillers are often used to treat migraines, menstrual discomfort and other conditions.

"Caffeine can interact with an enzyme that can form a toxic metabolite of acetaminophen in such a way that it increases the formation of that toxic metabolite," said lead researcher Sid Nelson, a professor of medicinal chemistry. "This can result in liver damage," he said.

In the study, Nelson's team tested the effects of acetaminophen and caffeine on E. coli bacteria. These bacteria had been genetically engineered to mimic a human enzyme in the liver that detoxifies many prescription and nonprescription drugs, explained the authors in a report in the Oct. 15 issue of the journal Chemical Research in Toxicology.

Nelson noted that it takes large qualities of caffeine to produce this reaction.

"Normally people wouldn't be ingesting that amount of caffeine," he said. "It would take 10 times the amount of caffeine found in a couple of cups of coffee," Nelson said.

His team found that caffeine triples the amount of a toxin called N-acetyl-p-benzoquinone imine (NAPQI) produced by the enzyme as it breaks down acetaminophen.

This same toxin is also produced during an interaction between alcohol and acetaminophen that's also well known to damage the liver.

In prior studies, Nelson's team had found that high doses of caffeine boosted liver damage in rats that had already suffered acetaminophen-linked liver damage.

The bacteria used in the study were exposed to doses of acetaminophen and caffeine far higher than most people would be exposed to, Nelson noted. It's not clear at what point such a mixture becomes toxic, he said.

Some people may be more vulnerable to this toxic interaction than others, Nelson said. They might include people who take certain antiepileptic medications, such as carbamazepine and phenobarbital, and people who use the alternative remedy St. John's Wort.

These drugs increase levels of the enzyme that produces NAPQI and may produce even more when mixed with acetaminophen and caffeine together, Nelson speculated.

In addition, because alcohol can boost NAPQI production, people who drink a lot may be at increased risk for this toxic interaction, the researcher said. The risk is also increased for people who take drugs that combine acetaminophen and caffeine, used to treat migraines, arthritis and other conditions.

Still, for most people, there's no reason to panic, since the chances of caffeine and acetaminophen becoming a toxic mixture remains small, Nelson said.

"Almost all people don't need to worry about taking caffeine with acetaminophen," Nelson said. Exceptions might be, " those [people] taking high does of caffeine, high doses of acetaminophen, who are possibly alcoholic and/or are epileptic and take certain anticonvulsive drugs," he said.

More information

For more on acetaminophen, visit the U.S. National Library of Medicine.



SOURCES: Sid Nelson, Ph.D., professor, medicinal chemistry, University of Washington, Seattle; Oct. 15, 2007, Chemical Research in Toxicology


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Caffeine Found To Worsen Diabetes
2. Caffeine keeps soldiers sharp
3. Caffeine can induce epilepsy in newborns
4. Caffeine reduces infant blood flow
5. Caffeine fights Gallstones
6. Caffeine is not the only culprit in coffee!
7. Caffeine Intake May reduce Insulin Sensitivity
8. Research unearths how caffeine prevents us from sleeping
9. Caffeine can interfere with PET scan results
10. The Link Between Caffeine Drinks And Obesity
11. Caffeine Boosts Memory, Improves Attention Span
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/4/2016)... , ... May 04, 2016 , ... ... Dr. Todd Rider's research and development of DRACO broad-spectrum antiviral therapeutics. DRACOs have ... campaign that starts on May 3, 2016 at http://igg.me/at/EndTheVirus and runs ...
(Date:5/4/2016)... (PRWEB) , ... May 04, 2016 , ... ... and Continence Nurses (WOCN) Society™ and Canadian Association for Enterostomal Therapy (CAET) ... promotion, time saving and planning tools to attendees and exhibitors for the 2016 ...
(Date:5/4/2016)... ... May 04, 2016 , ... May kicked off with ... across the United States. Dermatologist Dr. Ellen Turner is encouraging her patients, as well ... and focus on skin safety and health now and in the future. , The ...
(Date:5/4/2016)... ... May 04, 2016 , ... Recognizing that lifestyle medicine is essential ... Verywell, have tapped David Katz, MD, MPH, president of the American College of ... to lifestyle medicine is especially gratifying,” said Katz. “There is so much opportunity to ...
(Date:5/4/2016)... ... May 04, 2016 , ... ... and compact tactical (6.7 inch) dual-light flashlights in models NSP-9842XL and NSR-9844XL ... (average retail starting at $59.95) uses 2 included CR-123 batteries to produce up ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... BROOMALL, Pa. , May 3, 2016 ... Attorney Jack Whelan and Delaware County ... NARCAN® (naloxone HCI) Nasal Spray in all ACME ... the U.S. Centers for Disease Control and Prevention (CDC), naloxone has ... 2014, when police officers in Delaware County ...
(Date:5/3/2016)... (NYSE: DPLO) announced today that it is celebrating Hepatitis Awareness Month with a campaign to ... personal story and encourage those at risk to get tested and begin the road to ... ... ... (PRNewsFoto/Diplomat Pharmacy, Inc.) ...
(Date:5/3/2016)... , May 3, 2016 Intec ... a clinical-stage biopharmaceutical company, today announced the appointment of ... Regulatory Affairs. "Ms. Strauss-Levy has 15 years ... has established an outstanding track record, having supported the ... regulatory approval processes in the United States ...
Breaking Medicine Technology: