Warnings: It is recommended to use a suitable analgesic oral treatment as soon as this administration route is possible. In order to avoid the risk of overdose, check that other medicines administered do not contain Paracetamol. Doses higher than the recommended entails risk for very serious liver damage.
Clinical symptoms and signs on liver damage are usually seen first after two days with a maximum usually after 4-6 days. Treatment with antidote should be given as soon as possible (see Overdosage).
Precautions for Use: Paracetamol should be used with caution in cases of: Hepatocellular insufficiency. Severe renal insufficiency (creatinine clearance ≤30 mL/min). Chronic alcoholism. Chronic malnutrition (low reserves of hepatic glutathione). Dehydration.
Use in Pregnancy: Paracetamol should only be used during pregnancy after a carefully benefit-risk assessment. In this case, the recommended posology and duration must be strictly observed.
Use in Lactation: After oral administration, Paracetamol is excreted into breast milk in small quantities. No undesirable effects on nursing infants have been reported. Consequently, Paracetamol may be used in breastfeeding women.