Case Code: BECG015
Case Length: 13 Pages
Period: 1975 - 2001
Pub Date: 2002
Teaching Note: Available
Organization : Johnson & Johnson
Industry : Drugs and Pharmaceuticals
Countries : USA
Themes:
Ethics in Business
Price
Electronic format: Rs. 300; Courier (within India): Rs. 25 Extra
Harmful Effects of Overdose of
Acetaminophen and Other Analgesics
The reaction as
a result of excessive intake of acetaminophen is called
acetaminophen poisoning. In adults, a dose more than 10-15
gms causes liver failure and more than 25 gms causes deaths.
Common symptoms of acetaminophen poisoning includes nausea
and vomiting, profuse sweating and oliguria (scanty amounts
of urine). As the drug toxicity increases, other symptoms
like jaundice, pain in the upper abdomen, abnormality in the
brain tissue and kidney failure became apparent.
Apart from liver
damage, acetaminophen also causes permanent kidney damage
when used for a long period. The damage could be severe for
those who already have problems. Studies have also revealed
that people using acetaminophen in combination with other
painkillers were 3-8 times more prone to kidney cancer,
which is very difficult to treat. Excessive dose of
acetaminophen also results in high heart rate and blood
pressure in some patients.
Analgesics also
caused an â?#8218;??#339;analgesic reboundâ?#8218;??#8222;? â?#8218;??#8364;œ headaches caused by
the rebound effect of stopping large doses of analgesics.
The problem begins when people take an analgesic for a few
recurring headaches. They continuously increase the dose and
later find that they are addicted to the drug. However, the
medicine fails to relieve the pain and headaches recur due
to the rebound effect of cessation of the large doses of
medications. The only treatment for such headaches is to
stop all analgesic medications.