Acetaminophen (Tylenol, Panadol, Ofirmev (IV formulation))

Other Medications · Approved since 1955

US FDA Approved EU EMA Approved ES Funded by SNS other indication Oral, IV 2 Clinical Trials
Cyclooxygenase enzymes (COX-1 COX-2)

Description

Acetaminophen is a widely used analgesic and antipyretic medication that serves as a cornerstone of supportive care in colorectal cancer treatment. It provides effective pain management for mild to moderate cancer-related pain and helps control fever associated with cancer or its treatments. In the CRC setting, acetaminophen is frequently used as part of multimodal pain management protocols and may be incorporated into enhanced recovery after surgery (ERAS) pathways for patients undergoing colorectal resection procedures.

Mechanism of Action

Acetaminophen exerts its analgesic and antipyretic effects primarily through inhibition of cyclooxygenase (COX) enzymes in the central nervous system, particularly COX-2, reducing prostaglandin synthesis in the brain and spinal cord. Unlike NSAIDs, it has minimal peripheral anti-inflammatory activity and does not significantly inhibit COX enzymes in peripheral tissues. The drug also modulates pain pathways through interactions with the endocannabinoid system and serotonergic pathways.

Molecular Targets

Side Effects

Hepatotoxicity with overdose Nausea Vomiting Rash Thrombocytopenia Neutropenia Hypotension with IV administration Injection site reactions

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT03570541 Phase 4
Archived
TQL-block for Laparoscopic Hemicolectomy
Denmark
NCT01607905 Phase 1
Archived
Safety Study of KPT-330 (Selinexor) in Patients With Advanced or Metastatic Solid Tumor Cancer
United States, Canada, Denmark