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	<id>https://teaching.ncl.ac.uk/bms/wiki//index.php?action=history&amp;feed=atom&amp;title=N-acetylcysteine</id>
	<title>N-acetylcysteine - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?action=history&amp;feed=atom&amp;title=N-acetylcysteine"/>
	<link rel="alternate" type="text/html" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;action=history"/>
	<updated>2026-04-04T12:00:31Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
	<generator>MediaWiki 1.44.0</generator>
	<entry>
		<id>https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=13710&amp;oldid=prev</id>
		<title>Nnjm2 at 06:17, 22 October 2015</title>
		<link rel="alternate" type="text/html" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=13710&amp;oldid=prev"/>
		<updated>2015-10-22T06:17:02Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;col class=&quot;diff-marker&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 06:17, 22 October 2015&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=== Background  ===&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&amp;amp;nbsp;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[Metabolites|metabolites]]. Roughly 60% is metabolised via [[Glucuronidation|glucuronidation]], 35% via [[Sulfation|sulfation]] and 5% via [[Cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&amp;amp;nbsp;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[Metabolites|metabolites]]. Roughly 60% is metabolised via [[Glucuronidation|glucuronidation]], 35% via [[Sulfation|sulfation]] and 5% via [[Cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Nnjm2</name></author>
	</entry>
	<entry>
		<id>https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=13686&amp;oldid=prev</id>
		<title>150015259 at 01:33, 22 October 2015</title>
		<link rel="alternate" type="text/html" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=13686&amp;oldid=prev"/>
		<updated>2015-10-22T01:33:49Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 01:33, 22 October 2015&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Background ===  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Background &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&amp;amp;nbsp;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Javascript:void(0);/*1413820366838*/&lt;/del&gt;|metabolites]]. Roughly 60% is metabolised via [[Glucuronidation|glucuronidation]], 35% via [[Sulfation|sulfation]] and 5% via [[Cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&amp;amp;nbsp;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Metabolites&lt;/ins&gt;|metabolites]]. Roughly 60% is metabolised via [[Glucuronidation|glucuronidation]], 35% via [[Sulfation|sulfation]] and 5% via [[Cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&amp;lt;br&amp;gt;  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&amp;lt;br&amp;gt;  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Uses ===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Uses &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/ins&gt;===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>150015259</name></author>
	</entry>
	<entry>
		<id>https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=11449&amp;oldid=prev</id>
		<title>Nnjm2 at 01:33, 24 October 2014</title>
		<link rel="alternate" type="text/html" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=11449&amp;oldid=prev"/>
		<updated>2014-10-24T01:33:48Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 01:33, 24 October 2014&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Background&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;&#039;&amp;amp;nbsp;&#039;&#039;&#039;  &lt;/del&gt;===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=== &lt;/ins&gt;Background ===  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&amp;amp;nbsp;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[Javascript:void(0);/*1413820366838*/|metabolites]]. Roughly 60% is metabolised via [[Glucuronidation|glucuronidation]], 35% via [[Sulfation|sulfation]] and 5% via [[Cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&amp;amp;nbsp;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[Javascript:void(0);/*1413820366838*/|metabolites]]. Roughly 60% is metabolised via [[Glucuronidation|glucuronidation]], 35% via [[Sulfation|sulfation]] and 5% via [[Cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&amp;lt;br&amp;gt;  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&amp;lt;br&amp;gt;  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; &lt;/del&gt;===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=== Uses &lt;/ins&gt;===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Nnjm2</name></author>
	</entry>
	<entry>
		<id>https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=11448&amp;oldid=prev</id>
		<title>Nnjm2 at 01:33, 24 October 2014</title>
		<link rel="alternate" type="text/html" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=11448&amp;oldid=prev"/>
		<updated>2014-10-24T01:33:13Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 01:33, 24 October 2014&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Background&lt;/del&gt;&amp;amp;nbsp;&#039;&#039;&#039;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Background&lt;/ins&gt;&#039;&#039;&#039;&amp;amp;nbsp;&#039;&#039;&#039; &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; ===&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol ]](Acetaminophen).&amp;amp;nbsp;When &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[[&lt;/del&gt;Paracetamol&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;|Paracetamol ]]&lt;/del&gt;is metabolised by the body it is broken down via different pathways into different [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;javascript&lt;/del&gt;:void(0);/*1413820366838*/|metabolites]]. Roughly 60% is metabolised via [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;glucuronidation&lt;/del&gt;|glucuronidation]], 35% via [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;sulfation&lt;/del&gt;|sulfation]] and 5% via [[&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;cytochrome &lt;/del&gt;P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol]]&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;amp;nbsp;&lt;/ins&gt;(Acetaminophen).&amp;amp;nbsp;When Paracetamol is metabolised by the body it is broken down via different pathways into different [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Javascript&lt;/ins&gt;:void(0);/*1413820366838*/|metabolites]]. Roughly 60% is metabolised via [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Glucuronidation&lt;/ins&gt;|glucuronidation]], 35% via [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Sulfation&lt;/ins&gt;|sulfation]] and 5% via [[&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Cytochrome &lt;/ins&gt;P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;lt;br&amp;gt; &lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt; ===&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;&#039;Use&#039;&#039;&#039;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Nnjm2</name></author>
	</entry>
	<entry>
		<id>https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=11159&amp;oldid=prev</id>
		<title>110173056: N-acetylcysteine and its use in the treatment of Paracetamol overdose</title>
		<link rel="alternate" type="text/html" href="https://teaching.ncl.ac.uk/bms/wiki//index.php?title=N-acetylcysteine&amp;diff=11159&amp;oldid=prev"/>
		<updated>2014-10-20T16:09:18Z</updated>

		<summary type="html">&lt;p&gt;N-acetylcysteine and its use in the treatment of Paracetamol overdose&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Background&amp;amp;nbsp;&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
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N-acetylcysteine is used as a drug to treat overdose of [[Paracetamol|Paracetamol ]](Acetaminophen).&amp;amp;nbsp;When [[Paracetamol|Paracetamol ]]is metabolised by the body it is broken down via different pathways into different [[javascript:void(0);/*1413820366838*/|metabolites]]. Roughly 60% is metabolised via [[glucuronidation|glucuronidation]], 35% via [[sulfation|sulfation]] and 5% via [[cytochrome P450|cytochrome P450]]&amp;amp;nbsp;pathways. The latter converts Paracetamol into a toxic intermediate,&amp;amp;nbsp;[[NAPQI|NAPQI]] (N-acetyl-p-benzoquinone imine). In small amounts, such as with an ordinary dose of paracetamol, the [[NAPQI|NAPQI]] is quickly detoxified by conjugation with [[Glutathione|glutathione]]&amp;amp;nbsp;into a non-toxic [[Metabolite|metabolite]] which can be excreted out through the [[Kidneys|kidneys]].&lt;br /&gt;
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However, when an overdose of [[Paracetamol|Paracetamol]] is taken, the [[NAPQI|NAPQI]] produced can quickly use up the available of [[Glutathione|glutathione]] in the liver, meaning there is a lot of unmetabolised NAPQI left over. This is&amp;amp;nbsp;extremely toxic to [[Liver|liver]] tissue, as well as being a strong [[Oxidise|biochemical oxidizer]] and can cause liver damage and eventually death if left untreated.&lt;br /&gt;
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&amp;#039;&amp;#039;&amp;#039;Use&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
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&amp;#039;&amp;#039;&amp;#039;N-acetylcysteine&amp;#039;&amp;#039;&amp;#039; is given as a treatment for Parcetamol overdose as it is a precursor to [[Glutathione|glutathione]] and hence helps to restore quantities of the substance in the liver. This means remaining NAPQI can be broken down to avoid damage to the liver.&lt;/div&gt;</summary>
		<author><name>110173056</name></author>
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