Table 5
Author, date and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Vale JA, 1981, UK158 patients with paracetamol overedose. Mean age: 26 y. 1:2 M, F ratioProspective observationalLiver damage:NSDNo randomisation
Methionine within 10 h (n=96)7%Small study
High risk patients defined as paracetamol level: >300 mg/l at 4 h.IV n-acetylcysteine within 10 h (n=62)2%2 of 7 vomited the first dose
In high risk patients methionine. within 10 h (n=43)14%
In high risk patients IV n-acetylcysteine. within 10 h (n=33)3%
Prescott LF, 1981, UK104 patients with paracetamol overdose. Mean age 33 y 1:1.5 M, F ratioProspective observationalLiver damage:NSDNo randomisation
Methionine. Within 10 h, (n=42) 57% of them were high risk7%Small study
High risk patients defined as paracetamol level: >300 mg/l at 4 hIV n acetyl cysteine within 10 h (n=62) 33of 62 (53%) of them were high risk2%