Inhibition of the metabolism of paracetamol by isoniazid

Br J Clin Pharmacol. 1991 Feb;31(2):139-42. doi: 10.1111/j.1365-2125.1991.tb05501.x.

Abstract

1. The effect of isoniazid given daily for 7 days on paracetamol (acetaminophen) kinetics and metabolism was studied in 10 healthy volunteers. Paracetamol, 500 mg, was given before isoniazid, on day 7 of isoniazid administration, and 2 days after the last dose of isoniazid. 2. On day 7, isoniazid markedly inhibited the formation clearance of the glutathione and catechol metabolites by 69.7% and 62.2%, respectively. Total paracetamol clearance was lowered by 15.2%. There was no effect of isoniazid on the non-oxidative pathways of paracetamol elimination. 3. Two days after isoniazid was discontinued, paracetamol metabolism had returned to pre-isoniazid values.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acetaminophen / blood
  • Acetaminophen / metabolism*
  • Acetylation
  • Adult
  • Catechols / metabolism
  • Female
  • Glutathione / metabolism
  • Humans
  • Isoniazid / pharmacology*
  • Male
  • Middle Aged
  • Oxidation-Reduction
  • Phenotype

Substances

  • Catechols
  • Acetaminophen
  • Glutathione
  • Isoniazid