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Description

Kirkwood JM, Ibrahim JG, Sondak VK, Richards J, Flaherty LE, Ernstoff MS, Smith TJ, Rao U, Steele M, Blum RH: High-and low-dose interferon alfa-2b in high-risk melanoma: first analysis of inter-group trial E1690/S9111/C9190

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doi:10.1124/jpet.110.171983, PMID: 20876229 Giorgi C, Baldassari F, Bononi A, Bonora M, De Marchi E, Marchi S, Missiroli S, Patergnani S, Rimessi A, Suski JM, Wieckowski MR, Pinton P (2012) Mitochondrial Ca(2+) and apoptosis

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At therapeutic dose: Safely metabolized in the liver At high dose: Excess paracetamol Converted to toxic metabolite NAPQI NAPQI Depletes glutathione Hepatocellular necrosis Acute liver failure Serious ADRs: Hepatotoxicity Elevated liver enzymes Fulminant hepatic failure Antidote: N-acetylcysteine (NAC) most effective when given early

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