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== Historical Perspective ==
== Historical Perspective ==


* In 1887, phenacetin was introduced as an analgesic and is metabolized to paracetamol (acetaminophen). (Foye)
* In 1887, phenacetin was introduced as an analgesic and is metabolized to paracetamol (acetaminophen).{{cite book | last = Lemke | first = Thomas | title = Foye's principles of medicinal chemistry | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia | year = 2013 | isbn = 9781451181135 }}
* In 1893, paracetamol (acetaminophen) was introduced as an analgesic. (foye)
* In 1893, paracetamol (acetaminophen) was introduced as an analgesic.{{cite book | last = Lemke | first = Thomas | title = Foye's principles of medicinal chemistry | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia | year = 2013 | isbn = 9781451181135 }}
* In 1953, the association between analgesic drugs and chronic renal disease was first reported in German.<ref name="pmid13137299">{{cite journal |author=Spühler O, Zollinger HU |title=Die chronisch-interstitielle Nephritis. |language=German |journal=Z Klin Med |volume=151 |issue=1 |pages=1–50 |year=1953 |pmid=13137299 |doi= |url=}}</ref>
* In 1953, the association between analgesic drugs and chronic renal disease was first reported in German.<ref name="pmid13137299">{{cite journal |author=Spühler O, Zollinger HU |title=Die chronisch-interstitielle Nephritis. |language=German |journal=Z Klin Med |volume=151 |issue=1 |pages=1–50 |year=1953 |pmid=13137299 |doi= |url=}}</ref>
* In 19.., phenacetin was withdrawn from the US markets.
* In 19.., phenacetin was withdrawn from the US markets.

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Historical Perspective

Analgesics are a class of medications widely used in the treatment of pain. They include aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs), as well as the antipyretics paracetamol (known as acetaminophen in the United States) and phenacetin. Introduced in the late 19th century, phenacetin was once a common component of mixed analgesics in parts of Europe, Australia, and the United States.[1] These combined analgesics contained aspirin or other NSAID with phenacetin, paracetamol, or salicylamide, and caffeine or codeine.[2]

In the 1950s, Spühler and Zollinger reported an association between kidney injury and the chronic use of phenacetin.[3] They noted that chronic users of phenacetin had an increased risk of developing specific kidney injuries, namely renal papillary necrosis and chronic interstitial nephritis. This condition was dubbed analgesic nephropathy and was attributed to phenacetin, although no absolute causative role was demonstrated. With further reports of the increased risk of kidney injury with prolonged and excessive phenacetin use, however, phenacetin was banned in several countries between the 1960s and 1980s.[1]

As the use of phenacetin declined, so too did the prevalence of analgesic nephropathy as a cause of end-stage renal disease. Data from Switzerland, for example, demonstrated a decline in the prevalence of analgesic nephropathy among patients with end-stage renal disease, from 28% in 1981 to 12% in 1990.[4] An autopsy study performed in Switzerland suggested that the prevalence of analgesic nephropathy in the general population has likewise decreased; the prevalence was 3% in 1980 and 0.2% in 2000. While these data demonstrate that analgesic nephropathy has been all but eliminated in some regions, in other regions the condition persists. Notably, in Belgium, the prevalence of analgesic nephropathy among dialysis patients was 17.9% in 1984 and 15.6% in 1990.[5][6] Michielsen and de Schepper have suggested that analgesic nephropathy persists among Belgian dialysis patients not due to non-phenacetin analgesics, but because Belgium accepts a higher proportion of elderly patients for dialysis. According to these authors, a greater proportion have analgesic nephropathy because a greater percentage of Belgian dialysis patients have been exposed to long-term use of phenacetin.[7]


Overview

Historical Perspective

  • In 1887, phenacetin was introduced as an analgesic and is metabolized to paracetamol (acetaminophen).Lemke, Thomas (2013). Foye's principles of medicinal chemistry. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781451181135.
  • In 1893, paracetamol (acetaminophen) was introduced as an analgesic.Lemke, Thomas (2013). Foye's principles of medicinal chemistry. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781451181135.
  • In 1953, the association between analgesic drugs and chronic renal disease was first reported in German.[3]
  • In 19.., phenacetin was withdrawn from the US markets.

References

  1. 1.0 1.1 McLaughlin JK, Lipworth L, Chow WH, Blot WJ (1998). "Analgesic use and chronic renal failure: a critical review of the epidemiologic literature". Kidney Int. 54 (3): 679–86. doi:10.1046/j.1523-1755.1998.00043.x. PMID 9734593. Unknown parameter |month= ignored (help)
  2. de Broe, Marc E (2008). "Analgesic nephropathy". In Curhan, Gary C (ed.). UpToDate. Waltham, MA. |access-date= requires |url= (help)
  3. 3.0 3.1 Spühler O, Zollinger HU (1953). "Die chronisch-interstitielle Nephritis". Z Klin Med (in German). 151 (1): 1–50. PMID 13137299.
  4. Brunner FP, Selwood NH (1994). "End-stage renal failure due to analgesic nephropathy, its changing pattern and cardiovascular mortality. EDTA-ERA Registry Committee". Nephrol. Dial. Transplant. 9 (10): 1371–6. PMID 7816247.
  5. Elseviers MM, de Broe ME (1994). "Analgesic nephropathy in Belgium is related to the sales of particular analgesic mixtures". Nephrol. Dial. Transplant. 9 (1): 41–6. PMID 8177475.
  6. Noels LM, Elseviers MM, de Broe ME (1995). "Impact of legislative measures on the sales of analgesics and the subsequent prevalence of analgesic nephropathy: a comparative study in France, Sweden and Belgium". Nephrol. Dial. Transplant. 10 (2): 167–74. PMID 7753450.
  7. Michielsen P, de Schepper P (2001). "Trends of analgesic nephropathy in two high-endemic regions with different legislation". J. Am. Soc. Nephrol. 12 (3): 550–6. PMID 11181803. Unknown parameter |month= ignored (help)

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