Tuesday, March 06, 2007. Acetaminophen Overdose causes Acute Liver Failure. Acetaminophen overdose causes acute liver failure. Significant liver injury usually occurs with doses of 10 to 15 g, most frequently taken in a suicide attempt. The liver injury is caused by toxic metabolites of acetaminophen formed by the microsomal cytochrome P-450-dependent drug-metabolizing system.

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