High-visibility warning labels on paracetamol-containing products do not prevent supratherapeutic ingestion in a simulated scenario

Clin Toxicol (Phila). 2015;53(10):935-40. doi: 10.3109/15563650.2015.1098657. Epub 2015 Nov 16.

Abstract

Context: In Australia, legislation requires medication containing paracetamol display warning of co-administration with other paracetamol products, and safe maximum daily dosing (4 g). Labelling style, size and visibility differ, potentially leading possible supratherapeutic misadventure.

Objective: We studied the likelihood of participants exceeding the recommended dose of paracetamol using products with standard packaging versus products labelled with one of two additional warning labels.

Methods: This was a pilot prospective, observational study, conducted from May 2013 to July 2014. Participants undertook a structured interview to create a simulated 24-h scenario in which they chose from a range of labelled lone paracetamol- and compound paracetamol-containing medications to treat dental pain on six occasions. Participants were randomized to choose from one of three groups of analgesic medications with different package labelling: (1) standard packaging alone, (2) standard packaging + a pre-existing warning label and (3) standard packaging + large customized warning label. The primary outcome was to determine if participants would administer >4 g in 24 h, exceeding the recommended daily dose.

Results: One hundred eighteen surveys were completed (response rate 100%, 56% females). Forty-one (35% of total) participants took >4 g within the 24-h scenario period. About 24% (10/42) of the standard packaging group, 37% (13/35) of the standard packaging + pre-existing warning label group and 48% (19/40) of the SP + large customized warning label group ingested >4 g of paracetamol. There were no significant differences between the three groups (p > 0.05).

Conclusion: In this small, simulated dental pain scenario, use of customized warning labels did not reduce the likelihood of supratherapeutic misadventure.

Keywords: Acetaminophen; Literacy; Paracetamol; Patient; Safety.

Publication types

  • Observational Study

MeSH terms

  • Acetaminophen / administration & dosage*
  • Acetaminophen / standards
  • Adult
  • Aged
  • Australia
  • Consumer Health Information / methods*
  • Drug Labeling / legislation & jurisprudence
  • Drug Labeling / methods*
  • Drug Overdose / prevention & control*
  • Drug Packaging / legislation & jurisprudence
  • Drug Packaging / methods*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Legislation, Drug
  • Male
  • Middle Aged
  • Pilot Projects
  • Prospective Studies

Substances

  • Acetaminophen