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An 89-year-old man developed hypernatraemia after receiving soluble paracetamol [acetaminophen] for back pain secondary to metastatic prostate cancer. He later died.
The man had been receiving oral paracetamol for chronic lower back pain. He was then diagnosed with prostate cancer with spinal metastases and treatment with goserelin and cyproterone acetate was started. Soluble (effervescent) paracetamol 1g 4 times daily was substituted...