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Phenacetin

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 4 min read

A phenylacetamide that was formerly used in analgesics but nephropathy and methemoglobinemia led to its withdrawal from the market.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (709 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A phenylacetamide that was formerly used in analgesics but nephropathy and methemoglobinemia led to its withdrawal from the market. (From Smith and Reynard, Textbook of Pharmacology,1991, p431)

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Acetophenetidin.

Where it fits in the MeSH classification

Broader topics
Acetanilides

Related concepts

  • Analgesics
  • Methemoglobinemia

Research landscape

PubMed indexes 2,344 records tagged with the MeSH heading “Phenacetin” (counts retrieved 2026-10-31). 41 of them (1.7%) were published from 2020 onward, and the busiest period so far is through 1999 with 2,046 records.

Reviews account for 134 records (5.7%) and meta-analyses for 0. Randomized controlled trials number 15 (0.6%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 2,046 records; 2000-2009: 129 records; 2010-2019: 128 records; 2020 onward: 41 records2,046through 19991292000-20091282010-2019412020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19992,046
2000-2009129
2010-2019128
2020 onward41
Share of records by publication typeReviews: 5.7 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.6 percentReviews5.7% (134)Meta-analyses0.0% (0)Randomized controlled trials0.6% (15)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,344 PubMed records
TypeRecordsShare
Reviews1345.7%
Meta-analyses00.0%
Randomized controlled trials150.6%

Method: PubMed query "Phenacetin"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Inhibition of baicalin on metabolism of phenacetin, a probe of CYP1A2, in human liver microsomes and in rats
Gao N, Qi B, Liu FJ, Fang Y, Zhou J, Jia LJ, et al.
2014Research article
Design not recorded in structured metadata
20cc by
PMID 24587011 · DOI · PMC3935934
Thermodynamic Characteristics of Phenacetin in Solid State and Saturated Solutions in Several Neat and Binary Solvents
Przybyłek M, Kowalska A, Tymorek N, Dziaman T, Cysewski P
2021Research article
Design not recorded in structured metadata
15cc by
PMID 34279418 · DOI · PMC8272242
Modulation of Rat Hepatic CYP1A and 2C Activity by Honokiol and Magnolol: Differential Effects on Phenacetin and Diclofenac Pharmacokinetics In Vivo
Kim SB, Kim KS, Ryu HM, Hong SH, Kim BK, Kim DD, et al.
2018Research article
Design not recorded in structured metadata
8cc by
PMID 29914211 · DOI · PMC6100004

Inhibition of baicalin on metabolism of phenacetin, a probe of CYP1A2, in human liver microsomes and in rats [1]

Research article Gao N, Qi B, Liu FJ, Fang Y, Zhou J, Jia LJ, et al. · · 2014 · cited 20 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Baicalin has been used as mainly bioactive constituent of about 100 kinds of traditional Chinese medicines in Chinese pharmacopoeia.
Closing excerpt
Baicalin can change the pharmacokinetics of phenacetin in rats.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (306 words)

Baicalin has been used as mainly bioactive constituent of about 100 kinds of traditional Chinese medicines in Chinese pharmacopoeia. The effect of baicalin on cytochrome P450 should be paid more attention because baicalin was used widely. The aim of this study was to investigate whether baicalin could inhibit CYP1A2 in pooled human liver microsomes (HLMs) and in rats in vivo and the gene polymorphisms could affect inter-individual variation in IC50 in 28 human livers. Phenacetin was used as probe of CYP1A2. Kinetic parameter of CYP1A2 and IC50 of baicalin on CYP1A2 to each sample were measured and the common CYP1A2 polymorphisms (-3860G>A and -163C>A) were genotyped. The results showed that baicalin exhibited a mixed-type inhibition in pooled HLMs, with a Ki value of 25.4 µM. There was substantial variation in Km, Vmax, CLint of CYP1A2 and IC50 of baicalin on CYP1A2 (3∼10-fold). The range was from 26.6 to 114.8 µM for Km, from 333 to 1330 pmol·min(-1)·mg(-1)protein for Vmax and from 3.8 to 45.3 µL·min(-1)·mg(-1) protein for CLint in HLMs (n = 28). The Mean (range) value of IC50 in 28 HLMs was 36.3 (18.9 to 56.1) µM. The genotypes of -3860G>A and -163C>A had no significant effect on the inhibition of baicalin on CYP1A2. The animal experiment results showed that baicalin (450 mg/kg, i.v.) significantly decreased the Cmax and CL of phenacetin, and increased C(60 min), t1/2, Vd and AUC (P<0.05). There were significant correlations between percentage of control in C(60 min), t1/2, CL, AUC of phenacetin and Cmax of baicalin in 11 rats (P<0.05). Protein binding experiments in vitro showed that baicalin (0-2000 mg/L) increased the unbound phenacetin from 14.5% to 28.3%. In conclusion, baicalin can inhibit the activity of CYP1A2 in HLMs and exhibit large inter-individual variation that has no relationship with gene polymorphism. Baicalin can change the pharmacokinetics of phenacetin in rats.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 24587011 · DOI · PMC3935934

Thermodynamic Characteristics of Phenacetin in Solid State and Saturated Solutions in Several Neat and Binary Solvents [2]

Research article Przybyłek M, Kowalska A, Tymorek N, Dziaman T, Cysewski P · · 2021 · cited 15 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The thermodynamic properties of phenacetin in solid state and in saturated conditions in neat and binary solvents were characterized based on differential scanning calorimetry and spectroscopic solubility measurements.
Closing excerpt
The remaining three solvents acted as strong co-solvents.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (178 words)

The thermodynamic properties of phenacetin in solid state and in saturated conditions in neat and binary solvents were characterized based on differential scanning calorimetry and spectroscopic solubility measurements. The temperature-related heat capacity values measured for both the solid and melt states were provided and used for precise determination of the values for ideal solubility, fusion thermodynamic functions, and activity coefficients in the studied solutions. Factors affecting the accuracy of these values were discussed in terms of various models of specific heat capacity difference for phenacetin in crystal and super-cooled liquid states. It was concluded that different properties have varying sensitivity in relation to the accuracy of heat capacity values. The values of temperature-related excess solubility in aqueous binary mixtures were interpreted using the Jouyban-Acree solubility equation for aqueous binary mixtures of methanol, DMSO, DMF, 1,4-dioxane, and acetonitrile. All binary solvent systems studied exhibited strong positive non-ideal deviations from an algebraic rule of mixing. Additionally, an interesting co-solvency phenomenon was observed with phenacetin solubility in aqueous mixtures with acetonitrile or 1,4-dioxane. The remaining three solvents acted as strong co-solvents.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34279418 · DOI · PMC8272242

Modulation of Rat Hepatic CYP1A and 2C Activity by Honokiol and Magnolol: Differential Effects on Phenacetin and Diclofenac Pharmacokinetics In Vivo [3]

Research article Kim SB, Kim KS, Ryu HM, Hong SH, Kim BK, Kim DD, et al. · · 2018 · cited 8 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Honokiol (2-(4-hydroxy-3-prop-2-enyl-phenyl)-4-prop-2-enyl-phenol) and magnolol (4-Allyl-2-(5-allyl-2-hydroxy-phenyl)phenol) are the major active polyphenol constituents of Magnolia officinalis (Magnoliaceae) bark, which has been widely used in traditional Chinese medicine (Houpu Tang) for the treatment of various diseases, including anxiety, stress, gastrointestinal disorders, infection, and asthma.
Closing excerpt
officinalis and its active constituents.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (225 words)

Honokiol (2-(4-hydroxy-3-prop-2-enyl-phenyl)-4-prop-2-enyl-phenol) and magnolol (4-Allyl-2-(5-allyl-2-hydroxy-phenyl)phenol) are the major active polyphenol constituents of Magnolia officinalis (Magnoliaceae) bark, which has been widely used in traditional Chinese medicine (Houpu Tang) for the treatment of various diseases, including anxiety, stress, gastrointestinal disorders, infection, and asthma. The aim of this study was to investigate the direct effects of honokiol and magnolol on hepatic CYP1A and 2C-mediated metabolism in vitro using rat liver microsomes and in vivo using the Sprague-Dawley rat model. Honokiol and magnolol inhibited in vitro CYP1A activity (probe substrate: phenacetin) more potently than CYP2C activity (probe substrate: diclofenac): The mean IC50 values of honokiol for the metabolism of phenacetin and diclofenac were 8.59 μM and 44.7 μM, while those of magnolol were 19.0 μM and 47.3 μM, respectively. Notably, the systemic exposure (AUC and Cmax) of phenacetin, but not of diclofenac, was markedly enhanced by the concurrent administration of intravenous honokiol or magnolol. The differential effects of the two phytochemicals on phenacetin and diclofenac in vivo pharmacokinetics could at least be partly attributed to their lower IC50 values for the inhibition of phenacetin metabolism than for diclofenac metabolism. In addition, the systemic exposure, CL, and Vss of honokiol and magnolol tended to be similar between the rat groups receiving phenacetin and diclofenac. These findings improve our understanding of CYP-mediated drug interactions with M. officinalis and its active constituents.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 29914211 · DOI · PMC6100004

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Kinetics and metabolism of paracetamol and phenacetin [4]
    Prescott LF · Br J Clin Pharmacol · 1980 · cited 316 times (Europe PMC)
  • Research article Paracetamol and phenacetin [5]
    Clissold SP · Drugs · 1986 · cited 128 times (Europe PMC)
  • Research article Analgesic nephropathy: a reassessment of the role of phenacetin and other analgesics [6]
    Prescott LF · Drugs · 1982 · cited 90 times (Europe PMC)
  • Research article Reactive metabolites of phenacetin and acetaminophen: a review [7]
    Hinson JA · Environ Health Perspect · 1983 · cited 80 times (Europe PMC)
  • Research article Phenacetin, through the looking glass [8]
    Shelley JH · Clin Pharmacol Ther · 1967 · cited 51 times (Europe PMC)
  • Research article Analgesic abuse and renal disease [9]
    Murray T, Goldberg M · Annu Rev Med · 1975 · cited 49 times (Europe PMC)

References

  1. Gao N, Qi B, Liu FJ, Fang Y, Zhou J, Jia LJ, et al.. Inhibition of baicalin on metabolism of phenacetin, a probe of CYP1A2, in human liver microsomes and in rats. . 2014. PMID 24587011 · DOI · PMC3935934
  2. Przybyłek M, Kowalska A, Tymorek N, Dziaman T, Cysewski P. Thermodynamic Characteristics of Phenacetin in Solid State and Saturated Solutions in Several Neat and Binary Solvents. . 2021. PMID 34279418 · DOI · PMC8272242
  3. Kim SB, Kim KS, Ryu HM, Hong SH, Kim BK, Kim DD, et al.. Modulation of Rat Hepatic CYP1A and 2C Activity by Honokiol and Magnolol: Differential Effects on Phenacetin and Diclofenac Pharmacokinetics In Vivo. . 2018. PMID 29914211 · DOI · PMC6100004
  4. Prescott LF. Kinetics and metabolism of paracetamol and phenacetin. Br J Clin Pharmacol. 1980. PMID 7002186 · DOI · PMC1430174
  5. Clissold SP. Paracetamol and phenacetin. Drugs. 1986. PMID 3552585 · DOI
  6. Prescott LF. Analgesic nephropathy: a reassessment of the role of phenacetin and other analgesics. Drugs. 1982. PMID 7035123 · DOI
  7. Hinson JA. Reactive metabolites of phenacetin and acetaminophen: a review. Environ Health Perspect. 1983. PMID 6339229 · DOI · PMC1569121
  8. Shelley JH. Phenacetin, through the looking glass. Clin Pharmacol Ther. 1967. PMID 5338386 · DOI
  9. Murray T, Goldberg M. Analgesic abuse and renal disease. Annu Rev Med. 1975. PMID 1096778 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

2,344
PubMed records on this heading
2%
published since 2020
134
review articles
15
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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