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Paracetamol (Acetaminophen)

Non-opioid analgesic / antipyretic
Last reviewed 19 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
3 available
Formulations
4

Mechanism of action

Inhibits central COX pathways and activates descending serotonergic inhibitory pathways; lacks significant peripheral anti-inflammatory activity

At a glance

Class
Non-opioid analgesic / antipyretic
Schedule
OTC
Storage
Store below 25°C

Dosing

🐕

Dog

Mild to moderate pain / fever
Dose
10–15 mg/kg
Route
PO
Frequency
BID-TID
Max dose
500 mg/dose; 1500 mg/day
Duration: 3-5 days maximum
🐈

Cat

CONTRAINDICATED — LETHAL IN CATS
Dose
0 mg/kg
Route
Frequency
DO NOT USE
Max dose
0 mg
Duration: NEVER — lethal to cats at any dose
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Tablet — 2

Strength
500mg
Available in India
Strength
650mg
Available in India
🧴

Suspension — 1

Strength
120mg/5mL
Available in India
💉

Injectable — 1

Strength
150mg/mL
Available in India

Storage

Store below 25°C

Safety

Absolute contraindications — do not use

  • CATS — ALL DOSES LETHAL
    CRITICAL: Paracetamol is LETHAL in cats. Cats lack UDP-glucuronosyltransferase and cannot metabolise paracetamol. Even 10mg/kg causes fatal methemoglobinaemia, Heinz body anaemia, and hepatic necrosis. A single 500mg tablet can kill an adult cat. NEVER administer to any cat.
  • Hepatic disease (dogs)
    Hepatically metabolised — toxic metabolite NAPQI accumulates in liver disease
  • Concurrent NSAIDs (dogs)
    Increased hepatotoxicity risk
    MeloxicamCarprofen

Use with caution

  • Puppies <12 weeks
    Immature hepatic metabolism — avoid or use reduced dose

Adverse effects

Common
Mild GI upset in dogs
Serious
Hepatotoxicity/liver failure (dogs — overdose)
Methemoglobinaemia (ALL CATS, dogs at high doses)
Heinz body anaemia (CATS)
Facial/paw oedema (CATS)
Death (CATS)

Monitoring parameters

Liver enzymes (ALT, ALP) in dogsMucous membrane colourPCV and methemoglobin levels if overdose suspected
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

No documented interactions.

Brands

India

Crocin
GSK
Dolo
Micro Labs

International

Tylenol
J&J

FAQs

Frequently asked questions

What is Paracetamol (Acetaminophen)?
Paracetamol (Acetaminophen) is a non-opioid analgesic / antipyretic used in pets. Inhibits central COX pathways and activates descending serotonergic inhibitory pathways; lacks significant peripheral anti-inflammatory activity
What is Paracetamol (Acetaminophen) used for in pets?
Paracetamol (Acetaminophen) is used in veterinary medicine for: Mild to moderate pain / fever; CONTRAINDICATED — LETHAL IN CATS.
What is the Paracetamol (Acetaminophen) dose for dogs?
For dogs, Paracetamol (Acetaminophen) is typically dosed as follows — Mild to moderate pain / fever: 10–15 mg/kg PO BID-TID. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Paracetamol (Acetaminophen) dose for cats?
For cats, Paracetamol (Acetaminophen) is typically dosed as follows — CONTRAINDICATED — LETHAL IN CATS: 0 mg/kg DO NOT USE. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Paracetamol (Acetaminophen)?
Common: Mild GI upset in dogs. Serious (call your vet immediately): Hepatotoxicity/liver failure (dogs — overdose), Methemoglobinaemia (ALL CATS, dogs at high doses), Heinz body anaemia (CATS), Facial/paw oedema (CATS), Death (CATS).
Does Paracetamol (Acetaminophen) need a prescription?
Paracetamol (Acetaminophen) is available over the counter. Even so, you should consult your veterinarian before giving any medication to your pet.
When should Paracetamol (Acetaminophen) not be used?
Do not use Paracetamol (Acetaminophen) if: CATS — ALL DOSES LETHAL; Hepatic disease (dogs); Concurrent NSAIDs (dogs).
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database

Related medicines

Other medicines in the same class (Non-opioid analgesic / antipyretic).

Acetaminophen
Centrally acting analgesic and antipyretic that inhibits COX enzymes in the CNS (primarily COX-3 variant), reducing prostaglandin synthesis centrally. Minimal peripheral anti-inflammatory activity. Metabolized by hepatic glucuronidation and sulfation; toxic metabolite NAPQI normally detoxified by glutathione.
dogcat
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