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Previous studies have reported that the analgesic effect of acetaminophen involves the recruitment of endogenous opioid pathways that lead to analgesic spinal-supraspinal self-synergy ( mu -, delta -, and kappa -opioid receptor antagonists ( 3 (5-HT 3 ) receptor antagonist ( Analgesic Effect of Acetaminophen for Inflammatory Pain For many decades, acetaminophen was not considered to possess any anti-inflammatory activity and was, therefore, not appropriate for treating allodynia or hyperalgesia in inflammatory pain conditions

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