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There is no doubt that NAC is the mainstay of treatment against hepatotoxicity following APAP overdose

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doi: 10.1038/s41598-025-23630-7 69 EmmanuelO

Although compounded medications are not FDA-approved, they must still meet USP standards for pharmaceutical compounding, which specify that once an expiration date is reached, the product cannot be guaranteed sterile or potent

Jones MD, Santo JGF, Yakub B, Dennison M, Master H et al (2010) The relationship between drug concentration, mixing time, blending order and ternary dry powder inhalation performance