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This animated video briefly illustrate the four suggested pathways which might mediate the mechanisms of actions of Paracetamol (Acetaminophen)
1- Serotonin Pathway
2- Eicosanoids Pathways
3- Cannabinoids Pathways
4- Opioids Pathways
Additionally it explains why there are two different name for the same drug : Paracetamol and Acetaminophen.