What you must know

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Acetaminophen is among the most commonly used drugs in the joined States. It is the main ingredient in Tylenol, Alka-seltzer, Nyquil, and also many cold and also flu medicines. It is also one the the ingredients in the narcotic prescription pain medicines Vicodin and also Percocet. Drugs that contain acetaminophen are available as drops, syrups, capsules, and pills, and are most regularly used because that headaches, muscle aches, expression periods, colds and also sore throats, toothaches, reactions to vaccinations (shots), and to reduce fever.

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If you use medications containing acetaminophen together directed, they space unlikely to injury you. However, with over 600 drugs on the market that have actually acetaminophen in it, many world take an ext than the maximum everyday dose without discovering it. You might shot to treat different problems with different commodities that each contains acetaminophen: for example, a person might take Tylenol pills because that a headache, and not establish it would be dangerous to also take Tylenol pm or Nyquil because that a cold. This double dose can reason liver damage, which have the right to be harmful or even deadly. In fact, liver injury since of an paracetamol overdose is the #1 reason of acute liver failure. Liver damage can additionally occur as a result of acquisition acetaminophen for longer than the recommended period of time, typically 10 days.

Even at the recommended dose, almost any medicine has actually side impacts that may cause problems for part people. In 2013, the Food and Drug Administration added a warning come all medications containing acetaminophen that they can cause a an extremely rare, however serious, occasionally fatal skin reaction i beg your pardon can happen at any type of time, even if you’ve take away acetaminophen previously without a problem. There is right now no way of predicting who might be at higher risk.<2> A 2015 British review of eight studies uncovered that there might be various other serious risks<3> with lengthy use that acetaminophen.

It’s safest to take only what you need. Acetaminophen is a pain reliever, however it go not provide relief from inflammation. It way that you should not take it it to reduce inflammation as result of a muscle sprain, because that instance. Several current studies proved that paracetamol is not reliable for suddenly occurred (acute) low-back pain.<4>,<5> and also provides only small and only short-term ache relief for osteoarthritis of knees and also hips.

What You have the right to Do to safeguard Yourself:

Avoid accidental overdose! before taking drugs the contain acetaminophen, make certain that girlfriend know:

How much you must take – the for sure dose. The parcel label can be confusing. Because that example, the instructions might say: “Adults and also teenagers—650 come 1000 milligrams (mg) every 4 to 6 hrs as needed.” This walk NOT average that you can take 1000 mg every 4 hours! since the best dose for an adult is 4 grams every day, you can take one of two people 650 mg every 4 hrs or 1000 mg every 6 hours. Tylenol’s manufacturer recommends even lower dose as a day-to-day maximum – 3.25 grams.<6>If you room not sure you know the dose, asking your medical professional or a pharmacist in ~ your neighborhood drug store before taking the drug.How countless hours you have to wait prior to taking another dose of acetaminophen – even if your pain or fever isn’t any type of better;How countless doses of acetaminophen you have the right to take safely each day;When you need to stop acquisition acetaminophen;Do any kind of other medicines you take also contain acetaminophen? never take much more than one.

Make sure you know precisely how much acetaminophen is in the sheep you or your kids are taking. If you are an adult, perform NOT take more than 4 grams per day, and also aim for less than 4 grams. Because that Tylenol Extra Strength, the maximum sheep is 3 grams per 24 hours. Do not take 2 Extra stamin Tylenol at a time, unless you discover that one is not enough. Follow the directions your doctor gives you or the directions that come with your medicine. This is a good habit for any type of medication.

Even 4 grams that acetaminophen may not be safe for everyone. Some human being naturally have a higher sensitivity to acetaminophen. If a physician informs you the you have a higher-than-normal sensitivity come acetaminophen, ask around a an excellent substitute. A human being with a tiny frame have to keep to the low end of the encourage dose variety (3,000 mg).

Acetaminophen is specifically risky for civilization who drink alcohol regularly. Do no take any acetaminophen drugs if you use alcohol regularly. Serious liver damage may take place if you are drinking 3 alcoholic drink per work while taking acetaminophen! If you drink beer, wine, or liquor daily, ask your medical professional what you have the right to take instead of acetaminophen.

Use just one acetaminophen-containing product in ~ a time to eliminate confusion caused by different sets of directions on various medications. If you need to take more than one acetaminophen product, salary close fist to the directions about the best dose. If you room still confused, questioning a doctor or pharmacist for assistance.

Acetaminophen can have various names. If you room checking to check out whether paracetamol is in various other medicines, that is important to know that sometimes it is called different things in various products. Because that example, prescription drugs the contain acetaminophen merged with a drug (codeine or oxycodone) may contact acetaminophen APAP. External the unified States, acetaminophen is usually called paracetamol, also though that is the exact same medication. Brand for all medical commodities are necessary to read, even if it is or no they space prescription medications. It is in on the lookout for the words acetaminophen, paracetamol, APAP, N-acetyl-para-aminophenol, acet, acetamin, or acetaminoph. Once the label is no available, you can examine if her medicine consists of acetaminophen here.

Prescription painkillers space dangerous. Prescription medications used to treat pain, such together Vicodin and also Percocet, can be dangerous since they encompass a narcotic, such as codeine or oxycodone. They additionally contain acetaminophen. If you use it for a lengthy time, friend might build up a yongin to the narcotic and will have to take much more of it to obtain the same pain-killing effect. In the meantime, you space damaging your liver with increased doses that acetaminophen.<7> ask your doctor what is in her prescription pain-killers and also discuss different alternatives if you feel you need a more powerful dose. Execute not take an ext than the recommended amount!

Be aware of the danger, and also share this details with friends, family, and also anyone else who is necessary to you.

Which medications contain acetaminophen?

Click right here to see some of the most typically used over-the-counter assets that contain acetaminophen.

Caution: If you or who you know has actually taken too much acetaminophen, whether deliberately or unintentionally, make certain he or she gets instant medical attention. Liver damages is not noticeable for hours or even days after acquisition acetaminophen, however if it leader to liver failure, it deserve to be fatal. Contact 911 or Poison manage at 1-800-222-1222 appropriate away come ask what to do.

The Bottom Line

Do not take bigger doses that acetaminophen, execute not take it it more often, and do not take it for a much longer time than your medical professional ordered or 보다 the package brand says. Avoid drinking alcohol while taking acetaminophen. Cross-check the ingredients in all drugs you are taking and never take much more than one medicine that has acetaminophen. In ~ the same time, do not panic and remember the acetaminophen in ~ the best doses is taken into consideration safer 보다 aspirin and other usual pain- and also fever-reducers such together ibuprofen.

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All posts are reviewed and also approved by Dr. Diana Zuckerman and other an elderly staff.

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FDA. FDA warns of rare paracetamol risk. Respectable 1, 2013. Http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm363010.htmTylenol dosage for adults. Http://www.tylenol.com/safety-dosing/usage/dosage-for-adults