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(CNN)   This article contains acetaminophen. Please read less than eight times in twenty-four hours   (cnn.com) divider line 59
    More: PSA, acetaminophen, Tylenol, warning labels, liver damage  
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4922 clicks; posted to Main » on 30 Aug 2013 at 12:07 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-08-30 10:44:24 AM  

Jon iz teh kewl: no.  it's called Tylenol.  the only pain reliever that goes by the generic name is ibuprofen.


I have a bottle of generic acetaminophen, but it's not in the dose of extra-strength Tylenol.

I also have a jug of Vicodin 10/660 (which is still less acet than Tylenol).

We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.

Sadly, I bet on my liver going first.
 
2013-08-30 11:49:09 AM  
Does that mean that the generic store brands that are just called "Acetaminophen" will now say "Acetaminophen. Contains Acetaminophen"?

YOU DON'T SAY?????
 
2013-08-30 11:54:47 AM  

Vodka Zombie: We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.


Yes, thank GOD that MJ is still illegal in much of the country. Smoking too much MJ in a 24 hour period can destroy your liver. Not to mention using MJ after having a couple of glasses of wine. That'll kill you. Really, it's a good thing that we have such a safe, widely available OTC alternative to manage pain like acetaminophen. Keep that nasty, dangerous MJ stuff out of the hands of chronic pain sufferers. For the livers.
 
2013-08-30 12:01:40 PM  

Walker: Does that mean that the generic store brands that are just called "Acetaminophen" will now say "Acetaminophen. Contains Acetaminophen"?

YOU DON'T SAY?????


2.bp.blogspot.com
 
2013-08-30 12:10:04 PM  

namegoeshere: Vodka Zombie: We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.

Yes, thank GOD that MJ is still illegal in much of the country. Smoking too much MJ in a 24 hour period can destroy your liver. Not to mention using MJ after having a couple of glasses of wine. That'll kill you. Really, it's a good thing that we have such a safe, widely available OTC alternative to manage pain like acetaminophen. Keep that nasty, dangerous MJ stuff out of the hands of chronic pain sufferers. For the livers.


I know, right?  I'm just happy someone in America is thinking of the children.  We don't want them injecting a marijuana or, god forbid, two marijuanas.
 
2013-08-30 12:10:19 PM  

Please read less
fewer than eight times in twenty-four hours
 
2013-08-30 12:14:01 PM  
Red Foxx is berating Lamont on some heavenly plane right now.  Think about it...
 
2013-08-30 12:14:16 PM  
Yet you can consume kilos of cannabis and suffer no long term effects...but cannabis is schedule one and considered toxic and highly dangerous.

Our culture is very stupid.
 
2013-08-30 12:15:21 PM  

Vodka Zombie: Jon iz teh kewl: no.  it's called Tylenol.  the only pain reliever that goes by the generic name is ibuprofen.

I have a bottle of generic acetaminophen, but it's not in the dose of extra-strength Tylenol.

I also have a jug of Vicodin 10/660 (which is still less acet than Tylenol).

We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.

Sadly, I bet on my liver going first.


there are ways to separate out the acetaminophen, or so I've heard... I've honestly only heard about it and can't tell you first hand if it works or how... weed questions I can answer all day however...
 
GBB
2013-08-30 12:15:48 PM  
Like I keep telling everyone: if you have to take that much acetaminophen, try ibuprofen; you've been trying to treat the wrong thing.
 
2013-08-30 12:16:05 PM  
Acetaminophen is one drug that's very much on the wrong side of the risk vs. benefit trade off. I never take the stuff or anything that contains it (that includes Vicodin or Percocet) if I can possibly help it.
 
2013-08-30 12:17:40 PM  
There is apparently a huuuge difference between taking 2 pills every 8 hours and taking 8 pills every 2 hours...
 
2013-08-30 12:19:36 PM  
>"With more than 600 (over the counter) and prescription medications containing acetaminophen on the market

Maybe, just maybe, you farks should stop putting acetaminophen in everything. Headache and sore throat? You ought to be able to take NyQuil and Tylenol. But noooo! That's an OD because some fark thought NyQuil needed acetaminophen in it too.

I guess I'm saying that maybe the problem isn't with Tylenol, but rather with everything else that doesn't need acetaminophen to work.
 
2013-08-30 12:20:57 PM  
As someone who works in the healthcare field, an overwhelming number of patients are borderline retarded.
 
2013-08-30 12:24:36 PM  
Really now? Putting a warning on the cap is really going to reduce accidental overdoses? Methinks it's just J&J's way of reducing risk to themselves when the inevitable overdoses occur...."We told him in big, bold letters to read the label!"
 
2013-08-30 12:24:49 PM  
Herp derp. Tylenol IS acetaminophen. Just read the damn label.

America needs education on what is 'brand' vs what is 'generic.'

Jon iz teh kewl: no. it's called Tylenol. the only pain reliever that goes by the generic name is ibuprofen.


Like this. You're referring to Advil, which is ibuprofen.

Excedrin was/is ibuprofen and caffeine. Great hangover cure.

Just read the damn labels people, most medications are just one thing.
 
2013-08-30 12:25:02 PM  
I'm allergic to aspirin, and ibuprofen, so just hold the Tylenol and pass the vodak.
 
2013-08-30 12:28:49 PM  
Being pecked to death by crows vs. liver failure with massive paracetamol?
pages 181 or 54 YOU decide
 
2013-08-30 12:31:04 PM  
Acetaminophen is for when aspirin does not work.  It should not be used as a first line of defense.
 
2013-08-30 12:33:55 PM  
Jon iz teh kewl:

Just read the damn labels people, most medications are just one thing.


I'd like to read the labels but since they've changed the font on them to a size smaller than that used in the fine print of car ads It's become more difficult.

/ Yes. I'm old
// And yes, certain activities cause blindness
 
2013-08-30 12:36:33 PM  

Headso: Vodka Zombie: Jon iz teh kewl: no.  it's called Tylenol.  the only pain reliever that goes by the generic name is ibuprofen.

I have a bottle of generic acetaminophen, but it's not in the dose of extra-strength Tylenol.

I also have a jug of Vicodin 10/660 (which is still less acet than Tylenol).

We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.

Sadly, I bet on my liver going first.

there are ways to separate out the acetaminophen, or so I've heard... I've honestly only heard about it and can't tell you first hand if it works or how... weed questions I can answer all day however...


Its called cold water extraction, its pretty simple, i wont go into easily googleable details but you need some hot water and a coffee filter.
 
2013-08-30 12:37:08 PM  
KILL ALL LAWYERS
 
2013-08-30 12:38:16 PM  

justtray: Excedrin was/is ibuprofen and caffeine. Great hangover cure.


This. Two of those plus a nuun tablet dissolved in 12oz of water before bed: hangovers don't stand a chance.
 
2013-08-30 12:38:33 PM  

Headso: Vodka Zombie: Jon iz teh kewl: no.  it's called Tylenol.  the only pain reliever that goes by the generic name is ibuprofen.

I have a bottle of generic acetaminophen, but it's not in the dose of extra-strength Tylenol.

I also have a jug of Vicodin 10/660 (which is still less acet than Tylenol).

We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.

Sadly, I bet on my liver going first.

there are ways to separate out the acetaminophen, or so I've heard... I've honestly only heard about it and can't tell you first hand if it works or how... weed questions I can answer all day however...


Cold water extraction.
 
2013-08-30 12:39:33 PM  

Jon iz teh kewl: no.  it's called Tylenol.  the only pain reliever that goes by the generic name is ibuprofen.


SUCCESSFUL TROLL IS SUCCESSFUL!

AliceBToklasLives: Acetaminophen is for when aspirin does not work.  It should not be used as a first line of defense.


Giving Asprin to a child who has a fever can cause Reye's Syndrome. Ibuprofin isn't used in anyone under six months due to the risk of renal failure in dehydration.
 
2013-08-30 12:39:38 PM  
Tylenol contains acetaminophen?!?!?!

I'm shocked. Just, just SHOCKED!
 
2013-08-30 12:40:56 PM  
Meh. I prefer Indomethacin.
 
2013-08-30 12:45:02 PM  
I'm overjoyed to see medical MJ climbing its way out of the dungeon of disrepute, and I'm perhaps even happier to see acetaminophen take another step in its long-overdue descent.

And I really hope I don't end up with a condition that calls for either one.
 
2013-08-30 12:45:25 PM  

Maus III: Meh. I prefer Indomethacin.


eso-cdn.bestpractice.bmj.com

/Approves!
 
2013-08-30 12:46:08 PM  
Inasmuch as the hepatotoxicity dose of acetaminophen is 30 grams (60 extra-strength capsules) , it's really hard to OD on it unless you are trying.  We used to see a lot of histrionic teenager in the ER, who had tried to "commit suicide" (read: attention whore) by taking 10 Tylenol. Enemas until clear and a good does of syrup of Ipecac, followed by ice water gastric lavages insured we'd never see the little shiat again.
 
2013-08-30 12:50:16 PM  

Vodka Zombie: Jon iz teh kewl: no.  it's called Tylenol.  the only pain reliever that goes by the generic name is ibuprofen.

I have a bottle of generic acetaminophen, but it's not in the dose of extra-strength Tylenol.

I also have a jug of Vicodin 10/660 (which is still less acet than Tylenol).

We have a pool going here as to which will happen first: My liver blowing out, or medical MJ becoming available.

Sadly, I bet on my liver going first.




God works in mysterious ways.
 
2013-08-30 12:51:12 PM  

JackieRabbit: a good does of syrup of Ipecac


Where do you work that gives Ipecac? I ask because I want to know where to become an expert witness for malpractice lawyers at.

Ipecac is no longer recommended by the AAP, the ACEP, or the American Society of Toxicologists.
 
2013-08-30 12:53:47 PM  
Meh. Aleve is better and lasts longer.
 
2013-08-30 12:56:44 PM  

JackieRabbit: Inasmuch as the hepatotoxicity dose of acetaminophen is 30 grams (60 extra-strength capsules) , it's really hard to OD on it unless you are trying.  We used to see a lot of histrionic teenager in the ER, who had tried to "commit suicide" (read: attention whore) by taking 10 Tylenol. Enemas until clear and a good does of syrup of Ipecac, followed by ice water gastric lavages insured we'd never see the little shiat again.


I think it is less the acute overdoses as it is taking multiple medicines containing it over a moderate period of time with staggered dosing periods. Consuming it faster than your body can process it over a week+ span or so.

Also not knowing to mix it with alcohol, and the chronic liver impacts of long term users.

Not so CSB, I knew an alcoholic (whose doctor was aware of this) that was prescribed Vicodin by said doctor. It almost killed him at the time. Wound up in the ICU for over a week, manual abdomen draining twice a day when he first got in. How that didn't turn into a malpractice suit, I'll never know.
 
2013-08-30 12:59:09 PM  
I avoid it because I am a moderate drinker.  Since most farkers are drinkers, I'd recommend they avoid it also.  No reason to put extra strain on the liver if you don't have to...

Pretty much all of the pain relievers have side effects if taken regularly in quantity, but acet seems worse to me for day to day issues.
 
2013-08-30 01:01:11 PM  

kitsuneymg: >"With more than 600 (over the counter) and prescription medications containing acetaminophen on the market

Maybe, just maybe, you farks should stop putting acetaminophen in everything. Headache and sore throat? You ought to be able to take NyQuil and Tylenol. But noooo! That's an OD because some fark thought NyQuil needed acetaminophen in it too.

I guess I'm saying that maybe the problem isn't with Tylenol, but rather with everything else that doesn't need acetaminophen to work.



And NyQuil has a good dose of alcohol, which is also known to damage the liver, when in conjunction with acetaminophen.  They could take all that crap off the market tomorrow, and it wouldn't bother me one single bit.
 
2013-08-30 01:06:47 PM  
i.eatliver.com
 
2013-08-30 01:09:30 PM  

C0rf: justtray: Excedrin was/is ibuprofen and caffeine. Great hangover cure.

This. Two of those plus a nuun tablet dissolved in 12oz of water before bed: hangovers don't stand a chance.


Excedrin is aspirin, acetaminophen and caffeine.  Not ibuprofen.

Nothing works better for any kind of headache.  Take two, and I swear usually I'm good for the rest of the day.  I keep it with me wherever I am, purse, car, work bag.  Knocks that crap out almost without exception.  (though I usually do buy the generic brand)
 
2013-08-30 01:10:38 PM  

justtray: Excedrin was/is ibuprofen and caffeine. Great hangover cure.


Except that you're wrong.  Excedrin is Aspirin, Acetaminophen, and Caffeine.
 
2013-08-30 01:11:22 PM  

Walker: Meh. Aleve is better and lasts longer.


Works so good, you can't tell when the bleeding ulcers begin.

I don't think there's a single pain killer out there not called weed than doesn't damage something or another.  Ibuprophen hits the kidneys.  Acetaminophen stresses the liver.  Naproxen and aspirin tear up the stomach.

As for me, I tend to bounce between the Vicodin and the Vicophen (The ibuprophen equivalent of Vicodin).  The doctor wants to bump me up to a stronger narcotic like Oxycodone, but I keep saying that tossing stronger and more and more addictive drugs at me isn't really the answer.

She's also decidedly anti-medical marijuana, but I think she's starting to come around.
 
2013-08-30 01:12:24 PM  

kitsuneymg: >"With more than 600 (over the counter) and prescription medications containing acetaminophen on the market

Maybe, just maybe, you farks should stop putting acetaminophen in everything. Headache and sore throat? You ought to be able to take NyQuil and Tylenol. But noooo! That's an OD because some fark thought NyQuil needed acetaminophen in it too.

I guess I'm saying that maybe the problem isn't with Tylenol, but rather with everything else that doesn't need acetaminophen to work.


The APAP in those medicines is there usually to make sure people do not fatally overdose from those meds.  You will die from liver failure long before the active meds themselves kill you.
 
2013-08-30 01:20:55 PM  
I've had chronic headaches for over 20 years, I've tried every over the counter drug available. If you read the labels they almost all have the exact same thing in them. I have no idea why, but Tylenol, ibuprofen, anacin (they still make that?) all done nothing for my headaches.

But excedrin will knock them out in about 30 minutes. With the added bonus of a stomach ache..
 
2013-08-30 01:35:09 PM  
Cold water, ice chips just melted upon stirring in a glass.  Crush pills between identical tea- or tablespoons over glass, stir in powder.  Let settle for a minute.  Hoover up (or pour off into new glass)  solvent with mouth using straw, swallow.  Avoid percipitate, that's the A.
 
2013-08-30 01:36:02 PM  
I never use the stuff, I need my liver. I knew someone who would have died of liver failure if his kidneys hadn't given out first, acetaminophen and alcohol were at least equal partners in the process.  Fortunately, I can take aspirin but this spring I got a painful lesson (ulcer) on the difference between "coated" and" enteric coated" aspirin.

/If you really want to know about the drugs/supplements you are taking talk to your pharmacist -- no doctor ever even mentioned that all coated aspirin are not created equal.
//Yes, I'm still pissed, I've lost my whole summer to Omeprazole and a bland diet.
 
2013-08-30 01:37:30 PM  

Gentoolive: I've had chronic headaches for over 20 years, I've tried every over the counter drug available. If you read the labels they almost all have the exact same thing in them. I have no idea why, but Tylenol, ibuprofen, anacin (they still make that?) all done nothing for my headaches.

But excedrin will knock them out in about 30 minutes. With the added bonus of a stomach ache..



Do you consume caffeine?  I have suffered from migraine headaches for more than 10 years.  I quit drinking caffeine and my headaches went away almost entirely.  When I do get headaches now they're not migraine strength.

Acetaminophen works best for me.  The Excedrin has caffeine so I quit using it.  I feel much better and don't miss the caffeine like I thought I would.  I still take Acetaminophen as needed for other pain issues.  NSAIDs like Ibuprophen, aspirin and Napoxen are harder on the stomach than Acetaminophen.  I also think pain relief from the meds varies from one person to another.  Naproxen is my second choice.
 
2013-08-30 01:38:13 PM  

Gentoolive: I've had chronic headaches for over 20 years, I've tried every over the counter drug available. If you read the labels they almost all have the exact same thing in them. I have no idea why, but Tylenol, ibuprofen, anacin (they still make that?) all done nothing for my headaches.

But excedrin will knock them out in about 30 minutes. With the added bonus of a stomach ache..


Do you play a doctor on tv?
 
2013-08-30 01:39:19 PM  
Tylenol: contains a known hepatoxin. Maybe you should gnaw on this tree bark instead...
 
2013-08-30 01:44:03 PM  

JackieRabbit: Inasmuch as the hepatotoxicity dose of acetaminophen is 30 grams (60 extra-strength capsules) , it's really hard to OD on it unless you are trying.  We used to see a lot of histrionic teenager in the ER, who had tried to "commit suicide" (read: attention whore) by taking 10 Tylenol. Enemas until clear and a good does of syrup of Ipecac, followed by ice water gastric lavages insured we'd never see the little shiat again.


I see that hardinparamedic addressed one of the issues, but I'll address another with your post... it's the level of hepatotoxicity you cited for acetaminophen (you said 30 grams).

This site  http://emedicine.medscape.com/article/820200-overview  states that for the average adult the minimum hepatotoxicity is 7.5 to 10 grams... for a single ingestion. It also states that the effects don't happen right away, taking a day or two before symptoms manifest.

What I think is going on here is that over the last 10 years, there have been changes to what is considered dangerous levels for acetaminophen. I personally know several people who have died from long term overdosing on it, and the problem is, it just wasn't so well known how damaging the effects were when you took a little too much. And when the system starts failing, the body goes downhill very rapidly. One day you're complaining you don't feel well. That evening you're in a coma. Three days later, you're in the ground.
 
2013-08-30 01:46:12 PM  
I guess I should say I have personally known... since they aren't here anymore.
 
2013-08-30 02:04:08 PM  

DubyaHater: As someone who works in the healthcare field, an overwhelming number of patients

caregivers are borderline retarded.

FTFM.
 
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