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Pain Medications : Acetaminophen Last Updated: Jul 1, 2011 - 8:08:19 PM


acetaminophen, Tylenol
By steve Steele
Jan 15, 2000 - 4:06:12 PM

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Acetaminophen (Tylenol) is a pain reliever and a fever reducer. Acetaminophen is used to treat many conditions such as headache, muscle aches, arthritis, backache, toothaches, colds, and fevers.

Paracetamol (INN)  or acetaminophen (USAN) or Tylenol is a widely used over-the-counter analgesic (pain reliever) and antipyretic (fever reducer). It is commonly used for the relief of headaches, other minor aches and pains, and is a major ingredient in numerous cold and flu remedies. In combination with opioid analgesics, paracetamol can also be used in the management of more severe pain such as post surgical pain and providing palliative care in advanced cancer patients. The onset of analgesia is approximately 11 minutes after oral administration of paracetamol, and its half life is 1–4 hours.

While generally safe for use at recommended doses (1,000 mg per single dose and up to 4,000 mg per day for adults, up to 2,000 mg per day if drinking alcohol), acute overdoses of paracetamol can cause potentially fatal liver damage and, in rare individuals, a normal dose can do the same; the risk is heightened by alcohol consumption. Paracetamol toxicity is the foremost cause of acute liver failure in the Western world, and accounts for most drug overdoses in the United States, the United Kingdom, Australia and New Zealand.

Paracetamol is part of the class of drugs known as "aniline analgesics"; it is the only such drug still in use today. It is the active metabolite of phenacetin, once popular as an analgesic and antipyretic in its own right, but unlike phenacetin and its combinations, paracetamol is not considered to be carcinogenic at therapeutic doses.The words acetaminophen (used in the United States, Canada, Hong Kong, Iran, Colombia and other Latin American countries) and paracetamol (used elsewhere) both come from chemical names for the compound: para-acetylaminophenol and para-acetylaminophenol. In some contexts, it is simply abbreviated as APAP, for N-acetyl-para-aminophenol.

The classification of paracetamol, and the terminology used to refer to it, can cause confusion. It is often classified as a nonsteroidal anti-inflammatory drug (NSAID), but paracetamol has few anti-inflammatory effects in many tissues. However, aspirin, paracetamol and other NSAIDs all act by the same mechanism (inhibition of prostaglandin synthesis) and all show varying levels of analgesic, anti-inflammatory, antipyretic and antiplatelet actions.

Important information about acetaminophen

An overdose of acetaminophen can damage your liver. Adults should not take more than 1 gram (1000 mg) of acetaminophen per dose or 4 grams (4000 mg) per day. Taking more can damage your liver. Ask a doctor before taking acetaminophen if you drink more than 3 alcoholic beverages per day, and never take more than 2 grams (2000 mg) of acetaminophen per day.

Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease cirrhosis). You may not be able to take medication that contains acetaminophen.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have liver disease or a history of alcoholism.

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as "APAP") is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen. Check the label to see if a medicine contains acetaminophen or APAP.

Acetaminophen side effects

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen can damage your liver.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

  • low fever with nausea, stomach pain, and loss of appetite;

  • dark urine, clay-colored stools; or

  • jaundice (yellowing of the skin or eyes).

Common medications checked in combination with acetaminophen

Advair Diskus (fluticasone/salmeterol)
Aricept (donepezil)
Aspirin Low Strength (aspirin)
Calcium 600 D (calcium/vitamin d)
Colace (docusate)
Cymbalta (duloxetine)
Fish Oil (omega-3 polyunsaturated fatty acids)
Lasix (furosemide)
Lexapro (escitalopram)
Lipitor (atorvastatin)
 Milk of Magnesia (magnesium hydroxide)
MiraLax (polyethylene glycol 3350)
Nexium (esomeprazole)
Plavix (clopidogrel)
Seroquel (quetiapine)
Synthroid (levothyroxine)
Vitamin B12 (cyanocobalamin)
Vitamin C (ascorbic acid)
Vitamin D2 (ergocalciferol)
Vitamin D3 (cholecalciferol)
 

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