Wednesday, September 19, 2012

Too Much of a Good Thing


The constant, exasperating pain in the low back may drive you to use a lot of acetaminophen (e.g.,Tylenol, Anacin, Liquiprin, Percocet).  The drug is commonly used to treat musculoskeletal pain, osteoarthritis, headache, back pain and other inflammatory conditions.  Make sure you’re not taking too much of it.


 The following is an excerpt from 





Be mindful of the amount of acetaminophen you’re taking. This is especially true if you’re taking other prescribed analgesics containing mixtures of acetaminophen and opiates. An overdose (more than 2,000 mg per day) of acetaminophen can damage your liver. Also, if you have diabetes or are prediabetic, remember that acetaminophen may produce false results in urine glucose tests.

“The risk of liver injury primarily occurs when patients take multiple products containing acetaminophen at one time and exceed the current, maximum dose of 4,000 mg within a 24-hour period.”

Prescribed analgesics often contain acetaminophen combined with opioids such as codeine, oxycodone, or hydrocodone. The amounts of acetaminophen in these combination products can be quite high. A tablet of Anexsia, for example, contains 750 mg of acetaminophen. Lortab, Tylox, and Vicodin have 500 mg, while Percocet has 650 mg.

The FDA has recently asked manufacturers to reduce the acetaminophen content in these products to safer levels. The important thing to remember is not to consume more than 4,000 mg of acetaminophen within a twenty-four-hour period. Taking more than that is flirting with disaster.

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