Tylenol - August/September 2005

I know that I have done one other medicine, aspirin, and this letter will deal with Tylenol, or acetaminophen. Sometimes it's the easy, everyday things that we all think we know well, that need reviews.

Tylenol is an over-the-counter, “OTC” medicine that comes in many dosages, ranging from 80 to 500 milligrams. The different strengths are; infants, children, junior, regular and extra strength. It also comes in many different forms, including drops, liquid, chewable, tablets, capsules and suppositories.

Tylenol is used for pain and to reduce fevers. When taken as directed by your health care provider, or on the package, it is usually safe and without side effects. When used in children, it is based on weight, not age. The maximum adult dose is 4000 mg per day.

Side effects are usually rare, but may include nausea, and if taken to prevent fevers that are caused by a serious infection, it could mask symptoms of that infection; so do not use it for more than 7-10 days. Other side effects include symptoms of liver damage, severe nausea, vomiting, abdominal pain, jaundice, or yellow eyes and skin; dark colored urine, and fatigue. Of course a rash, itching, shortness of breath, trouble swallowing or swelling would indicate a life threatening reaction requiring immediate medical attention; call 911.

Precautions include known allergies, liver disease and alcohol dependency. Check with a pharmacist or health care provider if you are pregnant or breast feeding. Remember also, that Tylenol can be found in many medicines, including over-the-counter cold medicines, so be sure to read the ingredients of any combination pills that you are using. A good rule of thumb is that anything that has “cet” in the name includes acetaminophen, such as Darvocet or Percocet.

Tylenol overdoses can be accidental, such as a toddler who finds unlocked medicines while visiting at grandma's house, or intentional, when taken with a purpose in mind. Unfortunately Tylenol overdoses can be very serious, and may lead to liver damage or liver failure, sometimes even requiring a transplant; and depending on the amount taken, may even be fatal. If you suspect an overdose, call poison control 1-800-222-1222. If the person is unresponsive, call 911.

As with all other medicines, keep away from heat, moisture and sunlight. Do not store them in the bathroom medicine chest. And most importantly, keep them in a safe, protected area, well away from infants and toddlers.

Take care and be safe, Linda

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