Dr said I could take up to 1500 mg a day of either for fever n aches. I only have 1 kidney n somehow have it in my head not to use acetaminophen. I'm using children's Motrin. Any advice here? Karen :) thanks guys..
Your platelets are already low, and NSAIDs can increase the risk for bleeding; imho, acetaminophen over the ibuprofen, hands down. With low platelets from tx and a compromised liver and kidney system, any of the NSAIDs are contra-indicated for you (includes Motrin, Advil, Aleve).
Tylenol is not to be taken indiscriminately either, though. With cirrhosis, no more than 2000 mg per day max (that means no more than 4 Extra Strength Tylenol in any 24 hour period).
Thanks all. Eureka - my bf went n for Tylenol. Feel soooo much better n less fearful. Will, it was funny when he offered to go to the store n I told him I had to check my forum first! Lol.
Still up m itchy. I only 400 mg n feel bettter already tho. Xo Karen :)
Having cirrhosis the only analgesic you ever should take is Tylenol (acetaminophen). This is "the standard" for all patients with all degrees of cirrhosis.
Over-the-counter pain medications such as NSAIDs (aspirin, Advil, Motrin, Aleve, and other medications) can cause unpredictable liver toxicity and kidney damage. They also can cause life threatening gastrointestinal bleeding. Something a cirrhotic wants to avoid at all costs.
Acetaminophen has predictable hepatotoxicity and affects the liver in a dose-dependent manner. In patients with chronic liver disease who have pain symptoms, acetaminophen can be used safely in a dosage of no more than 2 g per day. That’s the equivalent of four extra-strength (500 milligrams) tablets per day or 6 regular strength (325 milligrams) a day.
I agree with Hector and others. My doctor said with cirrhosis, no more than 2 grams of acetaminophen. The sheet for side effect management sent by his offices says 4000mg/day is okay if you are not cirrhotic.
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