Pain meds hcv

[runsincircles]

I just got my positive hcv test and I've been on Norco 10/325 for years for multiple issues including back pain.  I'm wondering if anybody else has taken tylenol containing products during tx.  All hydrocodone products contain tylenol or something similar.  I'm allergic to naproxen, and neurontin   and tramadol(ultram) caused seizures.  Do products that go through your liver keep tx from working as well?  Which pain meds have others had success with during tx?

[runsincircles]

Thanks guys!  I very rarely take more than three a day so I think I'm ok.  

[BigDaddy_59]

Like pooh says, 2000mg per day is (commonly) the most quoted figure for people with liver problems, but that doesn't mean you can take 6 at once and then do it again the next day. This is not aimed at you, but I have a lot of experience with things such as this. It means take as directed (usualy 1 or 2 every 6 hours) and no more than 6 10/325's in a 24 hour period!

I am cirrhotic myself and am not allowed to take any NSAIDS (ibuprofen, naproxen, aspirin) because of the increased bleeding risk with them so tylenol (acetminophen, Paracetamol, APAP) is the only thing my hepa allows me.

Also as pooh says, I know of no interaction with the Hep C meds.

Looks like you got a lot on your plate medically, but you have arrived at the right place for support. This is the best group of sick people I have met!

Good luck!!!,
Chris

[pooh55811]

Tylenol is all I take while on treatment. I actually take more while on treatment than I did before treatment, but hat would be easy because I took hardly any prior to treatment. Now I take it for the aches and pains and flu like symptoms but I never take more than 1000 mg a day and usually not even that. (I don't need more.) My doctor said I could take up to 1000 mg a day but shje is very conservative and I think most docs would say up to 2000 mg a day. Still, I stay below 1000 mg a day as a rule.

It is not the Tylenol per se, it is the amount of tylenol that is the problem. Most people can take up to 4000 milligrams per day with no problems. People with liver disease are usually told to take no more than 2000 mg. per day. The problem is that tylenol is in many, many, many over the counter medications (pain meds, flu meds, cold meds, cough meds, etc., etc., etc.). Many people do not read the labels and many do not know the other names for tylenol. Therefore, people get into trouble because they think the only tylenol they are taking is plain tylenol for pain while, in fact, they may be taking 2 to 4 times the amount of tylenol they think they are taking because they may be taking other products that contain tylenol but they do not know it.

Tylenol will not keep the meds from working. Depending on the status of your liver (from biopsy) tylenol in moderate doses should be fine but, of course, this should all be discussed with your doctor who will make a recommendation on the amount of tylenol you can take depending on your liver status.