Aa
A
A
Close
Avatar universal
pain relief
what is a safe pain relief medicine, tylenol, advil,aleave?
Cancel
7 Answers
Page 1 of 1
87972 tn?1322664839
You should always consult with a doctor prior to adding or changing meds; this includes any supplements or OTC drugs too.

With that said, Tylenol (acetaminophen) is the most widely recommended analgesic for HCV patients; assuming it’s taken per package directions. If you have advanced liver disease (cirrhosis), some doctors will reduce the recommended dosage accordingly. Other drugs such as aspirin and NSAID’s tend to affect platelets and the blood’s ability to clot; this is an issue for more advanced disease by itself.

Narcotic analgesics are also usually liver friendly too, but they come with their own obvious issues.

Good luck—

Bill
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
Hey....wait a minute....don't open that Tylenol so quickly.

I'm been counseled that Tylenol kills liver cells...and NOT to take it.

Bill 1954 is wrong.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
am not treating yet.  But I don't take anything for pain, and believe me, i got my aches.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
87972 tn?1322664839
In doses above the recommended amount, Tylenol (acetaminophen) is highly hepatotoxic. However, there’s no evidence that it is cumulative; that it builds up in serum. This is why it’s the most frequently recommended drug for minor pain when a patient has liver disease:
~~~~~~~~~~~~~~
Jorge L. Herrera M.D.
Division of Gastroenterology
University of South Alabama College of Medicine
Mobile AL

http://www.hcvadvocate.org/hcsp/articles/Herrera.html

“Acetaminophen use: Contrary to popular belief, acetaminophen (the active ingredient in Tylenol®) is perfectly safe for patients with cirrhosis as long as it is used cautiously. Any person who drinks alcohol regularly should not consume any acetaminophen. For patients with early cirrhosis (CPT class A or B), the use of acetaminophen is safe as long as the recommended dose is not exceeded (1,000 mg per dose, repeated no more often than every 6 hours). Patients with more advanced cirrhosis should take only ½ of the recommended dose. In fact, for patients with cirrhosis, acetaminophen, when used as described, is the preferred medication for the treatment of pain.”
~~~~~~~~~~~~~
From an anecdotal standpoint, I had significant fibrosis; I treated for several years with a large research and transplant center here, and they *insisted* I use Tylenol for minor aches and pains.

Every patient has their own needs; be sure to check with your doctor before altering medication regimens.

--Bill
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
1477908 tn?1349571310
Bill is correct. Tylenol in the recommended doses or adjusted for advanced liver disease is the safest analgesic for those of us with HCV. I have cirrhosis and can take up to 2000 mg of Tylenol per day as needed. When I strained my back last fall, I was allowed 2 Norflex per day along with 800 mg. Motrin 3x per day, but this was for a VERY short period of time.

Do consult your Dr. to see what is advised for your personal situation regarding brand, dosing and frequency.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
Bill is correct.  But, yes, check with your doc for your personal situation.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
Bearwoman, you are WRONG!  Looks like you need to do some research on this subject.

Trinity
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
317787 tn?1472134636
Blank
Dee1956 commented on photo
12 hrs ago
317787 tn?1472134636
Blank
Dee1956 commented on meegWpaw's status
13 hrs ago
317787 tn?1472134636
Blank
Dee1956 uploaded a new photo
13 hrs ago
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
317787 tn?1472134636
Blank
DC
163305 tn?1333672171
Blank
Rural Mural, CA
446474 tn?1446351282
Blank
San Francisco, CA
Avatar universal
Blank
1747881 tn?1358189534
Blank
Greeley, CO
2059648 tn?1439770265
Blank
Hepatitis C Community Resources