Tylenol (acetaminophen) is probably the most widely recommended analgesic for mild to moderate pain for patients with HCV. Taken according to directions it should be relatively safe, and is unlikely to cause further liver damage. If you have cirrhosis, you should discuss this with the doctor; dose reduction might be required.
Narcotic analgesics are generally considered liver friendly, but of course come with their own set of issues.
It all depends on how damaged your liver is whether it is an issue or not. Some on this forum have very little liver damage others have advanced cirrhosis. Each needs to take their own condition into account when evaluating what they should do or not do. Of course the best way for people to find out what is appropriate for them, is to ask your doctor. Only your doctor knows your entire health history and condition.
For cirrhotics, Tylenol is the recommended (acetaminophen) pain reliever. Of course as mentioned the dosage should not exceed a certain amount and should not be mixed with alcohol.
For the healthy adult 4000mg is the max. For a cirrhotic 2000mg or 1000mg is the recommended daily dose. Again it depends on the individual and their particular health condition(s).
NSAIDs like ibuprofen should NOT be taken by cirrhotics. They will make ascites worse. They cause salt and water retention. They can cause kidney damage. NSAIDs will make your symptoms of liver disease worse.
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