Liver Disorders Community
Is My Liver ok?
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Is My Liver ok?

Hello I was sent here to ask this question, I am being treated for a herniated dics, bulging disc, pain in nerve thus causing fibromyalgia.  For the most part, I have been able to use natural methods but extreme temps, an injury or now a cyst or mass on my ovary is causing pain.  Level can be up to 8.  Anyway, for 5 days of ovulation if it's bad, the doctor will treat me with lortab 10/500 and sometimes tramadol. August was very painful in the heat and swelling, so it was both medications.  My question about acetaminophen.  Since for the 5-7 days I may be at the max dosage for both which is rare but yes for October and now looks like September too! Is this going to cause liver damage?  Just because  I dont overdose doesn't mean that it can't hurt the liver.  I took a tylenol yesterday because I didn't realize Tylenol was acetaminophen!  I've been having anxiety attacks all day worrying that my liver will begin to shut down.  The high dosages haven't been two months straight: just like two weeks per month with the last week being a kind of taper down.  I've stayed on the tramadol for the lingering pains of FM.  But I'm worried about the tylenol yesterday.  Should I stop taking everything?  Is there a chance my liver is crying out for help?!  I calculated the dose would have been 3700mg.  I think! If anyone can give me some peace of mind about the liver that would be great.  They did a panel a few months back just to check things since I have thyroid issues too, and everything was fine.  But, online I read stories of people dying from tylenol!!!!! Scared!!!
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Avatar m tn
This isn't a hep c forum - this is the "Liver Disorders" forum so your question is OK.

This is from:

http://www.hcvadvocate.org/hepatitis/factsheets_pdf/Acetominophen.pdf

"...The following tips can help prevent acetaminophenrelated
liver toxicity:
• Do not take more than the recommended dose of 4 grams
within a 24-hour period (for example, 12 regular strength or 8
extra strength Tylenol tablets)
• Do not take the full day’s dose at one time; space it out over
the course of the day
• Do not take acetaminophen for more than 10 days in a row
• Avoid drinking alcohol; this is important for people with
hepatitis whether or not they use acetaminophen
• People who do consume 2-3 alcoholic drinks per day
should not take more than half the usual recommended dose
of acetaminophen (2 grams within 24 hours)
• People with advanced liver fibrosis or cirrhosis should avoid
acetaminophen
• Write down how much acetaminophen you take, and when,
if you have trouble remembering
• Check the labels of all medications; small doses of
acetaminophen in combination remedies can add up to big
trouble."

In my opinion your dose of 3700 mg was probably OK depending on your alcohol intake. I think you'd be better off trying to get by with less but that is something best resolved by consultation with your doctor.

I'm not a doctor or in the medical profession in any capacity so bear that in mind when you consider my opinion. I'm just a patient who had liver disease.

Good luck,
Mike
5 Comments Post a Comment
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Avatar m tn
Hi, this is the Hep-C forum, you need to check out one of the other forums here it would seem............ Best to you,and good luck
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163305 tn?1333672171
Like can-do said, this is a hep C forum.

If you're really worried about your liver, ask your doctor to do a blood test, run some labs to see how well your liver is functioning now.

Good luck.


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3849996 tn?1348343757
Thanks, i'm sorry y'all i'm running around trying to find the right forum! thanks for your patience!
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Avatar m tn
This isn't a hep c forum - this is the "Liver Disorders" forum so your question is OK.

This is from:

http://www.hcvadvocate.org/hepatitis/factsheets_pdf/Acetominophen.pdf

"...The following tips can help prevent acetaminophenrelated
liver toxicity:
• Do not take more than the recommended dose of 4 grams
within a 24-hour period (for example, 12 regular strength or 8
extra strength Tylenol tablets)
• Do not take the full day’s dose at one time; space it out over
the course of the day
• Do not take acetaminophen for more than 10 days in a row
• Avoid drinking alcohol; this is important for people with
hepatitis whether or not they use acetaminophen
• People who do consume 2-3 alcoholic drinks per day
should not take more than half the usual recommended dose
of acetaminophen (2 grams within 24 hours)
• People with advanced liver fibrosis or cirrhosis should avoid
acetaminophen
• Write down how much acetaminophen you take, and when,
if you have trouble remembering
• Check the labels of all medications; small doses of
acetaminophen in combination remedies can add up to big
trouble."

In my opinion your dose of 3700 mg was probably OK depending on your alcohol intake. I think you'd be better off trying to get by with less but that is something best resolved by consultation with your doctor.

I'm not a doctor or in the medical profession in any capacity so bear that in mind when you consider my opinion. I'm just a patient who had liver disease.

Good luck,
Mike
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3849996 tn?1348343757
Thank you so much! This really helps.  I don't drink and I did space out the dosages!  I'm now just not taking the loritab 10/500 and probably won't touch it again unless dr would treat with 10/325 or whatever it is.  Sometimes the pain is so unbearable i can't walk! I work out too so I you're right I'm probably ok.  Really did calm my nerves! Thanks again!
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