Acetaminophen toxicity has attracted media attention recently for leading to increases in acute liver failure and liver transplants.
Its availability as an over-the-counter medication and the perception that it is innocuous leads consumers to overuse it to self-treat toothaches, headaches, or joint and muscle pains.
In addition, some consumers are unaware that other medications—such as cold medications—contain acetaminophen.
Most adults can safely ingest up to four grams per day (six arthritis-strength caplets, eight extra-strength tablets or 12 regular-strength tablets). Children are dosed based on age or weight.
Difficulties arise when it is used in excess or ingested with alcohol, which may lead to serious liver damage.
Remind your patients that:
- Pain medication should not be used for more than five days for children or 10 days in adults.
- In the case of fever, it should not be used longer than three days in either children or adults without checking with you first.
- Acetaminophen is often found in prescription and over-the-counter medications. Tell patients to always read the labels of medications, such as cold and allergy preparations, to be sure they are not duplicating other acetaminophen they are already taking.
Remember to always ask your patients about other medications they take regularly, including over-the-counter pain, cold, or herbal medications.
A handy pocket card, containing a list of medications (both prescription and over-the-counter) with acetaminophen, is available by calling Barb Valella at (800) 228-7823, ext. 1450.