I never take acetaminophen anymore and generally only take ibuprofen, and only a few times a year. Serious question: Why do people even take acetaminophen anymore?
Relevant to the article, ibuprofen is a pregnancy category D drug, which is basically "do not take this, period". It substantially increases the chance of heart and lung issues in the child, reduces amniotic fluid levels, and puts the mother at severe risk of excessive bleeding during delivery. Thus, if you're in need of pain management when you're pregnant, acetaminophen tends to be the go-to recommendation.
Personally, I take Excedrin for the occassional headache, because the combination of acetaminophen/aspirin/caffeine reliably kills my headaches in a way that ibuprofen doesn't. Ibuprofen tends to be my go-to for anything inflammation-related.
I also had no idea the overdose margins were so thin. I’ve taken a shit ton of Excedrin Migraine over my life. And Theraflu. And double doses of Excedrin Migraine after a does of straight aspirin or Tylenol didn't work alone.
Given the easy ability to overdose, I am of the opinion that acetaminophen should be sold singly and not in combination with anything else. Even if that means Excedrin Migraine doses come in a two pill combo. This way, people could easily calculate a total daily dose without it being in an unexpected product.
It's a miracle I still have a functioning liver.
Unless they are marketed very misleadingly (possible - opiates get tons of bad press, Tylenol doesn't), seems like you have zero reason to complain. You voluntarily consumed medications without even reading through the basic info that's on the box!
Splitting into two pills? Why would that work? Presumably most people will take both, so the packaging needs to reflect that. It helps nobody except people that are aware enough to know they want the caffeine but not acetaminophen, but not to just buy such a product in the first place.
When the word got out about tylenol and liver damage, one of the causes they cited was the same situation as above - multiple drug compounds. Migraines. Folks thinking tylenol was the safe choice, impossible to overdose on. Folks generally think the stuff on the shelf is really, really safe.
It isn't like they teach this stuff in school. While I might have known to look out, I didn't always know this. And if this sort of information misses you when it was the 'big news'... well, out of luck.
I'd much rather the products be in different pills most of the time as I think it means consumers might think a bit more about what they take and match it up with symptoms. Either that, or have many be only available without receipt after asking pharmacist or trained personel.
I had a mix of stuff purchased from a couple of different countries and in 2-3 languages. So yeah label reading was a bit of a challenge.
Migraine sufferers are sort of known for desperate self medicating. Not an excuse but it happen.
There are different formulations of Excedrin (ex: Migraine Tension has no aspirin) but the Migraine formula is identical to the regular formula.
https://www.theguardian.com/business/2015/dec/14/nurofens-ma...
- why did you stop? If you're an otherwise healthy person (not an alcoholic or don't have liver disease) then paracetamol is a great drug. A low level anti-inflammatory that doesn't cause GI upset or have anti platelet action
When in real pain, I combine half a regular acetaminophen dose with the regular ibuprofen. Works miracle since the two have different acting mechanisms and they are safe taken together or so I've been told by my doctor. Oh, and a little caffeine will further boost the effect for some reason.
But yes, acetaminophen ridden medication is dangerous, especially with flu and cold stuff since we can be in quite a confused state when sick. I always select a product without acetaminophen when possible.
Because taken properly, its often the safest drug for pain and/or fever reduction there is? NSAIDs aren't exactly without risks, either, after all.
(The dangers are mostly from people either deliberately taking more than the recommended dose, or doing so accidentally by combining different multi-drug products without realizing that they all contain acetaminophen.)
My understanding was that the biggest risk of Acetaminophen is that it's easy to overdose and it's relatively safe when one knows that and stays well below the safety limits (and likely with less side effects than ACC and Ibuprofen).
But the bottom line is probably that all painkillers have risks and one should avoid taking too much of them and consult a doctor if one takes them on a regular basis.