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Comment by martin1975 | Hacker News Reader

martin1975

Only if you use it in a manner not prescribed or on the label - 10-15mg/kg body weight every 8 hours with a maximum of four doses within 24 hours. It is available OTC everywhere except maybe the USA. Then again. USA has many things restricted OTC because the pharmacy/medical industry is more interested in milking you for money than helping you. They disguise this behavior as 'safety'.

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Paracetamol is incredibly easily available in the US (acetaminophen) and is actually far cheaper at a place like Costco than in European countries in which I've lived or visited pharmacies (CH, DE, or even UK). Like, 50x cheaper per tablet than in CH in my experience if you're willing to buy an obnoxious amount of them, and still typically cheaper if you buy more standard quantities.

> Paracetamol is incredibly easily available in the US (acetaminophen) and is actually far cheaper at a place like Costco than in European countries in which I've lived or visited pharmacies (CH, DE, or even UK).

Costco: 1000 @ $0.01 each

Boots: 16 @ £0.03 each

Nice!! In most EU countries it's not allowed to buy more than 24 (sometimes 48) paracetamol at a time because people sometimes try to suicide on them (which doesn't actually work but permanently damages the liver)

It's a bit of a stupid precaution though because you can just come back and buy another box or go to the next store. It doesn't prevent anything.

It can work but it's a really, really painful and slow way to die. And this kind of prevention can work: a lot of suicide prevention is focused on just putting enough barriers in place that it's harder to do on impulse. In the case of the limitation it's probably mostly so that people don't normally have a huge jar of them at home, which is what you get with buying them from costco. How many lives have actually been saved by this is pretty hard to judge though, but I would bet it's non-zero.

On the other hand it's left me without when I really needed it :( I would love to have a huge jar of this. There's so many ways to commit suicide and we can't stop them all.

I think medications in general are too restricted in the EU. Many medications that are really innocent require a doctor's prescription (which when I lived in Ireland cost me 60 euro just for the visit - at least here in Spain it's free to visit the GP).

Assuming the numbers in [1] are correct, the answer to "How many lives have actually been saved by this" is, what, somewhere around 4-5000 (~300 a year for 15 years + some extra)?

More interesting is that it took a long time for it to drop after the legislation was introduced in 1998 - presumably people were still working off their stockpiles?

[1] https://www.statista.com/statistics/471227/death-by-paraceta...

Paracetamol is available in the US as Tylenol/acetaminophen

Paracetamol, called Acetaminophen in some countries (mainly US and Japan) and is available OTC with Tylenol being the main brand in the US.

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