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Acetaminophen

About

Acetaminophen belongs to the group of medicines called analgesics (pain killers), and antipyretics (fever-reducing agents) used to reduce fever and treat mild to moderate pain. Also, it is used to relieve headaches, migraine, toothache, period pain, back pain, muscle pain and rheumatic pains. Pain and fever are caused by the activation of pain receptors due to the release of certain natural chemicals in the body, like prostaglandin.

Acetaminophen contains acetaminophen that works by inhibiting the production of certain chemical messengers in the brain known as prostaglandins. Thus, reducing pain. Also, Acetaminophen affects an area of the brain that regulates body temperature known as the hypothalamic heat-regulating centre. Thereby it reduces fever.

Take Acetaminophen as recommended. In some cases, Acetaminophen may cause side effects such as nausea, stomach pain and dark-coloured urine. Most of these side effects of Acetaminophen do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Do not take Acetaminophen if you're allergic to any ingredient in it. Acetaminophen is not recommended for children below six years of age. If you are pregnant or breastfeeding, please consult a doctor before using the Acetaminophen. Avoid alcohol consumption with Acetaminophen as it may increase the risk of liver damage. If you have an impaired nutritional state caused by anorexia (eating disorder), malnutrition or alcohol abuse or if you are dehydrated, inform your doctor before taking the Acetaminophen.

Uses of Acetaminophen

Fever, Pain relief.

Medicinal Benefits

Acetaminophen contains acetaminophen, an analgesic (pain killer) and antipyretic (reduces fever). It inhibits the production of certain chemical messengers in the brain known as prostaglandins. Thus, reducing pain. Also, Acetaminophen affects an area of the brain that regulates body temperature known as the hypothalamic heat-regulating centre. Thereby, it reduces fever.

Directions for Use

Tablet/capsule: Swallow it as a whole with water; do not crush, break or chew it. Chewable tablets: Chew the tablet completely and swallow. Do not swallow it as a whole. Orally disintegrating Tablet: Keep the tablet in the mouth and allow it to disintegrate. Do not swallow as a whole. Avoid handling the strip with wet hands. Oral Suspension/Paed drops: Shake the bottle well before each use. Take the recommended dose by mouth using the measuring cup/dosing syringe/dropper. Effervescent Tablets/Dispersible Tablets/Soluble Tablets: Check the label for directions before use. Disperse the tablet in the recommended amount of water and swallow the contents. Do not crush, chew or swallow as a whole. Powder/granules: Check the label for directions before use. Mix the powder/granules in water, mix well and drink immediately.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Acetaminophen

  • Nausea
  • Stomach pain
  • Dark coloured urine

In-Depth Precautions and Warning

Drug Warnings

Do not take Acetaminophen if you're allergic to any ingredient in it. Caution should be exercised while using Acetaminophen in children. If you are pregnant or breastfeeding, please consult a doctor before using Acetaminophen. Avoid alcohol consumption with Acetaminophen as it may increase the risk of liver damage. If you have an impaired nutritional state caused by anorexia (eating disorder), wrong nutrition or alcohol abuse or if you are dehydrated, inform your doctor before taking Acetaminophen. Avoid taking more than recommended doses as it may increase the risk of serious liver damage.

Drug Interactions

Drug-Drug Interactions: Acetaminophen may interact with blood thinners (warfarin), cholesterol-lowering drugs (cholestyramine), analgesics (aspirin), antibiotics (chloramphenicol, rifampicin), anti-gout medicines (probenecid), antitubercular drug (isoniazid), anticonvulsants (lamotrigine, carbamazepine, phenytoin), and anti-nausea agents (metoclopramide, domperidone). 

Drug-Food Interactions: Acetaminophen may interact with St. John’s wort (herbal medicine to treat depression).  Avoid foods rich in carbohydrates and pectin, including jellies, cabbage, Brussels sprouts and broccoli as Acetaminophen may interact with these foods. Also, avoid intake of alcohol with Acetaminophen as it may increase the risk of liver damage.

Drug-Disease Interactions: If you have kidney or liver disease, hepatitis, Gilbert's syndrome (a liver condition), hemolytic anaemia (abnormal breakdown of red blood cells), G-6-PD deficiency (a hereditary condition resulting in low red blood cell counts), blood poisoning, inform your doctor before taking Acetaminophen.

Drug-Drug Interactions Checker List:

  • WARFARIN
  • CHOLESTYRAMINE
  • ASPIRIN
  • METOCLOPRAMIDE
  • DOMPERIDONE
  • CHLORAMPHENICOL
  • RIFAMPICIN
  • PROBENECID
  • ISONIAZID
  • LAMOTRIGINE
  • CARBAMAZEPINE
  • PHENYTOIN
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Alcohol should not be consumed with Acetaminophen as it may damage your liver and lead to excessive drowsiness or dizziness.

    • Safety Warning

      Pregnancy

      consult your doctor

      Please consult a doctor if you are pregnant or planning for pregnancy before using Acetaminophen. Your doctor may recommend the lowest dose of Acetaminophen and for the shortest duration if you are pregnant.

    • Safety Warning

      Breast Feeding

      consult your doctor

      Only consume Acetaminophen, if you are recommended by a doctor.

    • Safety Warning

      Driving

      not applicable

      Can be safely taken, Acetaminophen usually does not affect driving ability.

    • Safety Warning

      Liver

      caution

      Acetaminophen to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Kidney

      caution

      Acetaminophen to be taken with caution, especially if you have a history of Kidney diseases/conditions. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Children

      consult your doctor

      Acetaminophen can be given safely to children provided a child specialist has recommended the dose.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Get adequate sleep as resting the muscles can help in reducing inflammation and swelling.
    • Follow heat or cold therapy, apply a cold or hot compress on the joints for 15-20minutes regularly.
    • Acupuncture, massage and physical therapy may also be helpful.
    • Eat foods rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
    • Foods containing flavonoids such as soy, berries, broccoli, grapes and green tea help in reducing inflammation. 
    • Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
    • Avoid smoking and alcohol consumption.

    Special Advise

    • If you have a high fever or signs of infection after using Acetaminophen for more than three days or if pain persists after using Acetaminophen for more than five days, please consult a doctor.

    Patients Concern

    Disease/Condition Glossary

    Fever: Fever is an abnormal increase in body temperature due to infection, chemotherapy, or various disease condition. If the body temperature is 98.6°F, it is normal, and if it goes above 100.4°F (38℃), it is called fever or pyrexia. Body temperature increases in response to infection or varied problems to protect the body. Flu is one of the most common causes of fever. 

    Pain: Pain is a term used to describe any unpleasant feeling or discomfort. It occurs due to nerve damage (in cases of backache, toothache, or muscle pain) or persistent stimulation (in headaches or migraine). Pain may vary from mild to severe, depending on the underlying condition.

    FAQs

    Acetaminophen works by inhibiting the production of certain chemical messengers in the brain known as prostaglandins. Thus, reducing pain. Also, Acetaminophen affects an area of the brain that regulates body temperature known as the hypothalamic heat-regulating centre. Thus, it reduces fever.

    You are not recommended to take Acetaminophen with warfarin as co-administration of these two medicines may increase the risk of bleeding more easily. However, if you are supposed to use these medicines together, you are advised to contact your doctor so that the dose may be adjusted appropriately to use safely.

    Acetaminophen may affect how certain tests work such as blood sugar test and uric acid test. Therefore, if you are about to undergo blood test or any laboratory tests, inform your doctor or lab technician that you are taking Acetaminophen.

    You are not recommended to take Acetaminophen with other paracetamol containing products as it may cause paracetamol overdose.

    If you take more than recommended doses of Acetaminophen, it may cause overdose and lead to serious liver damage. The symptoms of overdose include vomiting, loss of appetite, stomach pain, paleness and nausea. However, if you notice any of these symptoms while taking Acetaminophen, please consult a doctor immediately.

    Yes, excessive intake or prolonged intake of Acetaminophen can damage your liver. Do not exceed a daily dose of more than 4 gm.

    Available Medicines for

    Acetaminophen

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