I think Acetaminophen is the one that is likely to cause liver damage. It’s fairly easy to exceed the processing capabilities of the liver with Acetaminophen and when that happens it causes liver damage. Also, since Acetaminophen is incorporated into so many other products like cough syrups and sinus and headache pills, people end up taking more than they realize because they take 2-3 products at a time. So Acetaminophen overdoses end up being surprisingly common.
Saw a stat recently that the #1 overdose (and overdose mortalities) seen in hospitals is acetaminophen, by a significant margin (orders of magnitude more than all opiods/opiates if I remember correctly, but don’t quote me).
I know a teenager that died from an accidental acetaminophen overdose. He had a cold so took Tylenol cold, which has acetaminophen, and then because he had a headache too, he took some extra-strength “regular” Tylenol. Turns out he was one of a small number of people that are particularly sensitive to acetaminophen and taking essentially a double-dose killed him in his sleep.
I was just surprised to find tylenol had a much lower effect on pain than once thought, as in way lower, hard to measure territory.
Of course, studies of this stuff are hard to do well, so who knows what we’ll see next year.
My personal experience is analgesics/NSAIDS are almost useless. So much so that I don’t even bother with them - why take on the risks if there aren’t tangible benefits?
THAT makes me wonder if these studies are problematic because there’s so much differentiation between individuals, or perhaps there’s an attribute that’s common to groups of individuals that makes these meds more/less effective.
The primary reason you shouldn’t use ibuprofen on a regular basis is that it causes ulcers in the digestive tract.
And it’s impact on the liver.
I’d say tylenol is perhaps a bigger issue, becuase research shows it’s nowhere near as effective as once thought. Weird.
I think Acetaminophen is the one that is likely to cause liver damage. It’s fairly easy to exceed the processing capabilities of the liver with Acetaminophen and when that happens it causes liver damage. Also, since Acetaminophen is incorporated into so many other products like cough syrups and sinus and headache pills, people end up taking more than they realize because they take 2-3 products at a time. So Acetaminophen overdoses end up being surprisingly common.
https://www.goodrx.com/classes/nsaids/nsaids-ibuprofen-bad-liver-kidneys
Extended Ibuprofen use can cause kidney damage though.
Saw a stat recently that the #1 overdose (and overdose mortalities) seen in hospitals is acetaminophen, by a significant margin (orders of magnitude more than all opiods/opiates if I remember correctly, but don’t quote me).
That’s pretty SOBERING. And frustrating.
I know a teenager that died from an accidental acetaminophen overdose. He had a cold so took Tylenol cold, which has acetaminophen, and then because he had a headache too, he took some extra-strength “regular” Tylenol. Turns out he was one of a small number of people that are particularly sensitive to acetaminophen and taking essentially a double-dose killed him in his sleep.
Tylenol is liver. Ibuprofen is kidneys.
Ah, thanks, I often get them mixed up.
I was just surprised to find tylenol had a much lower effect on pain than once thought, as in way lower, hard to measure territory.
Of course, studies of this stuff are hard to do well, so who knows what we’ll see next year.
My personal experience is analgesics/NSAIDS are almost useless. So much so that I don’t even bother with them - why take on the risks if there aren’t tangible benefits?
THAT makes me wonder if these studies are problematic because there’s so much differentiation between individuals, or perhaps there’s an attribute that’s common to groups of individuals that makes these meds more/less effective.