I agree with Glenn.
I lost a West Philly friend and neighbor to Liver Damage caused by his routine, 
a "hang-over remedy" of Tylenol and Beer.
His theory was that he was going to, hopefully, sleep through his 2nd dosing 
opportunity and so he would take 4 Extra Strength Tylenol before he went to 
sleep.
He slept through to his death.
His college roommate discovered him in a coma, well past some missed deadlines, 
and he never woke up.

I don't think his parents got any settlement, as too many people had told hid 
doctors that he had taken more than the recommended dose.
An otherwise healthy guy in his twenties, a graduate of St. Francis de Sales 
and West Catholic a Catherine St neighbor, died 'abusing' Tylenol.
It has been so long since his death, (over twenty years), that I do not 
remember all the details, but I know his parents never recovered from the loss.
I still include the Maas family in my prayers and hope they all find peace.
I have not taken Tylenol since.
I have warned people to be wary of OTC drugs and to take warnings and 
recommendations seriously.
I believe that any time beer, (any alcohol), plus an OTC drug can produce such 
devastating results, there should be some extra warning, ESPECIALLY since 
Tylenol is often considered a hang-over preventive or remedy.
Instead, THOUSANDS of people are rushed into Emergency rooms each year for 
Tylenol complications, and most of us remain oblivious to its risks.

Be safe.  I have many neighbors but few I'd care to lose, and none to Liver 
failure.
Best!
Liz

---------- Original Message ----------
From: Glenn moyer <[email protected]>
To: [email protected]
Subject: [UC] acetaminophen warning
Date: Wed, 1 Jul 2009 08:29:03 -0400 (EDT)

Neighbors,

http://www.philly.com/inquirer/home_top_stories/20090701_FDA_panel_backs_cut_in_maximum_Tylenol_dosage.html


This warning is a good thing.  However, this article did not provide an 
additional warning about liver toxicity to those who drink alcohol, even at 
moderate levels.  That information is important too.

As stated in the article, acetaminophen is ubiquitous in over the counter 
medications.  Chronic pain patients, who take it regularly, are at increased 
risk when adding these additional drugs.  But what is not commonly known, in my 
opinion, is the increased risk of overdose for those who drink alcohol.

The liver enzymes which break down acetaminophen also break down alcohol.  
While a half a bottle of wine may be recommended with dinner in a healthy 
lifestyle, a chronic pain patient using acetaminophen daily may get a toxic 
build up in the liver.   Years ago, I read such cases, yet the health care 
industry often does not probe for such common potential drug interactions for 
their patients.

Example:  When I had wisdom teeth removed some years ago, the assistant came 
with the prescription while I was still goofy.  It was prescription strength 
acetaminophen with codeine.  I explained that short term narcotic use was fine 
and that I had no history of narcotic abuse.  I explained that I use alcohol 
and avoid acetaminophen, especially such high doses.  First, she was confused 
and then returned to say that there was no alternative narcotic she would give. 
 Knowing what they plan to prescribe, they should screen patients for common 
drug interactions before the surgery and they should explain such a common and 
expected interaction.

Pharmaceutical companies wish to mask symptoms and that is why they put 
acetaminophen in so many over the counter drugs.  Consumers feel relief from a 
multitude of symptoms and buy more of their crap.  Medical providers are 
terrified of appropriate narcotic use for pain because of diversion by narcotic 
addicts.  (Opiates have risk of overdose and dependence but are not 
particularly toxic).  Many people do not have their pain treated appropriately 
in our society because of this fear by medical providers.  

It's best to take a journal listing any and all drugs you take when going to 
any medical provider.  And be very careful about mixing all these "safe" over 
the counter drugs.  Even western medicine has reluctantly admitted that 
acupuncture can be very effective in treatment of pain for those with some 
chronic condition.

Glenn


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