Introduction Show Have you ever taken Tylenol to treat mild pain or reduce a fever? If so, then you’ve taken acetaminophen. It’s the generic name for the drug in Tylenol. This drug is also sold under many other brand names and is an ingredient in many over-the-counter drugs. It’s quite possible that you’ve taken it and not even known. Acetaminophen can have side effects. Although they don’t occur in most people, some effects can be serious. This is especially true if you take more than the recommended amount. Read on to learn about this drug as well as its side effects, including tips on what to do if you experience side effects and how to avoid them altogether. You can use acetaminophen to relieve mild or moderate pain. This is usually pain from colds, sore throats, headaches, body or muscle aches, menstrual cramps, arthritis, or toothaches. You can also use it to reduce fever. It’s not fully known how acetaminophen works. It doesn’t reduce swelling or inflammation. Instead, it’s thought that it blocks the release of certain chemicals in your brain that signal the sensation of pain. Acetaminophen has side effects, but most people don’t experience them. Most people tolerate this drug well. In rare cases, people have had allergic reactions to it. The most concerning side effect, though, is severe liver damage. It usually only happens when you overuse acetaminophen. Allergic reactionIn very rare cases, some people have had allergic reactions to acetaminophen. Call your doctor immediately if you develop the following reactions after taking acetaminophen:
Severe liver damageAcetaminophen poisoning can happen from taking too much acetaminophen. Your liver processes acetaminophen and converts it into a different substance. If you take large amounts of acetaminophen, your liver produces more of that substance. And when there is too much of it, that substance can damage your liver. However, if you take acetaminophen at the recommended dosage, liver damage from the drug is not likely. Symptoms of liver damage include:
If you suspect you’ve taken too much acetaminophen or notice any of these symptoms, contact your poison control center or get medical help right away. If you know you’ve taken more than the recommended dosage of acetaminophen, go to the nearest emergency room, even if you don’t have any symptoms of liver damage. If someone you know who has taken acetaminophen becomes unresponsive or stops breathing, call 9-1-1 or the number for your local emergency services. Read more: Acetaminophen overdose causes, treatment, and prevention » Acetaminophen overuse is more common than you think. That’s because acetaminophen is a common ingredient in many different over-the-counter drugs. Keep track of how much acetaminophen you take in one day. This can decrease your risk of overuse. Your individual acetaminophen limit may also be affected by your age or certain lifestyle habits. Severe liver damage is more likely to occur in:
Before giving acetaminophen to your child, check the package label for instructions. Verify the dosage. The dosage for children is usually in a chart that is based on age and weight. Your doctor or pharmacist can help you with the dosage if the package is unclear to you. If your child is younger than 2 years, talk to their doctor before giving them acetaminophen. And never give your child acetaminophen that is clearly marked for use only in adults. When used at correct dosages, acetaminophen is a safe and effective drug. It usually has no side effects. However, if you use too much, the side effects can be severe and even deadly. You need to know if any other drugs you take contain acetaminophen so that you don’t go over your daily limit. If acetaminophen is a part of your drug regimen, talk to your doctor to see what that limit is for you. Extra Strength Tylenol is a popular over-the-counter medication used to relieve pain, including arthritis pain. However, you must be careful not to exceed the maximum daily dose as an overdose can be toxic to the liver. This article explains how Extra Strength Tylenol differs from regular strength Tylenol or Tylenol Arthritis Pain. It also outlines the maximum dose recommended for adults and children as well as the signs and symptoms of a Tylenol overdose. Ellen Lindner / Verywell Available StrengthsWhen you go to the local drugstore, you will see many different types of pain relievers. Tylenol is different from products like aspirin or Advil (ibuprofen) as it is not a nonsteroidal anti-inflammatory drug (NSAID). Rather, it is referred to as an analgesic used for pain relief and has an altogether different mechanism of action from NSAIDs. There is not just one kind of Tylenol—several strengths of Tylenol are sold over the counter. All products labeled Tylenol contain acetaminophen as their active ingredient. The difference in Tylenol products has to do with the amount of acetaminophen in each tablet, capsule, or gelcap. This is measured in milligrams (mg). The strengths of Tylenol products are as follows:
RecapExtra Strength Tylenol contains 175mg more acetaminophen than regular strength Tylenol. Tylenol Arthritis Pain contains 150mg more acetaminophen than Extra Strength Tylenol. Directions for UseAdults and children 12 years and over should take two tablets, capsules, or gelcaps every six hours as needed with no more than six tablets, capsules, or gelcaps in 24 hours. The maximum daily dose of Tylenol (acetaminophen) is 3 grams (3,000 mg) in adults. For children, it is recommended to carefully read the packaging and to consult your healthcare provider for proper dosage. In 2011, the makers of Tylenol lowered the maximum allowable daily dose of Tylenol from 4 grams (4,000 mg) to 3 grams (3,000 mg) to encourage safe usage. Tylenol should not be taken for more than 10 days in a row. If you need to treat pain on an ongoing basis, speak with your doctor for the safest and most effective option for you as an individual. Acetaminophen may provide some immediate relief but is not considered a long-term solution. RecapThe recommended dose of Extra Strength Tylenol for adults and children 12 years and over is two tablets, caplets, or gelcaps every six hours as needed. The maximum daily dose is six tablets, caplets, or gelcaps. Do not use for longer than 10 days in a row. Overdose SymptomsTaking too much acetaminophen can be deadly because it can lead to hepatotoxicity (liver toxicity). Because Tylenol is available over the counter, acetaminophen overdose is one of the most common types of overdose around the world today. The liver is responsible for converting and clearing many chemicals from the body, including drugs like acetaminophen. When these chemicals are consumed in excess, the liver is "overwhelmed" and cannot clear the chemicals properly. Instead, the chemicals start to accumulate and cause damage to the liver. Drinking alcohol with acetaminophen only increases the risk of hepatotoxicity even at lower doses. For this reason, alcohol should never be consumed while you are taking Tylenol. Signs and symptoms of acetaminophen-induced hepatotoxicity include:
Symptoms often develop 12 hours or more after a major overdose. Because drug-induced hepatotoxicity can cause permanent, irreversible liver damage—and even death—is imperative that you go to the nearest emergency room if an overdose is suspected. RecapTalking more than the recommended dose of Tylenol can cause liver toxicity and liver damage. The risk is even greater if you drink alcohol while taking Tylenol. SummaryExtra Strength Tylenol is a popular over-the-counter pain reliever that is stronger than regular strength Tylenol but less strong than Tylenol Arthritis Pain. Each tablet, capsule, or gelcap contains 500 milligrams (mg) of acetaminophen. Extra Strength Tylenol can be used in adults and children 12 years and over. The recommended dose is two tablets, capsules, or gelcaps every six hours as needed. The maximum daily dose is six tablets, capsules, or gelcaps.
Never take Tylenol for more than 10 consecutive days without first speaking with your doctor. Taking more than the recommended dose can lead to liver toxicity and liver damage. The risk of this is increased if you take Tylenol with alcohol. A Word From VerywellAs a general rule, take as little Tylenol as needed to control pain. More is not necessarily better, and in some cases, taking too much can cause more harm than good. It is important to note that many cold & flu remedies also contain acetaminophen. If you are taking products like these, you may either need to avoid Tylenol or reduce the dose. Remember, the maximum daily dose of acetaminophen from all sources is 3,000 mg. Frequently Asked Questions
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