FDA Changes Tylenol Warnings But Doesn’t Tell You How to Take it Safely

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FDA Changes Tylenol Warnings But Doesn’t Tell You How to Take it Safely

 

FDA advisers have recommended lowering the maximum dose of over-the-counter

acetaminophen -- the key ingredient in Tylenol, Excedrin and many other

pain-killing medications.

The advisers' vote followed the release of a report last month, which found that

severe liver damage and even death can result from a lack of consumer awareness

that acetaminophen can cause such injury.

Many people may take more than the recommended dose of acetaminophen-based pain

relievers in the mistaken belief that taking more will be more effective without

posing health risks. And consumers may also not know that acetaminophen is

present in many over-the-counter products, including remedies for colds,

headaches and fevers, making it possible to exceed the recommended acetaminophen

dose accidentally.

 

 

 

 

In case you weren’t aware, the NUMBER ONE cause of acute liver failure in the

United States is from taking acetaminophen (Tylenol type products). So it is

high time the FDA took action.

A major part of the problem has to do with just how many over-the-counter (OTC)

and prescription products contain this drug. Acetaminophen is found in more than

200 over-the-counter cold and flu remedies and other medications, making it the

most widely used painkiller in the United States.

And of course, when many people have a cold, headache or other ache or pain,

they don’t just take two Tylenol and leave it at that. Many people double or

triple-up, taking multiple OTC medications, all of which may contain

acetaminophen.

So it’s actually very easy to overdose on acetaminophen, and thereby cause

serious liver damage or liver failure -- and this is what this new FDA warning

stems from.

In fact, you can actually have liver damage just from taking recommended doses

of Tylenol (such as eight extra-strength Tylenol tablets daily for a couple of

weeks), so hopefully these FDA changes will help to curb some of that.

What Will Actually be Changing?

The FDA advisory panel voted to make four major changes related to

acetaminophen, including:

Lowering the maximum daily dose of nonprescription acetaminophen for adults (the

max is currently 4,000 mg, and there was no word on what the lowered dose might

be)

Reducing the maximum single adult daily dose from 1,000 mg to 650 mg

Switching the 1,000 mg OTC dose to prescription-only status

Eliminating prescription acetaminophen combination products (such as painkillers

Vicodin and Percocet, which contain acetaminophen). It’s unclear whether this

recommendation suggests banning the drugs altogether or simply eliminating the

acetaminophen from the drugs.

The FDA still has to decide whether to accept these recommendations from the

advisory panel, and even then it could take some time for them to take effect,

but these are the proposed changes currently on the table.

The FDA Missed One Major Point

It’s thought that Tylenol causes its damage by depleting glutathione, an

antioxidant that protects cells from toxins such as free radicals.

So if you do take Tylenol or other types of acetaminophen regularly you can

limit some of the damage by taking N-acetyl cysteine (NAC), which is the

rate-limiting nutrient for the formation of the intracellular antioxidant

glutathione.

If you keep your glutathione levels up, the damage from the Tylenol may be

largely preventable. Even conventional medicine recognizes this, as anyone who

overdoses on Tylenol receives large doses of NAC in the emergency room.

So, while I am not a fan of using acetaminophen, I do realize and appreciate

that acetaminophen-containing drugs are sometimes necessary to suppress pain

while you seek to address the underlying cause of the problem (or are simply

recovering from an injury using time and rest).

That said, I am not convinced that removing acetaminophen from the most common

form of prescription painkillers is a wise move.

To me it seems the far wiser move by the FDA would be to mandate the use of NAC

to be included with all the prescription acetaminophen products, which would

virtually eliminate their toxicity.

This seems to me a very obvious solution, especially given that NAC is already

used for the treatment of acetaminophen overdose.

Are There Better Options for Pain Relief?

As you likely know, I am not a fan of most prescription and OTC drugs. But pain

relievers do sometimes get an exception; I don’t know about you but I am VERY

grateful for analgesics and anesthetics, when they are used properly.

Acute traumas frequently result in injuries that will benefit by temporarily

blocking your pain response, as do surgeries and certain other indications. Of

course these drugs are easily abused, but if used carefully and wisely I believe

they are a great advance in health care.

The type of use that painkillers often are NOT indicated for is the minor cold,

headache, fever, ache or pain that cause many people to pop Tylenol and other

pain relievers like candy. In these cases you are not doing your body any favors

by taking drugs, and instead should seek to address the underlying cause of your

pain or discomfort.

Often, it will be related to lifestyle factors such as poor diet, not enough

sleep or chronic stress.

To relieve this type of minor pain, or even more severe, chronic pain, the tool

that has worked the best in my experience is The Meridian Tapping Technique

(MTT), which is currently being used by more than 15,000 psychologists. MTT is

not only a drug-free approach for pain management of all kinds, but it can also

treat the side effects associated with conventional drugs.

MTT borrows from the principles of acupuncture, in that it helps you balance out

your subtle energy system. It helps resolve underlying, often subconscious,

negative emotions that may be exacerbating your physical pain. By stimulating

(tapping) well-established acupuncture points with your fingertips, you

re-balance your energy system, which tends to dissipate pain.

So if you are searching for a solution for your pain, I would encourage you to

learn more about MTT. 

You can also read through my comment in the first Related Article below for

eight more natural alternatives for pain relief.

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