>>> Here is an older Journal of Nutrition article linking kidney damage
>>> to the use of Tylenol.
>>>
>>> Use of acetaminophen linked to kidney disease
>>> Nutrition Health Review, Summer, 1989
http://calbears.findarticles.com/p/articles/mi_m0876/is_n51/ai_8540843
>>> Here is the NIDDK statement on how Tylenol damages kidneys.
http://kidney.niddk.nih.gov/kudiseases/pubs/analgesicnephropathy/index.htm
>>> Here is another NIDDK publication "Kidney Disease in Diabetes" that
>>> specifically mentions the "lifetime load" of Tylenol and its impact
>>> on the diabetic kidney.
http://diabetes.niddk.nih.gov/dm/pubs/america/pdf/chapter16.pdf.
>>> From that article:
>>>
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>> As a matter of fact the Tylenol/kidney disease link was in the
>> newspapers not all that long ago, especially if taken
with alcohol.
>> As I understand it taking alcohol and then ibuprofen or
tylenol is
>> very hard on the kidneys.
>>
[quoted text clipped - 6 lines]
> that combining the two can, in unfortunate circumstances, destroy the
> liver (not the kidneys.)
It is well documented that excess paracetamol can cause
liver failure without alcohol being in the equation. There
was a case of a boy dying here in Oz recently from sudden
liver failure in hospital while being treated with
paracetamol. He is only the tip of the iceberg. Taken as
prescribed and short term there shouldn't be a problem. It
was a murky situation concerning the boy, there were hint of
overdose, but the boy was big, with kids they give x amount
per kg. Perhaps they calculated that to be a dose larger
than a child's liver can handle.
Dennis R - 10 Mar 2006 04:15 GMT
> It is well documented that excess paracetamol can cause
> liver failure without alcohol being in the equation. There
[quoted text clipped - 6 lines]
> per kg. Perhaps they calculated that to be a dose larger
> than a child's liver can handle.
When I was reviewing some of the abstracts in MEDLINE, there were
several studies of liver toxicity when acetaminophen and alcohol were
combined. I believe one was a study of 4 years of cases at an Australian
hospital, which covered accidental and non-accidental overdoses in
adults and children. Some other studies saw little difference between
overdoses of acetaminophen only compared to when combined with alcohol,
while others noted liver toxicity at half the FDA recommended maximum
daily dose of 4 grams. I believe those studies were noted in the
underlying meetings to draft the FDA letter I quoted previously:
http://www.fda.gov/cder/drug/analgesics/letter.htm
They also noted in the drafting meetings that several studies seemed to
indicate that overdoses sometimes occurred at levels below the
recommended limit, which seemed to be from co-existing medical
conditions, or just normal YMMV. (My paraphrasing).
Dennis (Type 2)