What To Do If You Have Heart Problems Or Kidney Disease
When people have pain, they often take pain medicines called NSAIDs . These include:
- Advil and Motrin . Ibuprofen is also in other over-the-counter drugs, such as cold medicines.
- Aleve .
- Celebrex .
NSAIDs help ease pain and inflammation. But if you have high blood pressure, heart failure, or kidney disease, you should not take an NSAID. And you should not take any drugs that have ibuprofen or another NSAID in them. Heres why:
How Is Acetaminophen Toxicity In Children Diagnosed
Your provider will examine your child and ask you about recent medications as far as how much was ingested, the approximate time it was taken, and the type of formulation . To confirm a diagnosis of an acetaminophen overdose, blood tests are taken. These blood tests check:
- Levels of acetaminophen in the blood.
- Liver function, to determine how well the liver is working.
Which Painkillers Can You Use If You Have Heart Or Kidney Disease
There is no simple answer. The best painkiller to use depends on your health problems. It also depends on any other drugs you take. Be sure to tell your doctor about any prescription drugs, over-the-counter drugs, or herbal medicines you take.
Over-the-counter Tylenol is often the best choice for people with high blood pressure, heart failure, or kidney problems.
- However, high doses of Tylenol can damage the liver, so take the lowest dose you can to get enough pain relief.
- Never take more than 4,000 milligrams a day. Thats equal to twelve 325 mg pills.
If Tylenol or generic acetaminophen do not work, ask your doctor about using a stronger prescription painkiller, such as Ultram for a short time.
- If you have kidney problems, do not take more than 200 mg a day. And take it once every 12 hours to limit the risk of side effects.
- Do not use tramadol if you have epilepsy or if you take Paxil , Prozac , or Zoloft . Taking tramadol with these drugs can increase your risk of seizures.
This report is for you to use when talking with your healthcare provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk.
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Dosage Of Ibuprofen Or Acetaminophen
For the treatment of mild to moderate pain, minor fever, and acute or chronic inflammatory conditions 200 mg to 400 mg of ibuprofen will work, and is similar to 650 mg of acetaminophen oraspirin. Typically taken every 6 to 8 hours, the optimum dose of NSAIDs per day is 2400 mg which is 12 over-the-counter pills.
And What About The Liver Again
The work of breaking down acetaminophen is done by the liver so yes, at high doses, the liver can be affected. At regular doses, about 90% of acetaminophen is conjugated to form nontoxic metabolites. Another 5% is metabolized by the livers p450 enzyme to a toxic metabolite which is then rapidly detoxified. The kidney does almost no work and just excretes the metabolites in the urine.
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How Does A Child Get Acetaminophen Toxicity
The liver acts as a filter for the body. It processes drugs and detoxifies substances in your system. Your childs liver can stop working if it processes too much of a medicine or has to metabolize it for too long. Acetaminophen toxicity occurs when your child:
- Exceeds the recommended dosage or takes multiple doses too close together.
- Takes the recommended amount too many days in a row.
How Can Accidental Overdose Be Avoided In Adults
To avoid unintentional overdoses among adults, here are some suggestions.
- Read the labels of the medication bottles carefully and determine the amount or strength of acetaminophen in each pill or spoonful.
- Become familiar with all of the other medications that you are taking. Remember that over 200 drugs contain acetaminophen as one of the ingredients and that certain drugs, such as phenobarbital, can significantly increase liver damage.
- Before you take the medication, write down the maximum safe number of pills or spoonfuls that you can ingest over 24 hours. Stick to that quantity and do not deviate. If, however, you are unsure of the safe number of doses or think that you need to take more than you should, call your doctor or pharmacist.
- When you receive a prescription for a new medication, ask your doctor or pharmacist whether it affects the body’s metabolism of the other medications that you are taking, including acetaminophen.
- If you have been drinking alcohol regularly, do not exceed taking 2 grams of acetaminophen over 24 hours. Be honest with yourself about the ingestion of alcohol.
- Record the number of pills or spoonfuls of acetaminophen and the time that you take them.
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Why Is The Liver Affected By Tylenol
Tylenol is quickly absorbed into the blood through the gastrointestinal tract. Once in the bloodstream, it begins to relieve pain by increasing your body’s overall threshold to pain and it reduces fever by helping to get rid of excess heat. Ultimately, the blood filters through the liver where most of the drug is metabolized and its components are excreted in the urine.
Is It Bad To Take Ibuprofen Every Day
If you are suffering from an injury or illness, its perfectly acceptable to take Ibuprofen as directed for a few days in a row. However, regardless of whether or not you are prone to kidney problems, you should not take the medication every day indefinitely unless prescribed by your doctor. Not only can it cause kidney damage, but excessive Ibuprofen intake can also cause mild nausea, stomach ulcers, and more.
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Is Tylenol Or Ibuprofen Worse For Your Kidneys
Unlike Ibuprofen and other NSAIDs, the active ingredient in Tylenol does not cause damage to the kidneys. In fact, the National KidneyFoundation recommends acetaminophen as the pain reliever of choice for occasional use in patients who have underlying kidney disease.
Although NSAIDs are more likely to cause kidney issues, Ibuprofen can still be used as long as it is not taken in excess. Unless otherwise directed by your physician, you should be just fine using Ibuprofen for occasional pain relief.
The Safest Way To Take Acetaminophen
So, how can you take acetaminophen in a way that isn’t harmful? According to the American Addiction Centers, 1,000 milligrams at a single time, and no more than 4,000 milligrams over the course of a 24-hour period. And in practice, you should probably be taking much less unless your doctor indicates otherwise. The normal therapeutic dose is between 325 and 625 milligrams .
Of course, there are other factors that can determine how serious the effects of long-term acetaminophen use on your body will be, including your alcohol consumption and the overall health of your liver. The FDA recommends not drinking more than three alcoholic drinks if planning to take acetaminophen, not taking multiple medications that contain acetaminophen at the same time, and not taking more than directed by your doctor. Also, be aware of potential drug interactions, especially with blood-thinners, and medications for epilepsy and tuberculosis .
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What Are The Symptoms Of Acetaminophen Toxicity In Children
Symptoms of acetaminophen overdose dont appear right away. There may be no symptoms at all for up to 24 hours following an overdose. Its important to note the time your child takes their acetaminophen, and in what form it was taken.
Some symptoms of acetaminophen toxicity are:
- Continued nausea, vomiting, pain in the right side of the abdomen under the ribs, loss of appetite, tiredness.
- Dark or bloody urine, or reduced amount or frequency of urine.
- Confusion, sleepiness and loss of consciousness.
- Skin and eyes that appear yellow .
- Breathing problems.
- Blurry vision.
If you notice any of these symptoms in your child and you suspect an acetaminophen overdose, call an emergency number or go to the nearest emergency room right away. Call your local emergency number , or your local poison control center, which can be reached through the national toll-free poison help hotline .
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- Suppressed breathing
If you or someone you are with has slow or absent breathing or is difficult to wake up after using codeine, they may be accidentally overdosing. If this occurs, you should immediately call emergency services using 911 and prepare to administer first aid while waiting for help to arrive.
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Nsaids Are Bad For Your Heart And Kidneys
Long-term use of NSAIDs can make your body hold onto fluid. This can make the symptoms of heart failure, such as shortness of breath, swollen ankles, and a rapid or irregular heartbeat, worse. NSAIDs can also keep the kidneys from working well. This makes taking NSAIDs risky for people who already have kidney disease.
What Is The Correct Dose Of Acetaminophen For Children
Every childs dosage may be different. Among other factors, your childs dosage depends on
- Your childs weight and age.
- What form the acetaminophen is taken .
- What other medications your child may be taking.
You and your healthcare provider will determine the right dose for your child.
Remember that any other prescription and OTC medications also contain acetaminophen. Be sure to read the label of cold, sinus and other OTC medicines carefully to see how much acetaminophen it contains.
Always note your childs dosage when you give them acetaminophen.
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What Analgesics Are Safe For People Who Have Kidney Disease
Acetaminophen is the drug often recommended for occasional use in patients with kidney disease. But everyone with kidney disease should rely on their doctor or other health care professional for a personal recommendation. It is important to know that any drug can be harmful if used at high doses or very frequently. People with kidney disease should also be sure to avoid drinking alcohol while taking pain medicines.
Whats The Difference Between Tylenol And Aspirin
âThe Healthy Geezerâ answers questions about health and aging in his weekly column.
Question: What is the difference between Tylenol and aspirin?
Answer: Acetaminophen is the most widely used pain-reliever and fever-reducer in the world. It is contained in more than 100 products.
Tylenol is the best known over-the-counter acetaminophen product. It is also a component of well-known prescription drugs such as Darvocet and Percocet. Acetaminophen also is known as paracetamol and N-acetyl-p-aminophenol .
There are basically two types of OTC pain relievers. Some contain acetaminophen, which is processed in the liver. Others contain non-steroidal anti-inflammatory drugs , which are processed elsewhere. Examples of OTC NSAIDs are aspirin, ibuprofen and naproxen sodium .
Taking too much acetaminophen can lead to liver damage. The risk for liver damage may be increased if you drink three or more alcoholic drinks while using medicines that contain acetaminophen.
Acetaminophen is one of the most common pharmaceutical agents involved in overdose, as reported to the American Association of Poison Control Centers.
NSAIDs are associated with stomach distress. You should talk to your doctor before using NSAIDS if you are over 60, taking prescription blood thinners, or have stomach ulcers or other bleeding problems.
Itâs a good idea for all older adults to consult their doctors before taking any OTC medication.
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How Much Tylenol Can I Take
Acetaminophen is the generic name for Tylenol so they are the same thing. The recommended daily maximum is 4 grams per day, which would be 8 extra strength Tylenol or 12 regular Tylenol tablets. Thats the max. The regular dosing schedule is 325 mg 650 mg every 6 hours or 1000 mg every 8 hours or twice a day.
Ibuprofen Metabolized By Liver Or Kidney
and is normally filtered through the kidneys andIbuprofen is rapidly metabolized and eliminated in the urine, randomized, and sulindac in patients with asymptomatic renal failure: a prospective, The next time you reach for ibuprofen, Inactivation, randomized, it makes it to the point where it is needed in a usable form.After that, you will be able to make a more informed decision.
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Advil Vs Tylenol Liver Damage Risk: Symptoms Of Ibuprofen And Acetaminophen Overdose
Most things in life are about balance and moderation, and pain killers are no different. While Advil, Motrin and Tylenol offer relief when youve tweaked your neck or have a fever, taking too much of these medications can have serious health consequences, one of which is liver damage. But how much exactly is too much?
Acetaminophen, the active ingredient in Tylenol, is the one most closely linked to liver problems. The U.S. Food and Drug Administration warns against using higher than the recommended dose, even in the short-term using more than one product containing the drug or combining the drug with alcohol. FDA believes that consumers need to know that these products can cause serious side effects, such as severe liver injury and stomach bleeding, when used improperly. The maximum safe dose of extra strength Tylenol for adults, as per the companys website, is 3,000 milligrams per day, or six pills. Thats lower than it used to be Tylenol explains that the old dosage limit was 4,000 milligrams a day, and that it now recommends taking only two pills every six hours, when previously it said four to six hours.
Liver damage caused by Tylenol overdose could turn the skin yellow, a condition called jaundice.Image courtesy of Pixabay, public domain
To avoid liver damage associated with any pain reliever, the FDA advises following recommended dosage guidelines.
The Combo Is The Problem:
People get into trouble by not realizing that many over the counter and prescription meds have acetaminophen IN them. Acetaminophen works well for cold and flu symptoms, especially throat pain.
Seven out of ten Americans use over the counter meds to treat cold and flu symptoms and many of these have acetaminophen in them. Be careful here and read the Drug Facts labels. Examples of OTC meds with acetaminophen: Theraflu, Excedrin Migraine, and Triaminic just to name a few. Read the label.
Prescription meds that contain acetaminophen are Ultracet, Vicodin, Fioricet, Percocet . There are new restrictions that limit the amount of acetaminophen to 325 mg in each tablet but realize when you are taking Vicodin or Norco you are also taking Tylenol.
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What Is Acetaminophen And Acetaminophen Toxicity In Children
Acetaminophen is a common over-the-counter pain reliever and fever reducer for both children and adults. With the right dose, acetaminophen is very safe. Children are often prescribed acetaminophen for pain and fever reduction rather than aspirin because of the risk of Reyes syndrome.
But if a person of any age takes more than the recommended dose of acetaminophen the result can be acetaminophen toxicity. This is a dangerous situation. The liver cant process excessive doses of the medication. If a child takes too much acetaminophen toxins can build up in their body. This toxicity can cause vomiting, liver damage and death. Its important to deal with the situation quickly.
Is Codeine Bad For You
Codeine is a medication and can be helpful if used as prescribed and only for a short period of time. It can be an effective pain management medication and can help suppress coughing. However, codeine can be bad for you if you misuse it, take it in ways other than whats prescribed, or use it for prolonged periods of time. Never take someone elses codeine or in a way that isnt prescribed by your doctor.
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When Acetaminophen Does Injure The Liver
More good news: Its unlikely that taking acetaminophen over time causes chronic liver disease or cirrhosis. And when acetaminophen does cause liver injury, there is an effective antidote that can reverse the damage when started early. This drug is called N-acetylcysteine, or NAC. Most patients who receive NAC within 24 to 48 hours of an overdose of acetaminophen get better, and even those who progress to liver failure usually recover without the need for a liver transplant. Because of this, liver injury from acetaminophen is considered an all-or-none phenomenon that is, either the patient doesnt recover and needs a liver transplant to survive, or there is complete recovery without long-term liver damage.
Whats The Safest Otc Painkiller For An Older Parent
For most older adults, the safest oral OTC painkiller for daily or frequent use is acetaminophen , provided you are careful to not exceed a total dose of 3,000mg per day.
Acetaminophen is usually called paracetamol outside the U.S.
It is processed by the liver and in high doses can cause serious sometimes even life-threatening liver injury. So if an older person has a history of alcohol abuse or chronic liver disease, then an even lower daily limit will be needed, and I would strongly advise you to talk to a doctor about what daily limit might be suitable.
The tricky thing with acetaminophen is that its actually included in lots of different over-the-counter medications and prescription medications . So people can easily end up taking more daily acetaminophen than they realize. This can indeed be dangerous research suggests that 40% of acetaminophen overdoses cases are accidental.
But when taken at recommended doses, acetaminophen has surprisingly few side-effects and rarely harms older adults. Unlike non-steroidal anti-inflammatory drugs , it does not put older adults at risk of internal bleeding, and it seems to have minimal impacts on kidney function and cardiovascular risk.
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