Expensive Dr. Cocarach: I’m a 70 -year -old girl with fairly good well being with a collection of ailments/situations which might be fairly nicely managed. I take round 15 prescription drugs and free sale per day (together with methotrexate) for my sjogren signs and different situations, along with statin.
9 weeks in the past, I underwent shoulder surgical procedure for a torn biceps tendon, a torn damaged sleeve, arthritis in my clavicle and a common “60,000 miles of adjustment” as my surgeon described. He warned me that it was troublesome surgical procedure, and restoration has been troublesome. I took oxycon for roughly per week and a half after surgical procedure, and since then, I’ve been within the most dose of four,000 items per day of Tylenol for ache.
I’ve a excessive ache threshold, however the ache remains to be greater than I can tolerate with out Tylenol, particularly with physiotherapy twice per week and doing 90 minutes of workout routines at dwelling each day.
Is there harm to proceed taking a lot Tylenol day by day? I do know there could also be abdomen harm. At what time ought to I fear about this? I’ve full blood counts (CBC) and integral metabolic panels (CMP) made each three months. Would harm to those take a look at outcomes be proven? – Sb
ANSWER: Acetaminophen (Tylenol) is a generally used analgesic that’s in a novel class and whose mechanism shouldn’t be totally true, though it appears straight within the mind.
Not like non -steroidal anti -inflammatory medicine (NSAIDs) similar to ibuprofen or naproxen, acetaminophen not often causes vital harm to the abdomen. The best toxicity with acetaminophen is for the liver, and is said to the dose. At four grams a day, there may be typically an elevation of liver enzymes. (The CMP accommodates liver exams that generally rise with acetaminophen). Hepatic enzymes excessive by themselves will not be dangerous to wholesome adults, however I’ve some warnings:
One is that acetaminophen is discovered in lots of OTC drugs, so in case you are taking the utmost dose, you have to rigorously have a look at another treatment you could take it. Oxycodone, for instance, is commonly mixed with acetaminophen, like many chilly drugs.
There are some pharmacological interactions with acetaminophen, however none with the drugs he talked about. Individuals who drink alcohol often, even at average ranges, can have the next danger, and advocate not more than three,000 mg a day for individuals who drink reasonably. The info is combined within the harmful that is, however I like to recommend that this degree be secure.
Expensive Dr. Cocarach: In his column on the way to forestall the pores and skin from getting misplaced, he talked about the significance of hydrating day by day. Inform us your suggestions on what to search for in an excellent moisturizer and any model suggestion. With so many manufacturers out there, it’s a troublesome activity with out having information about what to search for. – Bg
ANSWER: The very best moisturizer for an individual might not be so good for one more, so I can not give a solution to everybody. However for the column that talked about about photo voltaic purple (with darkish discolorations in skinny pores and skin and uncovered to the solar), I emphasize giant spectrum solar safety as a part of the skincare regime.
Dermatologists typically advocate moisturizers containing ceramid, with retinol and peptides really helpful by some. The lotions or ointments that comprise vitamin-Ok can even speed up therapeutic.
Dr. Roach regrets that he can not reply particular person letters, however will incorporate them within the column at any time when doable. Readers can ship questions by e mail to toyourgoodhealth@med.cornell.edu or ship mail to 628 Virginia Dr., Orlando, FL 32803. (C) 2025 North America Syndicate Inc.
All rights reserved