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#acetaminophen#https#risk#more#don#safe#health#why#effects#possible
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Discussion (36 Comments)Read Original on HackerNews
There’s only a weak and now discounted statistical association that was seized upon by two disgraceful anti-science politicians to create a political controversy.
Some personal grievance against Tylenol brand?
More graft from a competitor?
Appease their conspiracy loving dumbass base?
Destroy the scientific reputation of the US?
Trump is actually that fucking stupid?
All of the above?
https://www.cbsnews.com/news/rfk-jr-cause-of-autism-research...
They actively reject the values of intellectualism, critical thinking, and expert consensus. They instead embrace empiricism, loyalty, and the great man theory.
It’s a recipe for severe Dunning-Kruger.
Not sure I understand the question!
Acetaminophen and dementia correlation:
https://pmc.ncbi.nlm.nih.gov/articles/PMC2877629/
https://www.sciencedirect.com/science/article/abs/pii/S01638...
Note that it's also hard on the liver. A lot fatalities due to taking after hangovers, etc: https://www.medicalnewstoday.com/articles/322813 So if you insist, maybe take some NAC.
But apparently, Ibuprofen helps counter the dementia risk:
https://www.aan.com/PressRoom/home/PressRelease/624
I am not not asserting any clever marketing here. I am merely citing public information. Noting all the above, I am confident it's perfectly safe for children and fetuses, and if posing any risk at all, applies strictly to full grown adults. No doubts about child safety have been expressed here.
Fatalities happen basically from: product stacking combination medicines people don't realize contain acetaminophen and/or multi-day accumulation exceeding max daily limit over multiple days.
Chronic drinkers have impaired acetaminophen processing so they can't handle otherwise safe doses, but fatalities still typically occur in multi-day accumulation scenarios. Their safe daily max is ~half that of a non drinker.
The effects of one round of acute drinking don't impair the liver in the same way. People are not dropping dead because they took a normal dose of acetaminophen for a hangover. Not that I'm recommending you start doing it, but it is a myth.
I find it obnoxious that NyQuil has taken over as the default brand people grab for cough syrup, for that reason. It has acetaminophen, while Robitussin or such have the other active ingredients without that risk.
The typical person doesn't read and understand active ingredients, and it's lucky if they even check dosage instructions.
Anecdotally, I hear about it far more in Internet comments like the parent than elsewhere. How common is it?
https://jamanetwork.com/journals/jamanetworkopen/fullarticle...
Emergency department visits ~56,000
https://pubmed.ncbi.nlm.nih.gov/16294364/
Hospitalizations ~26,000
https://pubmed.ncbi.nlm.nih.gov/16294364/
Deaths ~500 deaths/year
https://pubmed.ncbi.nlm.nih.gov/16294364/
Also, direct from FDA, for those promoting its use with alcohol: "Be aware that severe liver damage may occur if you have three or more alcoholic drinks per day while using acetaminophen." One can infer that stressing the liver prior, then again with tylenol, might be unwise. But by all means, headaches suck. I understand.
Also:
https://www.niaaa.nih.gov/health-professionals-communities/c...
But do not worry. The FDA only specifies that to qualify as risk, requires 'daily' intake of 'three or more drinks'. That is 'daily'. Therefore, it is, if you manage to survive binge drinking several cases of beer and your drinking pattern is null for day1-6, but n amount on day7, perfectly safe to take acetaminophen at will. The documentation does not refute this, therefore it is safe. Only daily drinks, three or more. Binge ok. Only official documentation good true. Inference bad false.
I stand corrected by ctoa!
And to the noble clinical researcher in the house (estearum), I much respec your authorituh. No corruption or monetary influence has ever affected the medical or research field. This I do not dispute. As a chartered researcher, you are an impervious and pure and good person. And honest too. Pharmaceutical industry applies here as well; beyond reproach -- if you're in, you're pure. The notion that they have financial incentives is schizophrenic and despicably paranoid. Anyone who thinks otherwise can have a $200 epipen stuffed in their eye, for free.
I also humbly rescind all my own experience and research. A single I "don't know much" sense from an illustrious professional medical champion was the evidence I needed to retire. Farewell and I shall never think nor speak again. All that cherry pickin really wore me out ;(
And for all:
ScienceDirect S0163834323001317 - A 2023 piece ("Association of regular use of ibuprofen and paracetamol, genetic susceptibility, and new-onset dementia in the older population") that found regular paracetamol use, but not ibuprofen, associated with higher risk of new-onset all-cause dementia, AD, and vascular dementia, independent of genetic risk. But ignore that. Acetaminophen is uncontested by good people. This = bad people https://www.sciencedirect.com/science/article/abs/pii/S01638...
*Mess due to comment throttling.
Of course, one might pause for a moment to consider just how potential the alluded benefits really are with ibuprofen, and ask why doctors aren't recommending it for mental health, or as a general health product. But that might point to the peculiar fact that there is substantially more evidence suggesting risk over health benefits, and the benefits really depend on what one wants to see. There is a reason it's not marketed as a health product, but with the way it's framed, it should be, nu? I mean, potential benefits sells a lot of snake oil and lowfat yogurt. Why not advil and acetaminophen?
And by similar logic used to dismiss acetaminophen here as a health risk, eg because there's no link with autism/ADHD it's safe; why not apply the same logic to opiates? We could just say opiates do not directly cause, eg , parkinsons, or AIDS, therefore it's safe for babies. Myself, I never correlated acetaminophen with autism/ADHD, but I know it has more side-effects than listen on the bottle.
Which also answers your other question of why doctors don't recommend it: we don't actually know that it does this.
As for the rest of the ramble, you (or I) definitely don't know hardly anything that hasn't been established in clinical trials. Certainly can't just vibes-based assess a label and its completeness. It's really, really hard to know things.
The precise wording as far as safety is: "we have no substantive or high-quality evidence that the drug is unsafe."
But truly, if I am the only rascal here on HN, deviating slightly from the subject title, I will gather the tinder. Let's burn me with haste!
surely some abuse of the drug could lead to adverse reactions?
are they just arguing for specific doses to not have negative effects? (that would be true of a lot of things we consider harmful)