Posted on Jul 18, 2022, 4 p.m.
It’s easy to think that the dangers of drug abuse are limited to very powerful illicit drugs or medications that require a prescription. However, drug dangers exist in the most unsuspecting places, including medications that virtually everyone has in their homes. One example is the drug acetaminophen, popularly known by the brand name Tylenol. Here are some dangers you should know about acetaminophen and how it relates to illicit drug abuse.
It’s Accessible, But Is It Safe?
Acetaminophen is used to treat various symptoms, including fever and pain management. You can find variations of this drug at any pharmacy or drugstore, and it’s offered as a staple consumable at gas stations and even in hotel lobbies. Airlines and theme parks keep this drug on hand and will typically provide it at no cost for patrons in need. This drug is considered the most common drug ingredient in America. But its use is much more widespread than that. Not only is acetaminophen the active ingredient in hundreds of different over-the-counter medicines like cold and flu medications, but it’s also used in prescription opioids like hydrocodone and Percocet. If this drug is so widespread and readily available with virtually no purchase limitations, what makes it dangerous?
Before we answer this, we should first note that acetaminophen has some benefits. For starters, it does not pose the same risk of intestinal lining damage as its anti-inflammatory counterparts, including ibuprofen and aspirin. These drugs can damage the kidneys over time, which is not a shared concern with acetaminophen. However, the largest risk associated with acetaminophen is liver damage. When this drug is taken beyond the recommended limit or when someone overdoses or abuses the drug for a long period of time, it can lead to catastrophic liver failure.
The reason for this is that the drug’s byproduct is toxic to the liver. Several hundred cases every year result in death from acetaminophen and thousands of illnesses. The general rule for this drug is to use it only within the dosage guidelines on the label of the bottle and only for short periods. Overdoses (exceeding the daily amount) and long-term use are the two highest contributing factors to liver toxicity and other health complications.
How Acetaminophen Interacts with Other Drugs
Unfortunately, this is not the whole story. While plenty of risks are associated with using acetaminophen beyond its intended use, this is not typically where the danger lies. Instead, acetaminophen becomes especially dangerous when it is used alongside other medications or drugs. One example includes mixing acetaminophen with alcohol. Like pain relievers, alcohol can heavily tax the liver as it works to break down the substance. Readers are probably aware of the connection between alcohol abuse and liver damage, but most people do not think about the role acetaminophen plays in the process.
With alcohol use disorder (AUD) being one of the most pervasive drug abuse problems in the United States, the added stress on the liver to break down alcohol and acetaminophen can push the organ beyond its limits, resulting in a deadly situation. Beyond liver damage, these can include chronic upset stomach, internal bleeding, stomach ulcers, and rapid heartbeat.
Additionally, acetaminophen is dangerous when it is mixed with other drugs, such as opioids. While not all opioids contain acetaminophen, many of them do. If someone is prescribed an opioid to manage pain and finds themselves in severe pain before they are within the window for their next dose, they may be tempted to offset their pain with an over-the-counter (OTC) medication. If people do not know their prescription opioid already contains acetaminophen, they might unintentionally take Tylenol or a similar acetaminophen-containing drug from their home supply, resulting in an overdose. Labels will show whether acetaminophen is part of the opioid dosage, but this requires users to take the initiative to research the drugs they are mixing.
What This Means
Acetaminophen is not as dangerous as illicit drugs, especially when used within the recommended guidelines. However, this does not mean it should be used long-term or that there is no risk associated with it. One final consideration has to do with using the drug to curb withdrawal symptoms that people might feel during drug detox. Drug detox is considered safe when it is done alongside a dedicated team of professionals. This is because they know which drugs to prescribe to combat withdrawal symptoms.
However, attempting to self-detox can result in overdosing on acetaminophen or having an unintentional drug interaction. It is always a safe option to do this in a professional manner. If you think you have overdosed on acetaminophen, it is important to seek professional medical help immediately.
This article was written for WHN by Kevin Morris from the Delphi Behavioral Health Group, a dedicated family of facilities committed to offering individualized treatment for all levels of addiction working to treat it at its core to provide those suffering with the tools to start a journey of long-lasting recovery.
As with anything you read on the internet, this article should not be construed as medical advice; please talk to your doctor or primary care provider before changing your wellness routine.
Content may be edited for style and length.
Materials provided by:
Delphi Health Group. (n.d.). Guide to Drug Addiction: Symptoms, Signs, and Treatment. Retrieved https://delphihealthgroup.com/addiction/
FDA. (2022 June 9). Acetaminophen. Retrieved https://www.fda.gov/drugs/information-drug-class/acetaminophen
BeMedWise. (n.d.). Medicines Containing Acetaminophen. Retrieved https://www.bemedwise.org/health-research-and-reports/health-resources-and-toolkits/acetaminophen/acetaminophen-containing/
Delphi Health Group. (n.d.) Hydrocodone Addiction: Symptoms, Effects, and Treatment. Retrieved https://delphihealthgroup.com/opioids/hydrocodone/
Delphi Health Group. (n.d.). Percocet Addiction: Signs, Symptoms & Treatment. Retrieved https://delphihealthgroup.com/opioids/percocet/
Harvard Health. (2020 April 15.). Acetaminophen Safety: Be Cautious but Not Afraid. Retrieved https://www.health.harvard.edu/pain/acetaminophen-safety-be-cautious-but-not-afraid
Mayo Clinic. (2022 Apr 1). Acetaminophen (Oral Route, Rectal Route). Retrieved https://www.mayoclinic.org/drugs-supplements/acetaminophen-oral-route-rectal-route/proper-use/drg-20068480
Medical News Today. (2018 Aug 20). Is it Safe to Mix Acetaminophen and Alcohol? Retrieved https://www.medicalnewstoday.com/articles/322813
Delphi Health Group. (n.d.). Alcohol Addiction and Treatment Guide. Retrieved https://delphihealthgroup.com/alcohol/
Delphi Health Group. (n.d.). Opioid Addiction and Treatment. Retrieved https://delphihealthgroup.com/opioids/
FDA. (n.d.). Zohydro Prescribing Information. Retrieved https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/202880s020lbl.pdf
Delphi Health Group. (n.d.). Guide to Alcohol Detox: Severity, Dangers, and Timeline. Retrieved https://delphihealthgroup.com/alcohol/detox/