this post was submitted on 07 Jun 2025
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It's bizarre to me that someone can make it to adulthood without knowing that paracetamol specifically is no fucking joke.
People look up resources on them and see that the recommended max dose of ibuprofen is lower than paracetamol per day in weight of the active ingredient and stop reading.
They don't get to the part about how the effect per weight isn't the same. Or how damaging paracetamol can be for the liver if you take it regularly or go over the recommend limit. Heavy drinkers especially don't take into account the extra stress on their liver, which is a contributor to the 400-500 deaths it causes every year in the US alone.
Meanwhile ibuprofen makes you feel sick and want to vomit once you start to go over the recommended limit. And if you reach that stage, you basically just stay hydrated to keep your kidneys going and wait for it to pass. Since it usually takes another 2-3 times as much to for the severe effects to occur.
To quote Scrubs:
And in the pilot episode, it was J.D. and regular strength Tylenol.
Acetaminophen (paracetamol) is definitely tough on the liver. I remember during EMT classes (well, I kinda remember, was 20 years ago) having one of the paramedics in the class talking about how it was worse on the liver than heroin. Now yes, heroin obviously has other downsides, but it's just crazy to think about. I have always limited my intake of it, never take it if I've been drinking, that sort of thing. The issue is that it's not exactly common knowledge. I know plenty of people who would drink and take some Tylenol at bedtime to kill the hangover. Not a good habit.
It's not common knowledge?
Not in the US.
On an informal survey of several hundred men aged 18 to 60 at or below the income cutoff for recieving free medical insurance from the state they were living in, less than 10% knew Tylenol was bad for your liver at all and just over 25% knew that long term ibuprofen use was bad for kidneys.
The number goes up when income does, but considering the number of people working for minimum wage over here...
We have a culture of ADVERTISING medication here, every possible attempt at minimizing public knowledge of medical side effects is made at every legal turn because fear cuts profits.
Edit -- I should add that I've met multiple educated people who heard that the Brits had some super dangerous liver killing over the counter painkiller that they just LET people have who were glad we didn't allow that kind of nonsense here.
Very few people know what paracetamol is and would be surprised to learn it's another name for Tylenol.
It's common knowledge, in the same way that "you shouldn't text and drive" is common knowledge. People know it, and ignore it
I would say most people are like this. Knowing it's super dangerous in high doses is the minority because it's sold OTC and everyone knows and trusts it.
not everyone studies drugs
there is a stark difference between "studies drugs" and "does the bare minimum research on the pharmaceuticals one puts into their body"
It is absolutely imperative that you understand the safety profile of ANY substance entering your body.
I was about to make a joke about understanding the safety profile of the air you breathe, and then I remembered I work near various chemicals... Mfs have mixed clorox and lysol at my workplace before. Safety is no joke
not following safety is frequently funny, almost no safety procedures are funny, not following safety wins.
I was taught this as an actual child because it's so important and paracetamol is so common. It's nothing to do with "studying drugs".