Tylenol May Not Be As Safe As Previously Thought


According to a new study; Tylenol may not be as safe as previously thought. This study published in the March 2 2015 Annals of Rheumatic Diseases examined observational studies which reported mortality, cardiovascular, gastrointestinal or renal adverse events in the general adult population at standard analgesic doses of paracetamol (acetaminophen/Tylenol). The authors found a dose response relationship between paracetamol use and an increased risk for mortality, cardiovascular adverse events, gastrointestinal adverse events, and kidney adverse events. The authors note that the greatest risk was found by taking doses of Tylenol at the upper end of the standard recommended dose.

Tylenol, known as paracetamol to most of the world, is the most common over the counter pain relieving medication. It is the first step on the [World Health Organization] pain ladder and is currently recommended as first-line pharmacological therapy by a variety of international guidelines for a multitude of acute and chronic painful conditions. While these authors found that the risk of using this medication is real they caution that their data isn’t perfect and does not allow for confounding factors like use of other over the counter medication with Tylenol. Their data also does not account for overuse of Tylenol by taking pain relievers that include Tylenol such as Atasol Codeine and Tylenol separately after surgery or a procedure. Regardless of the imperfect nature of their data it is important because it shows that a commonly used OTC medication, taken at standard but upper end dosages can result in serious side effect.

Chronic low back pain was recently found to be the number 1 cause of disability world wide and chronic neck pain was found to be number 4. Chronic pain can be difficult to manage, pharmacological management has been the primary tool in the physicians chest to do this for far too long. Today we firmly understand that there are no perfect medications to take to manage chronic pain while reducing risk for serious long term side effect. In the treatment of spine pain chiropractic care has been found to be very effective and sage. In terms of long term management care to restore posture and alignment, like the care we provide, yields significant long term benefits over standard chiropractic or PT care.  Read my earlier posts to see a number of my discussion on published studies to back up my claims, please. If you or someone you know is suffering from chronic spine or spine related pain get yourself or them in to see us, we can make a difference.

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Posted in Back Pain, Healthcare Policy and Politics, Neck Pain

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