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Saturday, October 31, 2009

Overdose of Hydrocodone/Acetaminophen & Tyenol Extra Strength?

I was given Hydrocodone/Acetaminophen for pain from 2 tooth extractions. About 8 hours ago I took 2 of them instead of only taking 1 of them as prescribed, along with took 2 tyenols extra strength 500mg each. Pretty much immediately it made me sick with vommitting, loose bowels, nausea %26 slight dizzyness. I'm no longer vomitting or have loose bowels, however am still nauseated %26 somewhat lightheaded. Should I seek ER treatment? My mouth is beginning to hurt a little again, when would I be safe to take another Hydrocodone/Acetaminophen, without causing anymore problems of overdose?
Answer:
Look on your prescription bottle. After the words Hydrocodone/APAP, you'll find two numbers (##mg / ###mg) that tell you how much of each medication is in each pill. Generally, it'll be around 5mg/325mg (standard dosage).

If that's the case, you ingested about 1600mg of acetaminophen. There's no need to worry about overdosing at that level. At worst, you simply upset your stomach to the point where it tried to get rid of the excess meds in whatever way it could. The nausea and dizziness were probably just a reaction to the hydrocodone. If you've never taken it before, it can cause these side effects (see link below).

http://www.walgreens.com/library/finddru...

One thing to keep in mind - taking in excess of 4000mg of acetaminophen in the course of 24 hours CAN cause liver damage. As far as the hydrocodone goes, you should be okay to take it again now, but your system may still be sensitive to the acetaminophen. If possible, hold off on taking another tablet until tomorrow.
Overdosing on OTC painkillers can be damaging long-term - liver problems, "boomerang" headaches, stomach problems like ulcers, all kinds of things.
So wait at least 12 to 24 hours before taking anything again.

But a quick and safe alternative is to get clove oil in any drug store (near the bandaids and first aid stuff). Put a drop or 2 on a Q-tip and dab it on the sore area - the clove oil is a natural extract from the clove spice and it deadens the nerves for a while without any major side effects (try not to swallow it, it can burn a little in your throat or make it numb).
You can use it fairly often when it gets too painful.

Another option is to go back to the dentist (or see your own doctor) for a stronger prescription painkiller (which I don't recommend, pain medications have a lot of side effects and long-term problems associated with them).
Um...that was a little stupid...but it seems like you're okay to me. Did you have any food in your stomach when you took the percodan (I'm assuming that's what you have, or generic....since that's the smaller name for what you're calling it)....if not...that's why you puked. Try taking a percodan, and drinking just a little hard alcohol with it. Not too much though. It'll magnify the effects of the pain killers...or at least make you sleep.

If that's not enough, you need to call your doc and get on IV painkillers.
DO NOT take any more tylenol/acetomenophen in the next several hours!

If you can wait until morning - DO!

tylenol is highly toxic. I was hospitalized for a week for liver failure from taking a slight overdose - many of the same symptoms - it just took a couple days b/c it was a slight OD.

I can no longer take tylenol!

Do not mix alcohol or any other pain killers that your liver has to process with tylenol if you are having a reaction.

Please call your doctor for advice on what to take if the pain is too much.

Clove oil is a good topical option.
Insofar as acetaminophen overdoses go, your liver is in no real danger, but I never cease to be amazed at this "if a little is good, a lot must be better" mentality. Take what's prescribed and try to avoid being foolish. Add some ibuprofen if you must after your gut has settled down, or go get a stronger narcotic or perhaps even a repeat dental block (numbing with local anesthetic).
It's well established that acetaminophen, ibuprofen, naproxen and the like have a plateau effect. More is definitely NOT better with these drugs.
It's pretty likely that the stomach discomfort is from the Vicodin as is the light-headedness and dizziness. Watch the symptoms; you should be okay, make sure you take the med ONLY as prescribed and if it doesn't 'do the trick,' as for a stronger med or try what others have suggested.

Tylenol content, Tylenol content. Get in the habit of reading labels and don't exceed the maximum dose of Tylenol daily: 4 grams a day. This is the equivalent to 8 Extra Strength Tylenol. No more or your liver will suffer.

Same goes with ibuprofen, naproxyn, aleve and others. READ labels and if you're not sure, ask the pharmacist. He does more than count pills!
read the label ask your doctor

2 comments:

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    Tom Misaki
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    ReplyDelete
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