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Pain Relievers: Tylenol a good option?
Jun 17, 2006

Hi Dr.

I read a few weeks ago an article stating that it can be harmful to take Tylenol for us affected with HBV.

In your experience can you please let us know what would you recommend to take when we have a casual headache or the flu ? Thanks for your answer and support!

Response from Dr. McGovern

You ask an excellent question.

The paper you mentioned is related to the risk of liver toxicity when a patient with acute hepatitis B or C (acute as in new onset) and then takes tylenol-containing products. The issue is that many patients feel quite ill when they get hepatitis viruses and sometimes take cold or flu remedies to make them feel better. Unfortunately many of these remedies also have tylenol (acetaminophen) in them. Patients don't even realize they are taking Tylenol.

Few teaching points: 1. Check the labels on your "over the counter" medicines. 2. When you have an acute hepatitis of any cause, avoid flu or cold remedies with tylenol in them. (I even saw this problem in a patient with hepatitis from mononucleosis who took a lot of Tylenol).

Dr. M

I praise u doc: answer me!
Hep B and Kissing

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