Paracetamol Palava

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Paracetamol commonly called by their brands as: Emzor, M&B, Panadol is a household medicine in most individual’s lives.

From the medicine boxes of  mothers for quick relieve of fever in their kids, to the hand bags of career persons who take it to ease stress-induced headaches and all; everyone takes paracetamol at some point in life.

 It’s an important medicine which is on high demand that’s why it’s very rare to have an expired paracetamol tablet in a pharmacy and a community pharmacy which doesn’t have a stock of paracetamol may be considered unserious.

Whichever the case may be, the importance of this miracle medicine cannot be over emphasized as it works wonders. It produces rapid relieve of pain and fever when taken. 

No wonder people believe that the more tablets taken, the more relieve obtained.  Let’s reason together, does increasing the number of tablets of paracetamol taken provide better relieve from pains and fever

 Paracetamol when used at the medicinal dose which is 2 tablets of 500mg tablet every 8 hours daily for adults is usually safe and effective. 

Just as food is digested in the body to substances the body can use for energy & repairs, so also is paracetamol, when taken by mouth, it is absorbed in intestines.  After it has done its medicinal job, it is then broken down by the liver in to substances that the kidneys can remove via urine from the body. 

However, if more than this medicinal dose is taken, the liver cannot breakdown the excess in the usual way, hence it uses an alternative means that results in the production of a harmful substance which can destroy the liver. The liver is an integral life sustaining organ you cannot live without. 

The risk of liver damage varies from person to person and usually depends on age, health status other medications/alcohol taken alongside the paracetamol. 

The risk of  liver damage is greater with young children, elderly, people with other health conditions like diabetes, HIV/AIDS, Hepatitis, people are currently taking medications for Tuberculosis, Epilepsy/convulsions, or anyone who consumes alcohol regularly hence the amount of paracetamol given every time should never be outside the prescribed quantity.

It’s important that everyone takes precaution of the amount of paracetamol consumed per time to prevent the toxic effects. When proper dosing recommendations are followed, the risk of liver damage is extremely small. 

Since your body can only use the recommended quantity of Paracetamol to fight the headache/fever, the excess is dangerous to your liver. Therefore even if your pain persists please, resist the temptation to take more than/or give your child more than  the prescribed dose. 

If fever/headache continues or gets worse after the proper use of Paracetamol for more than 3days, consult your doctor/go to the hospital. Always confirm from the Pharmacist the correct dose of Paracetamol for your child and your age.

Finally, children are very curious and will eat anything, so ensure that paracetamol tablets/syrups are kept from their reach to avoid accidental poisoning.

Alison Williams, Intern Pharmacist, Federal Medical Centre, Keffi


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