this post was submitted on 07 Jun 2025
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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