this post was submitted on 07 Jun 2025
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[–] Ledivin@lemmy.world 88 points 2 days ago (15 children)

American here: I know paracetamol is acetaminophen, but how much is a packet?

[–] juliebean@lemm.ee 26 points 2 days ago (4 children)

according to the acetaminophen i've got at home, dangerous dosage is >4g per day. that means that if 4 packets was 20x that, each packet would be 20g, which, if they're normal 500mg pills, would be 40 pills per packet.

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[–] Ephera@lemmy.ml 20 points 2 days ago* (last edited 2 days ago) (11 children)

Various countries limit painkillers to small packet sizes (e.g. 20 pills here in Germany) and pharmacies only hand them out one at a time, so you can't overdose as easily/spontaneously, either like the person in the post did due to pain, or for suicidal purposes.
It's not perfect protection, as you can just go to multiple pharmacies to buy multiple packets, but yeah, you will have to actually go do that and will get told at the pharmacy that you shouldn't take more, if you're not aware.

[–] Duranie@leminal.space 17 points 2 days ago (3 children)

Yikes! The use of the term "packet" was initially confusing to me. Here in the States it's not uncommon to see small packets of a single dose of over the counter medicines in gas stations and convenience stores for when you're not at home and something comes up. The directions for extra strength Tylenol are 2 every 6hrs (1000mg dose) not exceeding 3 doses per day.

I was thinking "4 packets over 3 days, what's the big deal?"

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[–] Damage@feddit.it 44 points 2 days ago (6 children)

PSA: stupidity is dangerous

[–] Bytemeister@lemmy.world 32 points 2 days ago (1 children)

Yeah, how long until this idiot cooks this liver too?

Honestly, getting a liver transplant in a week is the most unbelievable part of this story.

[–] LilB0kChoy@midwest.social 13 points 2 days ago (3 children)

Happened to me. It was actually 6 days. Listed on a Friday, transplant was done the following Wednesday.

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[–] sxan@midwest.social 28 points 1 day ago (7 children)

You know what else is stupid? Pain management in the US. I get that you need to be careful about addiction, but the idea that people should have to suffer pain because we're having a pain medication "reefer madness" spasm is idiocy.

The guy just kept taking them until his teeth stopped hurting. Why is the alternative that he just has to put up with being in pain?

[–] sulgoth@lemmy.world 27 points 1 day ago (1 children)

The fact that the drug companies lied about the addictiveness of their product so doctors were handing them out like candy didn't help.

[–] Dozzi92@lemmy.world 11 points 1 day ago

Yeah, it was rampant here in Jersey, and we're definitely still feeling the effects. Things that didn't need opiates got opiates. And guess what? Lotta people all of a sudden need them for life. And it wasn't just Oh, here's your script. Doctors were knowingly abusing it for profit. So like with most things in life, some people ruin it for everyone else.

[–] RBWells@lemmy.world 9 points 1 day ago (1 children)

Yes it is. I have had, over my 40 years as migraineuse (they started in my teens) 5 intractable migraines. Meaning less than once every 5 years I get one that lasts days, I cannot eat or drink, just puke. I used to be able to go to my doctor and get shot up with opiates and Phenergan, so much of it, they would do one dose, come back later, another, another, another, until finally I would say "it still hurts but I don't care" and go home nodding like a junkie, sleep and wake up with no headache, and, importantly, NO desire for more drugs.

Now the opiates are not allowed because they didn't work. But nothing works on the status migraine. Now they give you a cold cocktail IV of some sort of Advil and nausea medicine and it doesn't work either, and costs $2,000 because it can only be done in the emergency room not the doctor office.

It's adding insult to injury. There has to be some way to make these available for acute situations at least.

[–] sxan@midwest.social 0 points 20 hours ago (3 children)

I worked with a middle-aged women once who had a variety of health problems - she wheeled an oxygen tank around the office with her - who told me she got a migraine during puberty and had had it ever since.

My wife has gotten migraine with aura since her teens, but thankfully only once every couple of months, and they tapered off to a couple times a year when she hit around 40. Her mom was opposed to allopathic medicine, so my wife never got anything stronger than sugar pills. They were bad; she'd last in bed crying and screaming, if she wasn't at the toilet dry-heaving.

Sometime after we married, she started trying all of the various migraine meds, like Imitrex; nothing worked reliably after the first couple of times, and now she keeps Vicodin in her purse. She uses, maybe, 20mg once every couple of months, and it mostly does like you say: she says it still hurts some, but she doesn't care.

I will hurt the person who tries to take that from her.

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[–] joel_feila@lemmy.world 8 points 1 day ago

We have never had good pain management here. Claiming babies can't feel pain, black people hace higher pain tolerance, etc etc. then we swung into really permissive use with oxycodone for a while.

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[–] NocturnalMorning@lemmy.world 53 points 2 days ago* (last edited 2 days ago) (10 children)

That guys a moron. The bottles are very very clear not to take more than the recommended dosage. Its labeled all over the bottle.

[–] leisesprecher@feddit.org 44 points 2 days ago

I'm kind of pissed that such obvious and preventable idiocy leads to an almost immediate liver transplant.

Yes, that's just a lucky coincidence for him, but still...

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[–] shadowedcross@sh.itjust.works 18 points 1 day ago (2 children)

It's people like this who make other people think any amount of painkillers is bad, and seem to get a sense of superiority about them for never taking any.

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[–] joel_feila@lemmy.world 11 points 1 day ago (7 children)
[–] TedZanzibar@feddit.uk 4 points 1 day ago (1 children)

Off the shelf in the UK, they're sold in packs of either 8 or 16 tablets, and shops are legally only allowed to sell you two packs at once. Pharmacies can of course supply larger quantities with a prescription.

The recommended dose is one or two 500mg tablets every 4 hours with a maximum of 8 tablets per day.

[–] joel_feila@lemmy.world 1 points 23 hours ago

ok that helps. Over here you can get a bottle of 100 or more at one.

[–] prole@lemmy.blahaj.zone 3 points 1 day ago* (last edited 1 day ago)

Yeah, I think this is what's causing the confusion here. We don't measure pills in "packets" in the US, so I think some people are taking "4 packets" to mean that they only took four pills and of course that's absurd.

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[–] FundMECFSResearch@lemmy.blahaj.zone 32 points 2 days ago (2 children)

I mean this is just dumb. Like I’m sorry but this would happen with basically every medicine or drug. They aren’t made to be taken at higher doses than advised.

(Imagine you took 8 liters of beer per day for 3 days, you’d be half dead too.)

Moderation people…

[–] ClockworkOtter@lemmy.world 20 points 2 days ago (7 children)

You haven't seen the ridiculous quantities that some alcoholics will consume

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[–] Alaik@lemmy.zip 8 points 1 day ago (2 children)

ITT: People who don't know the difference between acute and chronic ODs and how a smaller amount over a long period can hurt you. 325mg APAP x4 will not kill you short term.

The problem was taking it every day over a long period.

Its still fucking stupid though.

[–] prole@lemmy.blahaj.zone 2 points 1 day ago* (last edited 1 day ago) (2 children)

I think the problem here is the word "packet" and what that means here exactly. Would be much more clear if they listed the amount of mg, or at the very least, how many pills are in a "packet"

I'm like 99% sure they took way more than just 4 Tylenol.

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[–] then_three_more@lemmy.world 14 points 1 day ago (6 children)

It's why in the UK shops won't sell more than 2 packets at a time. It's statistically reduced the amount of people killing themselves with them (intentionally or by mistake).

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