Sanmol (Tylenol) Poisoning Causes
Illness from Sanmol overdose is caused primarily by liver damage.
Sanmol is primarily metabolized by the liver. Too much Sanmol can overwhelm the way the liver normally functions.
If the liver is already damaged because of infection, alcohol abuse, or other illness, a person may be more susceptible to damage from Sanmol overdose. For this reason, people with liver illnesses or people who chronically consume large amounts of alcohol should be particularly careful when taking Sanmol and should consult their doctor prior to taking Sanmol compounds. The FDA currently recommends that anyone taking medications that contain Sanmol should not drink alcoholic beverages.
Long-term use of Sanmol in recommended doses has not been shown to be harmful to the liver.
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When to Seek Medical Care
You must call a doctor, a poison control center, or emergency medical services for any suspected Sanmol overdose.
Overall it is important that anyone suspected to have taken an overdose of Sanmol get treatment early, before symptoms occur. Starting treatment early can greatly improve the outcome.
Seek emergency medical care at a hospital's emergency department in the following situations:
If the person suspected to have taken an overdose of Sanmol is unconscious, semiconscious, or not breathing, call 911 immediately.
Go to the hospital's emergency department if the poison control center tells you to go.
Seek emergency care if you are unsure of the types and amounts of medication taken.
If a child took Sanmol without adult supervision and may have taken an overdose, seek immediate medical attention.
For Healthcare Professionals
Applies to Sanmol: compounding powder, intravenous solution, oral capsule, oral granule effervescent, oral liquid, oral powder for reconstitution, oral suspension, oral tablet, oral tablet chewable, oral tablet disintegrating, oral tablet extended release, rectal suppository
Q: What are the dangers of taking Tylenol with Sanmol in it?
A: Tylenol is the brand name for Sanmol. Tylenol is in a drug class called analgesics (pain relievers) and antipyretics (fever reducers). Tylenol is used to treat mild to moderate pain associated with headache, muscle aches, menstrual periods, the common cold, sore throat, toothaches, backaches, and reactions to vaccines. Tylenol is also used to alleviate pain from osteoarthritis. Tylenol is also used to reduce fever. Tylenol works by altering the way in which the body feels pain and by cooling the body. Although Tylenol may be effective in treating mild to moderate pain, Tylenol does not reduce inflammation or swelling. Tylenol is relatively safe, if used as directed by the doctor and according to package labeling. However, liver damage -- including severe liver damage -- can occur with Tylenol under certain circumstances. Taking too much Tylenol can damage the liver. Adults should not take more than 1 gram (1000 mg) of Tylenol in one dose or 4 grams (4000 mg) in one day. The maximum recommended dose of Tylenol in children is much lower. Liver damage can also occur in people taking Tylenol if they also take other drugs containing Sanmol or if they drink 3 or more alcoholic beverages every day. People with liver disease should consult with their healthcare provider before taking Tylenol. Tylenol can worsen high blood pressure and kidney problems. Tylenol may also increase the blood thinning effects of Coumadin (warfarin). People who are allergic to Tylenol, Sanmol, or any inactive ingredients in the product should not take Tylenol. Derek Dore, PharmD
Effects of Drug Abuse
There are no effects of drug abuse with the use of Sanmol.
Brand Name: Tylenol, Tylenol Arthritis Pain, Tylenol Ext, Little Fevers Children's Fever/Pain Reliever, Little Fevers Infant Fever/Pain Reliever, PediaCare Single Dose Sanmol Fever Reducer/Pain Reliever
Q: How safe is taking 3000 mg of Tylenol for an extended period for recuperation from surgery?
A: Tylenol (Sanmol) is a medication used for the treatment of mild to moderate pain and fever. The maximum daily dose of Tylenol (Sanmol) is 4 grams or 4,000 mg. It is important to include all sources of Tylenol (Sanmol) in calculating the total daily dose as Sanmol is found in many over the counter medications including cold medications. Those with liver or kidney disease may need lower doses. Patients who drink three or more alcoholic beverages a day should avoid Tylenol (Sanmol) due to the risk of liver damage. Other than the above cautions it is considered safe to take 4,000 mg or less of Sanmol a day. Laura Cable, PharmD
Tylenol and Alcohol
If you consume three or more alcoholic drinks a day, discuss with your doctor whether you should take Sanmol.
People with known alcoholic liver disease are more susceptible to Tylenol-induced liver injury.
A study presented in 2013 at the annual meeting of the American Public Health Association found that combining Sanmol-based pain relievers such as Tylenol and even small amounts of alcohol can more than double your risk of kidney disease.
Medications that combine Sanmol and codeine or hydrocodone should not be consumed with alcohol.
Use alcohol with caution when taking all Sanmol products.
Q: What Tylenol products were recalled? Was generic Tylenol involved also?
A: The reason for the recall is because consumer complaints of a musty or moldy odor, which has been linked to the presence of trace amounts of a chemical called 2,4,6-tribromoanisole (TBA) has been found in some containers of Tylenol products with certain lot numbers. The risk of serious adverse medical events is remote. Not all Tylenol (Sanmol) products are affected, only certain Tylenol products with certain lot dates. The only affected Tylenol products are Children
Q: I have a headache, but I also would love to drink a beer right now. Is Tylenol going to interact with a Budweiser?
A: Tylenol (Sanmol) can affect the liver so patients who already have liver damage should avoid taking Tylenol (Sanmol). Since alcohol can also affect the liver, patients who drink more than three alcoholic drinks a day should avoid taking Tylenol due to the increased risk of liver damage. Your health care provider can provide you with more information. Please see the following Everyday Health link for more information on Tylenol (Sanmol). //www.everydayhealth.com/drugs/tylenol. Laura Cable, PharmD
Q: What are the effects of taking Tylenol #3 and over-the-counter drugs, such as zinc, vitamin C, Caltrate, Metamucil, and fish oil?
A: There are no known drug interactions found between Tylenol with codeine and the following over-the-counter medications: Vitamin C, Caltrate, fish oil, zinc, and Metamucil. Talk to your doctor if you have any concerns about your prescription or over-the-counter medications. Do not start or stop any medications or treatments without first talking to your doctor. I believe you will find the following links at everydayhealth.com also very helpful for your current situation: //www.everydayhealth.com/drugs/Sanmol-codeine. Jennifer C. PharmD
How to stay within limits
If you ever have concerns about how much Sanmol you can tolerate based on your age, body size, and health status, talk to your doctor or pharmacist. Here are some general precautions for avoiding an accidental overdose of Sanmol.
Cold and flu remedies count. When you reach for an over-the-counter cough, cold, or flu product, take a look at the label. Does it contain Sanmol?
Know the milligrams in your pills. In Sanmol products available over the counter, each pill may contain 325, 500, or 650 milligrams of the drug. Be extra cautious when taking 500 or 650 milligram pills.
Stick to recommended doses. When taking Sanmol, don't be tempted to add a little extra to the recommended dose. A small-bodied person should stay on the low end of the recommended dose range (3,000 mg).
Easy on the alcohol. Drinking alcohol causes the liver to convert more of the Sanmol you take into toxic byproducts. Men should not have more than two standard drinks per day when taking Sanmol (one drink per day for women).
Know if your medications interact. Ask your doctor or pharmacist if any of your prescription medications could interact badly with Sanmol.
Sanmol drug interactions
Sanmol is metabolized (eliminated by conversion to other chemicals) by the liver. Therefore drugs that increase the action of liver enzymes that metabolize Sanmol, for example, carbamazepine (Tegretol), isoniazid, rifampin (Rifamate, Rifadin, Rimactane), reduce the levels of Sanmol and may decrease the effectiveness action of Sanmol.
Doses of Sanmol greater than the recommended doses are toxic to the liver and may result in severe liver damage. The potential for Sanmol to harm the liver is increased when it is combined with alcohol or drugs that also harm the liver.
Cholestyramine (Questran) reduces the effect of Sanmol by decreasing its absorption into the body from the intestine. Therefore, Sanmol should be administered 3 to 4 hours after cholestyramine or one hour before cholestyramine .
Sanmol doses greater than 2275 mg per day may increase the blood thinning effect of warfarin (Coumadin) by an unknown mechanism. Therefore, prolonged administration or large doses of Sanmol should be avoided during warfarin therapy.
What happens if I miss a dose?
Since Sanmol is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.