Pain after stroke (PAS) is a challenging complication for doctors to treat because some pain medications are no longer safe to take after a person has had a stroke. For example, the FDA has issued a warning that all NSAIDs, except aspirin, can cause strokes. However, acetaminophen (Tylenol) is considered safe for mild pain that is not due to a stroke. It is one of the most widely used pain relievers and is available over the counter in most countries. Nevertheless, acetaminophen has been associated with an increased risk of stroke in older adults with diabetes.
Characteristics | Values |
---|---|
Can Tylenol be taken after a stroke? | It is okay to take Tylenol for mild pain that is not due to a stroke. |
Is Tylenol safe for older adults? | Tylenol is safe for most older adults but may increase the risk of stroke for those with diabetes. |
What are the side effects of Tylenol? | Tylenol is one of the most common medications involved in overdoses and is the most common cause of drug-induced liver failure. |
What are the alternatives to Tylenol for post-stroke pain? | Antidepressants, anticonvulsants, or corticosteroids may help with post-stroke pain. |
What You'll Learn
Tylenol is safe for mild pain unrelated to a stroke
Tylenol, or acetaminophen, is one of the most widely used pain relievers. It is available over the counter in most countries and is considered safe by the scientific community. However, acetaminophen is also one of the most common medications involved in overdoses and is the most common cause of drug-induced liver failure. It is important to be cautious when using acetaminophen, especially for those with certain health conditions.
For those who have experienced a stroke, pain can be a common complication. This can be challenging for doctors to treat as some pain medications are no longer safe to take after a stroke. Additionally, some stroke medications can interact with certain painkillers. It is crucial to consult a doctor or pharmacist to determine which pain medications are safe to take after a stroke.
That being said, it is generally considered safe to take Tylenol for mild pain that is unrelated to a stroke. The Food and Drug Administration (FDA) has warned that nonsteroidal anti-inflammatory drugs (NSAIDs), except for aspirin, can cause strokes. Therefore, it is recommended to avoid NSAIDs unless deemed safe by a doctor.
If you are experiencing pain after a stroke, it is important to consult with a doctor to determine the best course of treatment. Doctors may suggest antidepressants, anticonvulsants, or corticosteroids to help manage post-stroke pain. It is also beneficial to combine medication with other approaches such as physical therapy, splints and braces, or electrical or magnetic stimulation.
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Tylenol is not recommended for people with diabetes
Tylenol, also known as acetaminophen, is one of the most widely used pain relievers. It is available over the counter in most countries and is considered safe by the scientific community. However, it is also one of the most common medications involved in overdoses and is the most common cause of drug-induced liver failure.
While Tylenol does not directly raise blood sugar levels, it can interfere with continuous glucose monitors (CGMs) by affecting the accuracy of their readings. CGMs, such as Dexcom G6 and FreeStyle Libre, are devices that track glucose levels in the body to help manage diabetes. Tylenol can cause CGMs to display falsely high or low glucose readings, which can lead to missed alerts, treatment errors, and safety problems. This interference is due to the oxidation of acetaminophen's phenolic moiety at the sensing electrode, producing an electrochemical signal unrelated to glucose.
Therefore, for people with diabetes who use CGMs, it is recommended to:
- Check OTC medication labels before taking them.
- Avoid Tylenol when using an automated insulin delivery (AID) device or CGMs with acetaminophen sensitivity.
- Check glucose levels with a glucose meter (glucometer) when taking Tylenol.
- Test blood glucose levels more frequently when taking Tylenol.
It is important to note that Tylenol does not affect blood glucose test results from a lab test or a traditional blood reading. However, due to the potential for false CGM readings, people with diabetes should use caution when taking Tylenol and consult their healthcare provider if they have any concerns.
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Tylenol is safe for most older adults
Acetaminophen, also known by the brand name Tylenol, is one of the most widely used pain relievers. It has been distributed over the counter (OTC) in most countries and is considered safe by the scientific community. However, acetaminophen is also one of the most common medications involved in overdoses and is the most common cause of drug-induced liver failure.
While acetaminophen is generally safe for most older adults, recent research suggests that it may be important to exercise caution when using this medication, especially for those with diabetes. A study published in the Journal of the American Geriatrics Society found that acetaminophen did not affect the number of heart attacks or overall deaths in a group of older adults living in nursing homes in southwestern France.
The study reported that the number of strokes was similar in both the group taking acetaminophen and the group not taking it. However, for participants with diabetes, there was a slightly higher risk of stroke among those who took acetaminophen. This finding highlights the need for caution when using acetaminophen in older adults with diabetes.
For most older adults, acetaminophen can be a safe first choice for pain management. However, as people age, their bodies may react differently to medications due to physical changes and multiple chronic conditions. Therefore, it is always best to consult with a healthcare provider before taking any new medication to ensure it is safe and appropriate for your individual circumstances.
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Tylenol may increase the risk of liver damage at high doses
Acetaminophen, the active ingredient in Tylenol, has been found to present higher risks for liver damage, especially at high doses or in combination with other medicines. Tylenol is one of the most widely used pain relievers and is available over the counter in most countries. It is deemed safe by the scientific community, but it is also one of the most common medications involved in overdoses, and it is the most common cause of drug-induced liver failure.
Tylenol has been under scrutiny by the FDA due to its potential to cause liver damage, especially when taken in high doses or in combination with other drugs. The medical term for taking more medication than recommended is an overdose. While Tylenol is generally safe for most older adults, it may increase the risk of stroke in those with diabetes, according to a study published in the Journal of the American Geriatrics Society.
The study, conducted in nursing homes in southwestern France, found that while there was no significant difference in the number of strokes between those taking acetaminophen and those who were not, there was a slightly higher risk for stroke among diabetic participants taking the drug. This finding highlights the need for caution when using Tylenol, especially in older adults with diabetes.
It is important to note that the risk of liver damage from Tylenol may be higher when it is combined with other medications or taken in higher doses than recommended. Therefore, it is always best to consult a healthcare provider before taking any new medication to ensure the correct dosage and avoid potential harmful side effects.
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Tylenol is the most common brand name for acetaminophen
Acetaminophen is typically used to treat minor aches and pains, including headaches, backaches, toothaches, and muscular aches, as well as premenstrual and menstrual cramps. It is also used to reduce fever and treat pain from mild forms of arthritis. It is often chosen as a pain relief option for people with a history of stomach problems or those on aspirin heart therapy.
Acetaminophen is not a nonsteroidal anti-inflammatory drug (NSAID) like ibuprofen, aspirin, or naproxen sodium. Instead, it works by elevating the body's overall pain threshold and helping the body eliminate excess heat.
While acetaminophen is generally considered safe, it is also one of the most common medications involved in overdoses, and it is the most common cause of drug-induced liver failure. It is important to carefully follow the dosing instructions and not exceed the recommended amount of 4,000 mg in 24 hours. Taking more than the recommended dose can lead to severe liver damage, especially when combined with alcohol consumption or other drugs containing acetaminophen.
Additionally, acetaminophen may cause severe skin reactions, such as skin reddening, blisters, or rashes. It may also interfere with certain medical tests, so it is important to inform your healthcare provider if you have taken acetaminophen recently.
For these reasons, it is always advisable to consult a healthcare professional before taking any new medication, including acetaminophen, to ensure it is safe and appropriate for your individual needs.
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Frequently asked questions
It is okay to take Tylenol (acetaminophen) for mild pain that is not due to a stroke. However, people should avoid nonsteroidal anti-inflammatory drugs (NSAIDs) wherever possible.
Tylenol is one of the most common medications involved in overdoses and is the most common cause of drug-induced liver failure. Recent research has also shown that Tylenol may increase the risk of asthma, kidney toxicity, bone fractures, and blood cancers.
Doctors may prescribe antidepressants, anticonvulsants, or corticosteroids to help with post-stroke pain. Antidepressants such as tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs) can help manage pain. Anticonvulsants such as Gabapentin (Neurontin) and pregabalin (Lyrica) are also used to treat certain types of post-stroke pain. Corticosteroids can be administered through injections to treat hemiplegic shoulder pain.
Physical therapy, splints and braces, electrical or magnetic stimulation, and surgery are some non-medication alternatives to help with post-stroke pain management.