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Paracetamol dose
I took overall 6200 mg of pcm including 650 mg tablets and one iv within a span of 48 hours...is it safe...I have not taken it since yesterday evening as I feel fine ..was having viral fever..my body weight is 55 kg
Answers (18)
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Let me reassure you with the actual numbers. You took a total of about 6200 mg of paracetamol spread over roughly 48 hours, which works out to around 3100 mg in 24 hours. At 55 kg body weight the accepted safe maximum for a healthy adult is 4000 mg in 24 hours (and about 60 mg/kg/day, which for you is roughly 3300 mg) â so you stayed within safe limits, and importantly this was not a single large overdose but spaced doses. Toxicity in adults generally needs more than 150 mg/kg (over 8 g for you) at once, or sustained daily use above 4 g. So no, this is not a dangerous dose, and the fact that you feel fine now and stopped it yesterday evening is very reassuring. Paracetamol also clears from the body within about 24 hours, so at this point any risk window has passed. What I would still flag is that risk rises at lower doses if a person is malnourished, fasting/eating very little, drinks alcohol regularly, has existing liver disease, or is on medicines like carbamazepine, phenytoin, rifampicin or isoniazid â worth checking against your own situation.
Next Steps
1) No emergency action or antidote is needed for this dose â you do not need to rush for NAC or a paracetamol level now. 2) For your peace of mind, and because it is easy, you can get a single LFT (SGOT/SGPT, bilirubin) done any time this week; if it is normal at this stage, the liver is fine. 3) Going forward, keep to 650 mg per dose, at least 6 hours apart, maximum 4 doses (2600 mg) in 24 hours at your weight, and only when the fever is above 100°F â that is comfortably safe. 4) Do not combine it with any combination cold/flu sachet or tablet (many already contain paracetamol) â that is how people accidentally double up. 5) Since the viral fever has settled, focus on fluids, rest and light food. If fever returns and lasts more than 3 days, get a CBC, dengue NS1/IgM, malaria smear and urine routine rather than continuing painkillers. 6) If you would like me to look at your LFT report or advise on the fever itself, you are welcome to consult me on Practo, or to see me in person at Synergy Multispeciality Hospital, Miraj, if you are ever in this region.
Health Tips
Word of caution: paracetamol liver injury is silent early. See a doctor promptly if over the next few days you develop persistent nausea/vomiting, pain in the right upper abdomen, yellowing of the eyes or skin, dark urine, unusual drowsiness or confusion. Avoid alcohol for a week, do not fast, and never take two paracetamol-containing products together.
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If no symptoms no problem
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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No its ok
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It’s okay
It’s not overdose
Kindly consult for further advice
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6 gm of paracetamol taken in a span of 2 days is not a toxic dose.If you have no symptoms it's ok
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Maximum dose of paracetamol daily is 4000mg in divided doses. You have taken high doses of paracetamol .
Avoid it in future, it can cause nausea and or vomiting.
In severe cases it can cause liver toxicity it.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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It’s ok
High doses can affect the liver
If you have any doubt check sgpt
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Overdose.
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Upto 4 gram is max limit..it depends on many things... whether you have a liver disease or consume alcohol for a long time.. kindly consult for further assistance
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It's a relative very high dose. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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