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Misc Acetaminophen overdose?

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ABL23

Bluelighter
Joined
Nov 12, 2012
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So today I took 6 7.5/325 Hydrocodone at once which is 1950mg of APAP at once. I did not realize how stupid this was at the time, I know 4000mg APAP is the max daily dose but I just wasn't thinking and I know I took more than the reccomended dosage your supposed to take at one time. After that I took an adderall and when I was coming down off that I took another 3 of those hydrocodone to chill me out. This was about 7-8 hours after my first dose of hydrocodone.

So in about 7-8 hours time I consumed 2,925mg of APAP, which sounds insanely high to me and I feel so stupid. Now I am very scared that this will cause liver failure and I will die. I haven't take anything that has APAP in it in over a week and I defintely don't plan on taking anything with APAP in it again anytime soon.

So is this cause for concern? Should I go to the ER and tell them what happened? Is this anywhere near a lethal dose or something to worry about? I am very scared right now. Thanks in advance for your help, I hope to hear from someone soon.
 
That is not a lethal dose, highly unlikely it will cause any damage unless you're very sensitive to apap or weigh like (i dunno) 100lbs? lethal dose range is set around 10,000 mg/24 hrs from what I have read

ofc, not a good idea either..
 
You're going to be fine. You didn't do any damage to yourself. You just don't want to make a habit out of high doses of APAP.
 
Others beat me to it. The one other thing you need to know is to AVOID ALCOHOL which is also hard on your liver. I think if i were you I would not use any more acetaminophen for a few weeks, and also no alcohol, and you'll probably be fine. If you develop any abdominal symptoms, or if you're just worried, you can go to the ER and there's an antidote they can give you.
 
4grams of appap is the maximum daily allowance you haven't gone over this so I don't reckon you will get an adverse reaction but be more careful in future if you want to get high from your opiates do a CWE. Plus another 3 grams 7 or 8 hours later 7 grams in total you should be fine
 
Yeah it's not a great thing to have done but you should be okay, just avoid alcohol and don't keep doing it. Eat healthy to help your body repair itself. The maximum daily recommended dose is something like 4000 mgs a day. So if you stay away the rest of the day you won't even hit that. No worries

EDIT: Unless you have liver problems to begin with
 
A friend of mine at 90 5/500s over the course of two days and lived, dunno if he barfed up any of the pills tho.. istm that 45g/2days would be lethal.. OP you'll be fine
 
Highest recommended daily dose has been set at 3 grams now. N-acetylcysteine is used for APAP overdose, btw, you can get it over the counter actually.
 
You should only be concerned about APAP ingestion if you're doing it on a regular basis, the average person can tolerate probably up to 10 grams of APAP with no ill effects if they don't do it often.
 
I have done something similar to this before but not very often, only like 3-4 times, I don't use drugs or otc medicines with APAP in them very often. I currently have an opiate habit but I normally use roxicodone. However I have only had this habit for about 4 months so I don't think I have done any serious damage to my liver. I am currently getting on subs to stop. I was just worried because I initially took 6 hydrocodone which was nearly a 2000mg APAP dose at once. And then what really worried me was that I read after you OD on APAP you can feel fine 24 hours afterwards and then all of a sudden you liver shuts down and it's over, so I became very scared.

I'm sure some people are rolling their eyes at 2,900mg of APAP in 7 hours but I'd rather ask a stupid question, get an answer, and be okay than not ask anything at all and not realize I had harmed myself and need to seek medical attention. It's been about 24 hours since I took that 2000mg APAP dose and I feel just fine, hopefully this isn't because things are about to start getting bad but I would assume by now a majority of the APAP from yesterday is out of my system anyways. I will not be taking anything with APAP in it for several weeks I will make sure of that.

Thanks for the comments everyone, I feel a little more at ease but I feel a lot better when tomorrow comes and I know I'm okay. Also I do not drink alcohol at all so I don't have that in the mix to worry about, I just like opiates a little too much.

EDIT: Okay, so say something were to happen and I did start getting sick, feeling pain, and turning yellow, is it too late by then? Also since nothing like that has happened and it's been 23 hours since I took that first big dose of 2000mg should I be in the clear? I suppose I'm still actually very worried. Ugh, I should have just taken a suboxone instead, I don't know why I did this to myself...
 
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The earlier you get the NAC the better, but it can still help after 24 hours. If you develop symptoms, go to the hospital. Next time, extract your pills so you are only getting the opiate and not the acetaminophen. Search for CWE on here.
 
I'm just incredibly paranoid now. I am a very paranoid person anyways. I just wish I wouldn't have done this, or at least I wish I wouldn't have taken another 3 hydrocodone after I initially took 6 even though it was 7 hours afterwards. I cannot tell anymore if I feel sick or if I'm fine, it could just all be in my head. I'm constantly going in the bathroom and looking at myself in the mirror to see if my skin or eyes are turning yellow or anything and touching the side of my abdomen to see if i'm feeling any pain or anything...so I guess even though it's been almost 24 hours since my first dose and about 16 since my last dose it doesn't necessarily mean that i'm okay. Ugh, fuck this is horrible on me mentally.

Am I just freaking out at this point? Should I just stop worrying, it probably doesn't help that Im just sitting in my apartment googling "APAP overdose" over and over again. I guess I feel fine but I can't really tell.
 
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If you're young and healthy in general you'll be fine. Try to relax, don't be a slave to this feeling, just let it remind you not to do this again.
 
If you're young and healthy in general you'll be fine. Try to relax, don't be a slave to this feeling, just let it remind you not to do this again.

I'm 24 years old, I'm 6 feet tall and I weigh 163lbs, despite my opiate habit I am a very healthy person. I have never had any major health problems or any unusual illnesses (the sickest I've ever been is when I got mono like 4 years ago but I recovered from it just fine, it only put me out for like a week actually as opposed to the usual month or two). Sorry to give you my life's story. I can handle pain and sickness I just don't want to lose my life over this. And yeah I will definitely never do this again and when I do take APAP again it will be in a much smaller and reasonable dose. I will just take a sub from now on if I can't get roxi and not even try to get high on hydros, this is showing me it obviously isn't worth it.
 
Im just even more worried than before because now it's been 24 hours since I took that 2000mg dose and I know there's nothing that can be done about it now. So if I did do something I just have to wait it out and hope everything is okay.
 
You're fine (or should be). I have taken 19 5/500 hydros without a cwe just because and have been fine so I would imagine you would be too. I'm 6'2 130 lbs and had no issues. If your eye whites / skin turn yellow.you might have issues but.you'll.probably.be alright
 
If you eat a whole bunch of APAP and you don't feel sick, no stromach cramps, no godawful malaise, you're going to be just fine and can stop worrying. APAP poisoning is something that's hard to ignore.
 
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