Yes. Which is why I stopped taking it for hangovers.paracetamol is particularly toxic to the liver
Opiates in and of themselves are not known to be hepatotoxic. All that's mentioned about adverse effects here is risk of accumulation in patients who already have impaired liver function, not that opiates are the cause of it.Certain opiates are bad for the liver.. quite a few of them.
UpToDate
www.uptodate.com
There is much better review out there if anyone wants to chase it down
I would look more into this as i don’t think your correct at allOpiates in and of themselves are not known to be hepatotoxic. All that's mentioned about adverse effects here is risk of accumulation in patients who already have impaired liver function, not that opiates are the cause of it.
Research suggests some opioid metabolites have potential hepatoxicity, but compared to other drugs or alcohol the risk is quite low.I would look more into this as i don’t think your correct at all
The article does mention opioids can exacerbate preexisting liver disease but doesn't suggest it can cause it in a healthy person, at least not commonly.I think I have a detailed write up of pain management in people with liver disease saved somewhere.. I pull it up after I’m off the golf course.
Liver function and Opioids
Opioids in Patients with Renal or Hepatic Dysfunction
The use of opioids in geriatric patients and those with hepatic or renal insufficiency can present significant challenges for clinicians.www.practicalpainmanagement.com
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Safe Usage of Analgesics in Patients with Chronic Liver Disease: A Review of the Literature
Patients with chronic liver disease need special consideration when prescribing pain medicationswww.practicalpainmanagement.com
Also some RC benzosCertain opiates are bad for the liver.. quite a few of them.
UpToDate
www.uptodate.com
There is much better review out there if anyone wants to chase it down