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Have I just taken enough Paracetemol to overdose?

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J.C

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May 5, 2009
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Hi

I realize there is an open thread on this very topic, but it involved filtering the drug and I'm after some quick/specific advice.

In the past I've taken most recreational drugs, but believe it or not I was not aware of the dangers of Paracetemol overdose.

I may sound like a dick and be worrying for no reason. But I'd be very happy if that were the case! Honest and factual responses are what I'm after.

Over the last 2 days I've taken Codral Cold and Flu medicine (actually the generic alternative) just to get high on the Pseudoephedrine. I don't have any of the boxes left but I believe there is 500mg of Paracetemol in each pill. I've ingested the following (all approximate to the best of my shitty memory):
- 28 hours ago I took 14 pills
- 12 hours ago I took 7 pills
- 3 hours ago I took 15 pills

I got quite high and felt great from the first 2 doses, but not much as much from the 3rd.

I'm 32 years old, 6'7" tall and around 130kg. On average I drink 12-15 standard alcoholic drinks 4-5 times a week. I would say I'm of average health although I am overweight 20-25kg.

So far I have no abdominal pain or anything else (that I've noticed) but my face/neck is quite red; as if I'd been rubbing/scratching, although I haven't. I've not noticed any other symptoms or anything out of the ordinary. I assume the redness is related as it's not normal for me.

Is that dosage likely to be dangerous? Am I close to a dangerous dose? Would taking more cause overdose? What should I look out for?

From what I've read this even it seems an overdose may have wildy varying symtoms. From severe abdominal pain and vomiting to nothing at all. The delayed response also see very troublesome e.g. Feeling fine then suffering liver failure 2-3 days later. Apparently it's important to visit the hospital within the first 24 hours of overdose.

Any advice would be very much appreciated!!!

Thanks

J.C.
 
That's quite a hefty load of paracetemol, and definately above what would be considered safe, especially since you say you drink large quantities regularly.

I don't want to freak you out mate, but I'd recommend you absolutely get yourself down to hospital. Tell them what happened, you can leave out the 'getting high' if you need to, just say you weren't feeling well and took too many, they'll check your liver function and keep an eye on you.

I'd say there's a good chance you'll be fine in the long run, but better safe than sorry yeah?
 
I would say you haven't, not a lethal overdose, anyway. But you have severely incapacitated your liver, and should refrain from taking even the slightest amount of paracetamol or alcohol for the next 5 days. I have taken 10 grams of the shit in one sitting once, and the effects were not nice, to say the least. I know nothing, though. That certainly is definitely, to speak scientific terms, a fuckload. A fuckload you /should not/ have taken, /especially/ to get high on psuedo. Let me be the first to say you are a peanut.

You should really check yourself in to the E.R, to be painfully harm reductionist. But I would only do so if I started to be exceptionally sick. I experienced fucking atrocious abdominal pain on 10g of APAP, but after an hour or so of throwing my guts up I was fine. That's not to say no permanent damage was done to my liver, I'm just saying I was fine after I while and I'm fine now. Grain of salt, as usual.
 
Thanks for the quick and frank responses. I have a wife and 14 month old baby so on one hand I have a lot to lose. On the other I would really worry my wife and fuck things up by waking her up right now with the news I need to go to the emergency room. Fuck fuck fuck! Yes I am a peanut. I hate decisions like these. I feel just fine. Great right now. In the past I've taken similar doses with no obvious issues. I tend to be a bit of a horse e.g. 15 or 20 Es in a night.
 
Yeah safe option would be ducking down to hospital I don't think being a big guy makes ur liver impervious to heptic damage.
In all honesty probs not a lethal dose but damage would defnitely be done especially as ur liver cops it reguarly from alcohol
 
36 tablets in 28 hours at 500mg per tablet.

thats 18 grams.

Letal doses have happened from excess of 10 grams.

Dispite your larger size, it's a fair load.

You said you have done similar amounts before, so I imagine you should be okay, but I'd probably would ease off on it in future or do extracts.
If you do start to feel sick at all I'd suggest you head down immediately.
Or maybe just head down tonight for piece of mind.
 
Mate if your serious call a bloody ambulance or go straight to a hospital, don't create a thread on a website and sit around waiting for replys like a bloody douchebag.

And just to one up you I once washed down about 90 panadeine tablets (12mg codiene 500mg paracetamol), 30 panadol, 20 nurafen plus, 50 chlorpromazine, 9 serequal 100mg, 60 effexor xr 150mg, 20 dexies 5mg, six cones and half a bottle of jacks in 30 mins. 6 days in a coma, 10 days in Fremantle ICU and 33 days total in Fremantle hospital with a lovely trachiotomy scar to remind me every time I look in a mirror.
 
my innerself said:
Mate if your serious call a bloody ambulance or go straight to a hospital, don't create a thread on a website and sit around waiting for replys like a bloody douchebag.

And just to one up you I once washed down about 90 panadeine tablets (12mg codiene 500mg paracetamol), 30 panadol, 20 nurafen plus, 50 chlorpromazine, 9 serequal 100mg, 60 effexor xr 150mg, 20 dexies 5mg, six cones and half a bottle of jacks in 30 mins. 6 days in a coma, 10 days in Fremantle ICU and 33 days total in Fremantle hospital with a lovely trachiotomy scar to remind me every time I look in a mirror.
Click to expand...

May I ask why you took so much?
That's a mission in itself to swallow that much plus drink that much Jacks in 30mins 8o

Edit: I guess this would be a good place to also ask where you can perform something like a CWE on pseudo, or if it's strictly limited to Codeine? I have a feeling you wouldn't be able to as I haven't heard any talk about it.
Cheers
 
perthboy said:
May I ask why you took so much?
That's a mission in itself to swallow that much plus drink that much Jacks in 30mins 8o

Edit: I guess this would be a good place to also ask where you can perform something like a CWE on pseudo, or if it's strictly limited to Codeine? I have a feeling you wouldn't be able to as I haven't heard any talk about it.
Cheers
Click to expand...

If pseudo is water soluble it would work np.
 
Okay then, is there a reason why we don't have CWE threads about it then?
Do you just need far more than a packets worth, or is it just not worth your time?
 
I just read that you have a wife and a little one. Damn, you should definitely not be taking chances like these. Imagine what they would do without you? They would be devastated! Your life is very important, you are not just living for yourself anymore. Anything bad happens to you and the little one is gonna be sad forever, he needs his daddy! Please be careful next time and don't take the chances anymore. Your life is much too important for that now.

- 28 hours ago I took 14 pills = 14x500= 7,000
- 12 hours ago I took 7 pills = 7x500= 3,500
- 3 hours ago I took 15 pills = 15x500= 7,500

So you took 18,000mg of paracetamol within the last 28 hours. Wiki said that toxicity can be achieved with over 200mg/kg in a 24 hour period. You are 130kg so you can take around 26,000 before you get seriously sick. If that is correct then your weight is the reason you might not get as sick as someone else.

Maybe someone who knows more on this and has the correct stats can chime in. I don't want to give the OP a false sense of safety. I would go get checked out by a doctor anyways. You might not want to put you health in the hands of strangers, who while mean well, might not always be right.

But according to wikipedia (they are not always right) you should be fine because of your weight.

Also, I dunno how much the drinking has damaged your liver. That might have some effect on how well your liver gets rid of the paracetamol.

Be careful next time! Always CWE large amounts of APAP. Never taken chances like these with your liver dude. You got only one!
 
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Thanks heaps for the advice. I'm in the hospital now with the antidote stuff on a drip. Staying overnight. They said it's lucky I came coz my blood tests don't look great, so thanks for encouraging me. Fuck I'm dumb!
 
Yeah that's the thing with paracetamol the earlier u get in the more damage u can avoid. What'd u tellr the hospital and what they say?
 
Good to hear you came to your senses and went to the hospital, but this this a grotesque example of irresponsibility. I hope we don't have to read something like this again from another bluelighter.
 
You were getting high on pseudoephedrine? Weird.

The itching may have been from the codeine in the tablets, and that probably added to the high as well. Look up a Cold Water Extraction, it works on codeine and it will work on pseudoephedrine as well.

Also your size and muscle mass shouldn't make much of a difference with acetaminophen toxicity as far as I'm aware, APAP toxicity comes from overloading metabolic pathways in the liver and I don't think muscle mass affects this.

Also Emerson, Lake & Palmer are fucking awesome and I thought everyone should know.
 
Please, if you're going to take this much acetaminophen at least have some acetylcysteine in your cupboard. It's not that expensive, and it can certainly save your liver.

Also, the levels considered safe are for people with healthy livers. If you've been a bit of a drinker in your time, and/or have had liver disease, or are on some medications, then the damage can occur at lower levels. A high percentage of poisoning related hospital admissions are attributed to acetaminophen. Scaring, and fibrosis (cirrhosis) can also occur with prolonged use, however, by far the greatest risk is acute poisoning, which can take several days to manifest following a very large dose.

If you use panadol/codeine at all, to be safe, have some acetyl cysteine on hand.
 
^ I can't be bothered looking up a source, but I believe APAP is the drug responsible for the most overdose related hospital admissions, at least in the US.
 
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