Question about APAP OD

[xbox1one]

Hi there! Let me start by explaining a bit about my situation....

I'm a full time music student in Boston. I generally never cared for me health, and my high of choice was vicodin. Weed freaks me out and alcohol puts me to sleep. I usually just take 2-4 before I play some video games or guitar after a day of school. I never ate healthy and downed soda like a fiend.

About 2 weeks ago I had a really rough week at school. I came home and decided to take way more vicodin than I should for a couple days in a row. I took 12 7.5/750 pills over a 12 hour period, then again 2 days later. The next couple of days after that I felt a dull pain in my upper right abdomen. After doing some research I can only assume I have a swollen liver.

I have no medical insurance or I would go see a doctor. The last time I went to the dotcor (hurt my knee) they did nothing but charge me a TON of money, and just told me to rest the knee.

Ever since I noticed this a couple of weeks ago, i've gone into total health nut mode. I drink 11 bottles of water a day, take vitamin C, Milk Thistle, eat veggies/fruit/lean chicken exclusively. I stopped smoking cigarettes, and started light exercise.

Edit: Also forgot to add. The last few days or so, the pain goes away during the day, and is only present in the morning. I assume its because of sleep. Also i've been peeing normally, have normal appetite, normal bowel movements, everything seems to be ok except for the dull ache in my upper abdomen.

So I have 2 questions.

1) is there anything else I could be doing to help my liver?

2) would NAC do anything for me 2 weeks after the APAP ingestion?

Thank you for your help and time.

 

[KarlMySuitcase]

IM so sorry to hear that! APAP is poison! What is NAC? A friend used some kind of plantsuplement in capsules for ridicolous liver values and he really recomended them. Il try to ask him what its name was again. What is NAC?

I really wished you had read about CWE (Cold water extraction) before this happened.
http://www.bluelight.ru/vb/threads/...-amp-FAQ-v2-0?highlight=cold+water+extraction

Seems a bit cruel to show you now, but stil....

 

[xbox1one]

http://en.wikipedia.org/wiki/N-acetylcysteine

Thanks for the reply! NAC is what they use to treat APAP poisoning, but everything i've read about it says it should be taken within 8-24 hours of APAP ingestion, and its been 2 weeks.

Yeah silly me for not doing a CWE. If I ever take vicodin again (which at this point i'm not sure of) I will def do a CWE.

 

[FastRaceCarGuy]

you will be alright, the best advice is to get checked out, your not gonna die as people have ingested way higher amounts of apap and lived to tell the story ( I ) and others I know. You really need to looking into doing cold water extractions, and if you dont want to do that then atleast try to get switched over to 10/325 .. you should speak to your doctor about it. or whoever it si your gettng the pills from. My best advice I can give you is quit using, the 2nd best advice I can give you if you wont stop is switch over to oxycodon IR.

 

[Psychedelic Jay]

Milk thistle...


Liver failure doesn’t drag out that damn long... You will be ok.

 

[xbox1one]

Thanks for the replies guys. I actually saw a friends mom, who's a doctor, and she gave me a 30 pack of this stuff called Emergen-C. She said it had more stuff good for my liver than just vitamin C pills. I'm not sure if its that stuff, or just time, but the swelling has definitely gone down a lot.

 

[Pilll_head]

Liver damage from APAP is acute, so if it didn't cause liver failure by now you're probably OK. I would still get it checked out. If you get a little extra cash I would do a quick Dr. visit and ask them to give you an order for a liver function (ALT/AST) test, which is a simple blood test. If your liver function is in normal range then you are good to go. I'll speak frankly, you dodged a bullet. 9000 mg of APAP in 1 day is easily enough to kill someone, the recommended limit runs from 3500-4000 mg / day. I wouldn't do that again

 

[crazycatman]

So basically you took 9g paracetamol over 12h once and then repeated that 2 days later?

Get your liver tested (it's a cheap blood test so no excuses) and avoid all substances that strain the liver until the test shows you're fine (which you'll probably be by now).

If your livers are off your only real option is to wait while avoiding anything that might stress it, the liver regenerates and all but the worst damage will fix itself eventually.

If your results are really bad... well talk to your doc...

@Pill_head:
While it could, most peoples (especially otherwise healthy) could take that.. not that I'm advocating what he did. In fact someone here posted that in the UK the NHS doesn't consider it an emergency if bellow 12g. But yes, what he did was definitely stupid.

 

[xbox1one]

So basically you took 9g paracetamol over 12h once and then repeated that 2 days later?

Get your liver tested (it's a cheap blood test so no excuses) and avoid all substances that strain the liver until the test shows you're fine (which you'll probably be by now).

If your livers are off your only real option is to wait while avoiding anything that might stress it, the liver regenerates and all but the worst damage will fix itself eventually.

If your results are really bad... well talk to your doc...

@Pill_head:
While it could, most peoples (especially otherwise healthy) could take that.. not that I'm advocating what he did. In fact someone here posted that in the UK the NHS doesn't consider it an emergency if bellow 12g. But yes, what he did was definitely stupid.

Was really stupid.....

Funny thing, I actually went into the doctor. My liver was 100% fine! The problem was with my gallbladder. I just got an ultrasound done and my DR is deciding what to do next.

 

[QUARE]

A few years ago I took 20 Triatec 30 ( 30mg codeine + 500mg acetaminophen) I went to hospital because I felt very bad, they put my in psychatric for 4 days because I was delusional. DONT OD ON APAP.