It is said that paracetamol is not good for patiens

[hungphamkhanh]

who have HBV virus ( hepatitis B ) . Is this correct ? I have that advice from a doctor but my doctor still give me paracetamol when i am flu !

[Nurse Annie]

Paracetamol in the US is acetaminophen (active ingredient in Tylenol). Tylenol is metabolized in the liver and it doesn't take much to be toxic on the liver.I wouldn't suggest Paracetamol, but I'm not a doc. Ask your doc about it: the recommended dose in the US of Tylenol is NOT to exceed 4 gm daily (about 8 tablets) daily.That includes over the counter preparations, which often include Tylenol. So, check with your doc. There might be another alternative for you.

[Ketan P]

Yes, that's very much right.Hepatitis B affects the liver, and the drugs like paracetamol (NSAIDs--nonsteoridal antiinflammatory drugs) do tend to damage the liver, when taken regularly. But then there aren't many alternatives to paracetamol, and other NSAIDs could be worse.But, all this holds true only if u have chronic Hepatitis B (if u still have liver problems) or if u suffered from cirrhosis. And, if u had only an acute attack that got completely alright, then the drug could still be safe.Hope this helps. Bye. TC.