Last Updated on February 9, 2024 by Aditi Gangal
Quick Take
A social media post claims that consuming paracetamol can damage organs. The post claims that this medicine can harm kidney, liver and even cause piles. We fact checked and found the claim to be Mostly False.
The Claim
An Instagram video claims that paracetamol is the most harmful medicine, causing damage to the kidney, liver, and even piles.
We have attached a screenshot of the post below:
Fact Check
What is paracetamol?
Paracetamol, also called acetaminophen, is a widely available over-the-counter medicine used to alleviate pain and lower fever. Classified as an analgesic and antipyretic, it differs from non-steroidal anti-inflammatory drugs (NSAIDs) by having minimal impact on inflammation. Its mechanism involves inhibiting specific brain enzymes related to pain perception and body temperature regulation.
Can paracetamol damage organs, like kidney and liver?
Not really. Paracetamol (acetaminophen) is not inherently the most harmful drug, but like any medication, it carries potential risks and side effects, particularly when used improperly. It is generally safe for regular use over many years, as long as the recommended dose is not exceeded. A study indicates that problems with the liver and kidneys are associated with medication overdose. Following dosage guidelines is crucial to minimize these risks and ensure safe usage. If in doubt, consulting with healthcare professionals is advisable.
According to Dr Kashyap Dakshini, General Physician in Mumbai, “Paracetamol is considered the safest antipyretic for treating fever. While other drugs like ibuprofen and NSAIDs also possess antipyretic effects, caution is advised due to potential adverse effects on organs such as the stomach, liver, and kidneys when used excessively or for extended periods. NSAIDs are not recommended for patients with kidney disease, gastric ulcers, heart failure, or liver disease”.
Does paracetamol cause piles?
Not exactly. There is no evidence to suggest that paracetamol (acetaminophen) causes piles (haemorrhoids). But a 2018 study informs that regular use of paracetamol at doses exceeding 2-3 grams per day may increase the risk of gastrointestinal (GI) bleeding. This risk appears to be dose-dependent and can be exacerbated when paracetamol is combined with non-steroidal anti-inflammatory drugs (NSAIDs). While early research seemed reassuring, recent studies indicate a potential for GI bleeding with chronic paracetamol use, particularly at higher doses. We need more research to fully understand the mechanisms and implications of this risk.
We asked Dr Shalin Nagori, Consultant Pathologist and Industrial Physician about the claim. He informed, “There is no established evidence suggesting that paracetamol (acetaminophen) causes piles (haemorrhoids). Paracetamol is generally considered safe if taken in advisable dosages and commonly used as a pain reliever. Any medicine if taken excessively can give major side effects to your body. Haemorrhoids are often caused by factors such as straining during bowel movements, obesity, and a lack of dietary fibre”.
Under what circumstances does paracetamol become unsafe?
Paracetamol is generally safe even for pregnant ladies when used correctly. But it can be dangerous in certain situations. Taking too much can harm your liver, especially if you already have liver issues or drink alcohol. It can also cause problems when mixed with certain medicines or if you are allergic to it. Remember, even common fever reducers can be harmful if not used properly. Overusing fever reducers like aspirin or ibuprofen can cause serious issues like stomach bleeding, kidney problems, or heart complications. In rare cases, taking too much can be life-threatening. Always follow the recommended dosage and talk to a doctor if you are unsure or have concerns. If you think you have taken too much, seek medical help right away.
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