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Hepatic toxicity may occur in an adult who takes more than 4 grams (which is the maximum daily amount per day in adults) in 24 hours.
Hepatic toxicity in children may occur if given more than 5 doses (which is the maximum per day in children) in 24 hours.
For patients with liver or kidney problems, a doctor must first be consulted before giving this drug.
Care should also be taken in giving acetaminophen (paracetamol) to those who are malnourished or in those with eating disorders.
This should not be taken together with another drug that also contains acetaminophen (paracetamol).
A doctor must always be consulted before giving acetaminophen (paracetamol) especially if the patient is taking other medications (rifampicin, warfarin, phenobarbital, etc).
A doctor must also be consulted for patients who are alcoholics or regularly ingest alcohol in excess before giving this drug.
When should the patient consult a doctor: If fever persists more than 3 days (72 hours) or if pain continues for more than 5 days in children and 10 days in adults, consult a doctor.
As with any drug, if the patient is pregnant, or nursing a baby, seek the advice of a health professional before using the product.
If rashes or any swelling develops, stop the use of acetaminophen (paracetamol) immediately and consult a doctor.
Signs and symptoms do not improve or new signs develop.
