TN_Transplant
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Does that mean no Whiskey and Nyquil too? Asking for a friend...
Unfortunately. While still on the market and at high doses, real world experience are showing that acetaminophen and alcohol shouldn't be mixed, even at recommended doses.
Tylenol Liver Damage: Signs, Symptoms, Dosage, Treatment
From the article: "Liver damage from acetaminophen, which can be severe, can result either from an overdose or from regular doses that are taken while drinking alcohol."
Most of the time, it's from either intentional or accidental overdose, but studies have found that if you don't have enough glutathione available in your liver (possible from illness or alcohol) then a compound formed from acetaminophen breaking down in the liver can damage it. The full name is so unwieldy that it's almost always referred to by its initials, NAPQI (also a mouthful but an improvement).
While you can still find it mixed with alcohol in products, it is only because the FDA is slow to respond. Experts at Harvard are recommending to not mix the 2.