Is Tylenol Safe to Treat Interferon Side Effects?

  • Medical Author:
    Dennis Lee, MD

    Dr. Lee was born in Shanghai, China, and received his college and medical training in the United States. He is fluent in English and three Chinese dialects. He graduated with chemistry departmental honors from Harvey Mudd College. He was appointed president of AOA society at UCLA School of Medicine. He underwent internal medicine residency and gastroenterology fellowship training at Cedars Sinai Medical Center.

Ask the experts

Is acetaminophen (Tylenol) safe to use for "flu" symptoms caused by interferon in the treatment of hepatitis C? Isn't Tylenol toxic to the liver? Is Motrin safer in this situation?

Doctor's response

Tylenol (acetaminophen) is toxic to the liver in large doses (such as in suicidal attempts where a patient ingests large amounts, often more than 10 grams of the medication), and also in situations where a patient drinks alcohol heavily while taking high doses of Tylenol. Tylenol with alcohol ingestion can be toxic to the liver with lower doses of Tylenol than without the alcohol.

Otherwise, for the general population, both Tylenol and Motrin (ibuprofen, an NSAIDS) have low(<1%) liver toxicity at the regular, recommended doses. Moreover, both drugs can usually be used, in the recommended doses prescribed by a physician, reasonably safely for the "flu" symptoms caused by interferon used for treating chronic hepatitis C.

With advanced, complicated cirrhosis from hepatitis C, for which interferon is rarely used, all drugs, including these, must be prescribed with great caution, if at all. In addition, in these patients with advanced cirrhosis, NSAIDS, including Motrin, can worsen or even precipitate hepatorenal syndrome (a serious condition with both liver and kidney failure) and possibly induce intestinal bleeding.

Quick GuideHepatitis C (Hep C) Symptoms and Treatment

Hepatitis C (Hep C) Symptoms and Treatment

Medically reviewed by John A. Daller, MD; American Board of Surgery with subspecialty certification in surgical critical care

REFERENCE:

"Principles of interferon therapy in liver disease and the induction of autoimmunity"
UpToDate.com

Reviewed on 6/19/2017

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