4000 mg Tylenol a day can cause liver failure when taken on a regular basis and in people who drink alcohol even occasionally.
Liver failure is the inability of the liver to perform its normal synthetic and metabolic function as part of normal physiology. Two forms are recognised, acute and chronic.
Acute liver failure is defined as "the rapid development of hepatocellular dysfunction, specifically coagulopathy and mental status changes (encephalopathy) in a patient without known prior liver disease".:1557 day
In toxicology, the median lethal dose, LD50 (abbreviation for “lethal dose, 50%”), LC50 (lethal concentration, 50%) or LCt50 (lethal concentration & time) of a toxin, radiation, or pathogen is the dose required to kill half the members of a tested population after a specified test duration. LD50 figures are frequently used as a general indicator of a substance's acute toxicity. The test was created by J.W. Trevan in 1927. The term semilethal dose is occasionally used with the same meaning, in particular in translations from non-English-language texts, but can also refer to a sublethal dose; because of this ambiguity, it is usually avoided. LD50 is usually determined by tests on animals such as laboratory mice. In 2011 the U.S. Food and Drug Administration approved alternative methods to LD50 for testing the cosmetic drug BOTOX.
The LD50 is usually expressed as the mass of substance administered per unit mass of test subject, typically as milligrams of substance per kilogram of body mass, but stated as nanograms (suitable for botulinum), micrograms, milligrams, or grams (suitable for paracetamol) per kilogram as toxicity decreases. Stating it this way allows the relative toxicity of different substances to be compared, and normalizes for the variation in the size of the animals exposed (although toxicity does not always scale simply with body mass).
An alcoholic beverage is a drink that contains ethanol. Alcoholic beverages are divided into three general classes for taxation and regulation of production: beers, wines, and spirits (distilled beverages). They are legally consumed in most countries around the world. More than 100 countries have laws regulating their production, sale, and consumption. Beer is the third most popular drink in the world, after water and tea.
Alcoholic beverages have been consumed by humans since the Neolithic era; the earliest evidence of alcohol was discovered in Jiahu, dating from 7000–6600 BC. The production and consumption of alcohol occurs in most cultures of the world, from hunter-gatherer peoples to nation-states. Opiates
The Chicago Tylenol murders occurred when seven people died after taking pain-relief medicine capsules that had been poisoned. The poisonings, code-named TYMURS by the Federal Bureau of Investigation, took place in September and early October 1982, in the Chicago area of the United States.
These poisonings involved Extra-Strength Tylenol capsules, manufactured by McNeil Consumer Healthcare, which had been laced with potassium cyanide. The incidents led to reforms in the packaging of over-the-counter substances and to federal anti-tampering laws. The case remains unsolved and no suspects have been charged. A $100,000 reward offered by Johnson & Johnson, McNeil's parent company, for the capture and conviction of the "Tylenol Killer" has never been claimed. Advil
Health Medical Pharma