Friday, December 31, 2010

Side Effects of Tylenol PM

Side effects of Tylenol PM
by Nicole Evans M.D.

Tylenol PM is a popular over-the-counter medication. The labeled indicated use for Tylenol PM is for the relief of insomnia that is accompanied by minor pain.

The two active ingredients in Tylenol PM are Acetaminophen (Tylenol) and Diphenhydramine (Benadryl). The acetaminophen provides pain relief while the diphenhydramine induces sleepiness. The side effects of Tylenol PM can result from either or both of these medicinally active agents.

The side effects of Tylenol PM that result from the acetaminophen component can affect the skin, liver, kidneys, blood and even the endocrine system. The frequency of these Tylenol side effects is not defined but include: rash, anemia, low neutrophil count, low leukocyte count and pancytopenia (low white blood cells, red blood cells and platelets).

Tylenol PM use can also result in increased bilirubin and/or alkaline phosphatase levels, high ammonia levels, kidney damage with chronic high doses of Tylenol and increased blood sugar levels.

Perhaps the most important potential adverse effect of Tylenol PM is liver toxicity. An acute overdose of Tylenol PM can result in liver failure and death. The dose of acetaminophen should never be more than 4 grams a day.

In addition, chronic daily dosing in adults has resulted in liver damage in some people. It is known that consuming 3 or more alcoholic drinks a day may increase the risk of liver damage from Tylenol.

Additionally, individuals with the inherited condition known as G6PD deficiency should use caution when taking medications that contain acetaminophen.

The other active ingredient in Tylenol PM, diphenhydramine, is commonly known as Benadryl. Benadryl is a first-generation antihistamine that is quite sedating, unlike the later generation antihistamines such as Zyrtec and Claritin.

Common side effects of Benadryl include sedation, sleepiness, dizziness, difficulty performing coordinated movements, epigastric distress (stomach ache), and thickening of mucus secretions from the respiratory tract.

Importantly, when giving Benadryl to children by mouth and using a concomitant topical preparation that contains Benadryl there is a risk of diphenhydramine toxicity. The symptoms of Benadryl toxicity include: dilated pupils, flushed face, hallucinations, ataxic gait, and urinary retention.

In children, there is also the risk of diminished mental alertness, as well as risk of a paradoxical reaction that may cause excitation in young pediatric patients.

There are certain medical conditions that require a patient consult their physician before self-treating with over-the-counter Benadryl preparations. These conditions include glaucoma, emphysema, chronic bronchitis, or difficulty urinating due to prostatic hypertrophy.

Tylenol PM is a commonly used over-the-counter medication that is associated with numerous side effects. For safety, individuals should always discuss the use of Tylenol PM with their healthcare provider.

Source: Lexi-Comp Online. Accessed Mar 27, 2010.

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Real Housewives of Atlanta Use the Zerona!

Real Housewives of Atlanta Use Zerona Non-Surgical Fat Reduction

Get rid of belly fat with this surgery free liposuction alternative.

It's no secret that many of the Real Housewives turn to their plastic surgeon for a little work now and then, and the ladies of Atlanta are no exception. Earlier this season, Nene Leakes went under the knife for rhinoplasty, liposuction, breast reduction and a breast lift. On last night's episode, Kim Zolciak opted to avoid the operating room and went under the laser for Zerona, the popular non-surgical fat reducing treatment.

Zerona treatments are simple. Patients lie under rotating low level laser lights for 40 minutes, spending 20 minutes each on their stomach and then their back. A treatment cycle is 6 sessions spread over two weeks, and within a couple of weeks patients can expect to see around 3.5 total inches lost.

Earlier this year, the Zerona device received FDA market clearance in the U.S. for circumferential reduction of the waist, hips, and thighs. It works by opening a small pore in the fat cells causing them to empty their contents. The fat is flushed out of the body naturally, but patients are encouraged to drink the proper amount of water to help aid the process. Zerona has a systemic effect, meaning that inches are lost all over the body rather than in one specific area so it's not the precise sculpting of liposuction procedures.

One benefit of the treatment that patients love is there is zero downtime. Patients can go back to their normal activities immediately and it's pain free. In the clinical investigation, those treated lost an average of 3.65 inches total across their waist, hips, and thighs in as little as two weeks.

Many doctors offer lymphatic massage along with Zerona to aid in flushing out the fat and patients are encouraged to exercise and eat a healthy diet to help improve their results. It's important to remember that Zerona is best used with patients who are generally healthy and only have a little bit of fat to lose. Zerona is not considered a weight loss program. Those looking for more dramatic results may be better served by laser lipo with a device like SmartLipo or ultrasound assisted lipo with Vaser. Talk with your doctor about what results you can expect from Zerona and what the best course of treatment is for your desired outcome.

How much does Zerona cost? The price varies by region, but you can typically expect to pay between $1800 and $3000 for a 2 week session. Some patients find an additional benefit from a second round and often physicians offer a price break for the next treatment course. Many offices are offering holiday specials this time of year so it could be a great time to find a deal.

The Zerona LipoLaser is available at the Advanced Wellness Studio located on Buttermilk Pike in Northern Kentucky (a suburb of Cincinnati).

The Advanced Wellness Studio is offering a Free Zerona Program Contest (valued at over $1500)! Visit www.AdvancedWellnessStudio.com to enter!

Article from American Health and Beauty