Took 20 tylenol pm last night Didn’t do the job

Patient: Took 20 tylenol pm last night. Didn’t do the job. What about liver failure

Doctor: HelloWelcome to Ask The Doctor. We are here to help you.Tylenol is an NSAID, and such a high dose can harm your li ver and can even cause liver failure. Intake of such high doses can cause NSAIDs induced gastritis and even bleeding from upper GI tract. I would advise you to take Pantoprazole and Rabeprazole immediately and go to ER. They will do gastric lavage and will remove all the unabsorbed medicine. You will also require monitoring of your liver function tests and you will also require proton pump inhibitors to combat with the gastritis caused by NSAIDs.So, you should go to ER now, and share my opinion with your doctor.I hope it helps.Stay Healthy.