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Would Elevated Liver Enzyme Levels Return To Normal On Their Own While On Paracetamol For Back Pain?

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Posted on Fri, 25 Mar 2022
Question: Taking over the recommended dose of paracetamol for back pain For 3 liver enzymes were elevated would they return to normalPrevious liver enzymes were normal
doctor
Answered by Dr. Panagiotis Zografakis (28 minutes later)
Brief Answer:
How much did you take?

Detailed Answer:

Hello,

Please let me know how much paracetamol you've used so far. I need all the details. I need the time you took any dose and the milligrams of the doses. Paracetamol poisoning can be very serious and you have to be very cautious with it.

I would also need the test reports; I need to know which enzymes were elevated and which were normal (and which tests were done besides the liver enzyme tests).

I'll be waiting for your input.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (18 hours later)
I very occasionally took 6000g over 6 months I would say about twice a week The liver enzymes were normal then my misspelling in the question. Not taking anything now .Obviously no early symptoms ?would the enzymes be raised.Only a FBc
doctor
Answered by Dr. Panagiotis Zografakis (12 hours later)
Brief Answer:
Paracetamol is a likely cause

Detailed Answer:

Hi,

6 grams per day is too much, although not as high to consider the dosage unequivocally toxic. Your body weight is important as a 100Kgr person may tolerate much higher doses of paracetamol than a 50Kgr person. For a 100Kgr person 6 grams per day may be safe (although not recommended).

If paracetamol is indeed the cause then stopping it should make the enzymes return to normal after 15-30 days (gamma-GT requires a month, the transaminases requires less time). You haven't still specified how high the enzymes were, which enzymes were elevated and which were normal.

Common causes of liver enzymes' elevation include fatty liver disease, viral infections, various drugs, etc.

I hope you find my comments helpful! Please let me know if you have more questions or you need any clarification. I'll be glad to provide more comments, if you'd like to upload the test reports.
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Would Elevated Liver Enzyme Levels Return To Normal On Their Own While On Paracetamol For Back Pain?

Brief Answer: How much did you take? Detailed Answer: Hello, Please let me know how much paracetamol you've used so far. I need all the details. I need the time you took any dose and the milligrams of the doses. Paracetamol poisoning can be very serious and you have to be very cautious with it. I would also need the test reports; I need to know which enzymes were elevated and which were normal (and which tests were done besides the liver enzyme tests). I'll be waiting for your input.