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Does Tylenol Increase ALT Levels In Blood?

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Posted on Tue, 26 May 2015
Question: I had a blood test w/ great results ( except I was dehydrated). A week and 1/2 later, results revealed an ALT level of 82---it had been 19 the previous week. He has restricted my diet and will re-test in 2 weeks. Still, I have to wonder if the 3-4 grams of Tylenol that I took during that time might have altered the liver report ?!
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Answered by Dr. Kathy Robinson (9 minutes later)
Brief Answer:
possibly it was the tylenol

Detailed Answer:
Hello and thank you for your question.
The liver function tests can definitely be changed by consumption of substances like alcohol and tylenol. ALT tends to be elevated more than AST with viral liver infections but it too can be elevated with tylenol. AST tends to be more elevated than ALT with alcohol consumption. However, either test may be elevated by tylenol and so it may be completely normal when you recheck it in a couple weeks. Some people are exquisitely sensitive to any substance that can cause liver irritation. If you have any concerns at all about any possible exposure to hepatitis B or C ask for those tests as well when you get your follow up liver function panel.
Regards,
Dr. Robinson
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3535 Questions

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Does Tylenol Increase ALT Levels In Blood?

Brief Answer: possibly it was the tylenol Detailed Answer: Hello and thank you for your question. The liver function tests can definitely be changed by consumption of substances like alcohol and tylenol. ALT tends to be elevated more than AST with viral liver infections but it too can be elevated with tylenol. AST tends to be more elevated than ALT with alcohol consumption. However, either test may be elevated by tylenol and so it may be completely normal when you recheck it in a couple weeks. Some people are exquisitely sensitive to any substance that can cause liver irritation. If you have any concerns at all about any possible exposure to hepatitis B or C ask for those tests as well when you get your follow up liver function panel. Regards, Dr. Robinson