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On paracetamol and urbanols. Take ativan?

I am worried about my friend who has just told me that she sometimes takes 4000g paracetamol with two or more Urbanols and chase it with whisky... Her psychiatrist refuses to give her more prescriptions but she alternates doctors to precribe Urbanol to her. She is also craving Ativan (is that the right spelling?) Is she not in a very dangerous zone? YYYY@YYYY
Fri, 12 Oct 2012
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice. Your friend is taking consultations with psychiatrist and still not following instructions and taking paracetamol which is commonly used. But 4000 mg is very high dose and can cause liver damage and poisoning. Sometimes, it is dangerous.

Other drugs are also benzodizipines (Clobazam and Lorazepam) to which individuals become addicted and on top of it she is also taking alcohol. You and family members must take care of her and if necessary admit her to de-addiction center and help her out otherwise it will be too late.

Hope I have answered your query. Let me know if I can assist you further.

Good luck to you and her.

Dr. Akhilesh Dubey
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Pediatrician Dr. Kaushik K Murthy's  Response
she s surely in the danger zone as her liver is at risk, and it is irreversible .
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