The Lethal Dose of Paracetamol
Warning from Doctors: Excessive Paracetamol Can Be Fatal
Doctors are cautioning against the dangers of taking too much paracetamol, whether in pill form or cold remedies, as it can result in death. Paracetamol is a commonly used medication that can be purchased without a prescription to alleviate various ailments such as headaches, fever, and minor pains.
When it comes to 500mg paracetamol pills, it is generally advised not to exceed eight tablets within a 24-hour period. Taking 24 to 30 tablets at once can lead to overdose and potentially death. It is crucial to avoid spacing out doses or consuming a large quantity of tablets simultaneously, as this can have fatal consequences. Overdose side effects may become apparent after ingesting around 4-6g of paracetamol, although this can vary depending on an individual's physiological makeup and metabolism.
Side Effects of an Overdose
One important point to note is that the side effects of a paracetamol overdose may not manifest until 24 hours after the incident. However, immediate symptoms may include nausea and vomiting as the body attempts to reject the medication. In cases of excessive paracetamol ingestion, liver damage can occur, leading to jaundice (yellowing of the skin), confusion, and fainting/loss of consciousness. Liver failure is often the primary cause of death in paracetamol overdose cases. Severe poisoning may also result in the following complications:
- Encephalopathy (abnormal brain function)
- Hemorrhage (bleeding)
- Hypoglycemia (low blood sugar levels)
- Cerebral edema
- Glucose metabolism abnormalities
- Hematuria (presence of blood or blood cells in the urine)
- Proteinuria (excess protein in the urine)
- Cardiac arrhythmias (irregular heartbeat)
- Pancreatitis (inflammation of the pancreas)
How to Handle Paracetamol Overdose
If there is a suspicion of a paracetamol overdose (or any other medication overdose), immediate medical attention is imperative, even if no symptoms are initially present. As symptoms typically take 24 hours to appear, irreversible damage may already have occurred during this time. Healthcare professionals possess the knowledge regarding the lethal dosage of paracetamol, so it is crucial to provide them with full disclosure of the amount consumed if possible. The following treatments may be offered to those who have overdosed on paracetamol:
1. Activated charcoal treatment (administered within the first hour of overdose)
2. N-acetylcysteine treatment (can be offered up to 24 hours after overdose)
3. Oral methionine
It is essential to remember that the effectiveness of medications and treatments may diminish after eight hours since the time of overdose, highlighting the importance of seeking immediate medical attention.
Safe Paracetamol Dosage for Various Conditions
By understanding the potentially lethal dosage of paracetamol and the recommended doses for different age groups and conditions, individuals can ensure safe and self-medicated treatment without suffering from adverse side effects.
1. Safe Dosage for Adults with Fever
Average dosing: Take a maximum of 650mg every 4-6 hours or 1000mg every 6-8 hours orally or rectally.
Paracetamol (500mg Capsules): Do not exceed 2 capsules every 4-6 hours, with a maximum of 8 within a 24-hour period.
2. Safe Dosage for Adults with Pain
Average dosing: Take a maximum of 650mg every 4-6 hours or 1000mg every 6-8 hours orally or rectally.
Paracetamol (500mg Capsules): Do not exceed 2 capsules every 4-6 hours, with a maximum of 8 within a 24-hour period.
3. Medication Dosage for Children with Fever
For children experiencing pain, the following dosages are recommended:
- Less than 1 month old: Start with 10mg, but do not exceed 15mg every 6-8 hours.
- 1 month to 12 years old: Administer doses ranging from 10-15mg every 4-6 hours, with a maximum of 5 doses per day (within 24 hours).
4. Dosage for Children Experiencing Pain
For individuals aged 12 years and older: Take 325 to 650mg every 4-6 hours, or 1000mg every 6-8 hours.
Please note: The medication can be administered orally or rectally to infants.
4. Recommended Dosage for Children with Pain
For children less than 1 month old: Do not exceed 15mg every 6-8 hours.
For children aged 1 month to twelve years: Do not exceed 15mg every 4-6 hours, with a maximum of 5 doses within a 24-hour period.
For individuals aged 12 years and older: Do not exceed 650mg every 4-6 hours, or 100mg every 6-8 hours.

Please note: The medication can be administered orally or rectally to infants.
Also known as acetaminophen.
It is not recommended to consume 3 or 4 paracetamol tablets in an hour, although it is generally not dangerous. However, it may still cause liver damage. As paracetamol overdose can have a delayed effect, if you experience symptoms such as nausea, vomiting, or sweating within the next few hours, it is crucial to promptly contact a doctor or visit a hospital.
What is the Lethal Dosage of Paracetamol?
By closely adhering to the manufacturer's instructions provided with the medication, the likelihood of an overdose, let alone a fatal one, is extremely low.
A dose of 24g of Paracetamol is widely accepted to be fatal. One study found that the minimum amount of Paracetamol to cause death was 10g. We depend on your support to continue delivering this kind of dedicated, independent journalism. Every contribution from our readers, regardless of size, is incredibly valuable. Support Tranpot with as little as $1 – it only takes a minute. Thank you.
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