This Common Medication is the Leading Cause of Acute Liver Failure in the U.S., and You May Not Even Realize You Are Taking It.

Dr. Linda Dahl
3 min readDec 1, 2022
Photo by James Yarema on Unsplash

Cold and flu season is in full swing, and that means many of us are reaching for over-the-counter cold and flu medicines. These medications work by calming our immune systems’ response to infection which makes them helpful for treating the symptoms of upper respiratory infections, like congestion, runny noses, cough, and sneezing. But just because these medications are available over the counter, that doesn’t mean they are free of side effects or risks. Many of them contain a common medication that is cleared through your liver. Unless you read the packaging carefully, you may accidentally take too much.

If you’ve ever spent time in the cold and cough section of your local drugstore, you may have felt overwhelmed by the plethora of options. It’s often hard to know which one to take. How is “cold and cough” different from “cold and flu” or “allergy and cold”? What makes something “Extra” or “Maximum” strength? Even for someone like me who knows what all those fifteen-letter ingredients are, keeping track of the different combinations and strengths is challenging. But if you look carefully, you will see that many of them contain acetaminophen.

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Dr. Linda Dahl

Physician. Author of Tooth and Nail:The Making of a Female Fight Doctor & Better Breastfeeding, http://www.drlindadahl.com @doctorlindadahl