Should I Head to the ER After Taking Nyquil?
I am a 30-year-old cis woman, weighing 75 pounds (34 kg) and standing at 5 feet 3 inches (160 cm). My medical background includes obsessive-compulsive disorder (OCD) and a history of alcohol use issues. Currently, I am on multiple medications including Effexor, Seroquel, Thiamine, Gabapentin, Naltrexone, and Panroprozale. Here’s what happened: Last October, I experienced a significant mental health crisis and made the drastic decision to overdose on Tylenol and Advil while consuming alcohol. I won’t disclose the precise amount out of concern that it might prompt someone else to replicate my actions. I have struggled with alcohol in the past, including periods of severe abuse where I consumed up to 1.5 liters of vodka daily. Due to my declining mental health, I was staying at my parents’ house at the time. After the overdose, I tried to confide in my father, but he misconstrued my pleas for help as attention-seeking behavior. After a few hours filled with increasing pain, particularly in my upper right side, I ultimately begged my dad to take me to the emergency room. Even though I initially told him I just needed psychiatric help, I eventually disclosed the truth to the ER staff. However, I learned that too many hours had passed for them to administer treatments like stomach pumping or activated charcoal. They informed me my liver looked compromised from both the alcohol and Tylenol overdose, leading to my hospitalization for a lengthy stay to administer continuous intravenous treatment intended to mitigate liver damage. I ended up remaining in the hospital for 11 days. The experiences there were excruciating, especially as I dealt with additional stomach challenges from the Advil, which ultimately led to a delay in being properly examined. A doctor I knew suggested a scope, but it wasn’t until I began vomiting and passing blood that they finally performed the necessary procedure, revealing multiple bleeding ulcers caused by the Advil. They treated those ulcers and monitored my liver thereafter. Upon my discharge, I received strict instructions to avoid Tylenol entirely and was cautioned against the usage of Advil due to the risk of recurring ulcers. I was prescribed Panroprozale and have been taking it regularly since. Currently, I am suffering from a severe cold that has lingered longer than usual. A recent visit to a walk-in clinic resulted in the doctor recommending I take Nyquil cold and flu every six hours (30ml) for a maximum of four doses within a 24-hour period. For the last 48 hours, I’ve been adhering to those instructions and have had a family member supervise my medications since my overdose. However, this doctor was unaware of my previous health issues. In hindsight, I regret not disclosing my medical history during my visit. Lately, I have experienced considerable discomfort, including frequent vomiting and pain, particularly in my upper right abdomen. While the pain is nowhere near the intensity of my earlier overdose (previously a 12/10, now roughly a 6/10), it’s still quite concerning. I have noted slight yellowing in my eyes, but my skin appears normal. Although I have avoided taking any Tylenol or Advil products, I recently learned that Nyquil contains acetaminophen, which could be problematic for me. My inquiry is whether I can safely discontinue using Nyquil or if I should seek immediate medical attention. To be transparent, I was advised to abstain from alcohol when I was released from the hospital, but I relapsed around Christmas and have since engaged in heavy drinking weekly. I understand this is dangerous and I’m actively working towards quitting through therapy and support groups. Alcohol has formed a central coping mechanism for me since I began drinking at 13 and it’s been hard to overcome. Any guidance on whether an ER visit is essential or if I can stop the Nyquil would be greatly appreciated. Also, suggestions for alternative remedies that are safer for the liver would be helpful as well. My cold symptoms include a strong cough, sore throat, mild sneezing, slight fever, and a headache. Thank you for your assistance.
Answers (1)
2/11/2026, 8:50:58 PM
OpenHealth AI
Given your current symptoms and medical history, it is essential to approach your situation with care. Your discomfort, particularly in your upper right abdomen, vomiting, and the yellowing of your eyes are concerning symptoms that could suggest liver stress or damage. Here are the main points to consider:
Key Points:
- Discontinue Nyquil: My primary recommendation is to stop taking Nyquil immediately, as it contains acetaminophen, which can pose a risk to your liver, especially given your past issues with overdose and current symptoms.
- Monitor Symptoms: Keep a close watch on your symptoms, especially any changes in pain intensity and jaundice (yellowing of the skin and eyes).
- Seek Medical Attention: Given your history and current symptoms, it's advisable to head to the Emergency Room or a healthcare provider to evaluate any potential liver issues.
Explanation:
Nyquil is effective for cold symptoms but contains acetaminophen, which can be particularly harmful to individuals with a history of liver complications. Your description of upper right abdominal pain and vomiting, combined with the yellowing of your eyes, raises concerns about possible liver dysfunction. These symptoms warrant immediate medical evaluation.
Next Steps:
- Stop Taking Nyquil: Discontinue its use right away.
- Visit an Emergency Room: Given your current symptoms—especially the abdominal pain and jaundice—it's crucial to seek immediate medical evaluation to determine if there are any liver-related issues that need urgent attention.
- Alternatives for Symptom Relief: In the meantime, consider natural remedies that might help alleviate your cold symptoms without affecting your liver:
- Stay Hydrated: Drink plenty of water, herbal teas (ginger or peppermint can be soothing), and broths.
- Humidity: Use a humidifier to ease cough and throat irritation.
- Honey and Lemon: A mixture of honey and lemon in warm water can soothe a sore throat and help with coughing.
- Rest: Prioritize rest to allow your body to recover from the cold.
Important Final Note:
Given the complexity of your medical history, and since your medication regimen is significant, it is always a good idea to involve a healthcare provider when dealing with potential side effects or complications from medications. Please don't hesitate to seek medical help as soon as possible. Your health and well-being are important, and it’s crucial to prioritize them.
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