PT - JOURNAL ARTICLE AU - Amy Schilling AU - Rebecca Corey AU - Mandy Leonard AU - Bijan Eghtesad TI - Acetaminophen: Old drug, new warnings AID - 10.3949/ccjm.77a.09084 DP - 2010 Jan 01 TA - Cleveland Clinic Journal of Medicine PG - 19--27 VI - 77 IP - 1 4099 - http://www.ccjm.org/content/77/1/19.short 4100 - http://www.ccjm.org/content/77/1/19.full SO - Cleve Clin J Med2010 Jan 01; 77 AB - The US Food and Drug Administration (FDA), concerned about the incidence of acute liver failure due to acetaminophen (Tylenol) overdose, has mandated new labeling on acetaminophen packaging. It is also considering (but has not enacted) reducing the maximum daily dose from 4 g (possibly to 3,250 mg), banning acetaminophen-narcotic combination products, and changing the current maximum single dose of 1 g to prescription status, making 650 mg the highest recommended nonprescription dose. We review the epidemiology, toxicology, and management of acetaminophen overdose and steps the FDA and physicians can take to prevent it.