What analgesic is safe with elevated liver enzymes?
On One Hand: Acetaminophen is generally safe for the liverFor people with elevated liver enzymes, acetaminophen (Tylenol) is likely the best option for the relief of mild pain or fever, according to Dr. Melissa Palmer of liverdisease.com. Because elevated liver enzyme levels are indicators of liver injury, individuals with this condition should avoid aspirin, ibuprofen and other NSAIDs, which all have the potential for drug-induced liver injury. Acetaminophen is the recommended medication for people with liver disease, according to Dr. Palmer.On the Other: Excessive dosage can be toxic to the liverWhile generally considered to be safe for individuals with liver disease, acetaminophen has been shown in studies to raise liver enzymes when taken in regular, prescribed dosages over a two-week period, according to Dr. Dennis Lee of MedicineNet.com. Also, when taken in excessive quantities or in combination with alcohol, acetaminophen can cause potentially fatal liver failure.Bottom LineAlth
