Archive for July, 2011

New Tylenol Dosing
July 28, 2011

If you take Tylenol, you should know that Johnson & Johnson is reducing the maximum daily dose of its Extra Strength Tylenol pain reliever to lower the risk of accidental overdose.

The company is changing the labels to now list the maximum daily dose as six pills (a total of 3,000 milligrams) down from eight pills a day (4,000 milligrams).  Acetaminophen is the active ingredient in Tylenol and a big problem is many other prescription and nonprescription pain relievers (Percocet, Vicodin, NyQuil, Sudafed) also include acetaminophen.  That means people taking multiple products for various conditions don’t realize they could be overdosing.  Excessive use of acetaminophen can cause liver damage and even fatal overdoses.

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Pregnancy Advice
July 28, 2011

I had a wonderful chat with Dr. Ronald Thomas the director of maternal fetal medicine at West Penn Allegheny Health System.  Our discussion was sparked by a new study which says pregnant women are more at risk for stroke. In fact, the new numbers show the risk is up 54 percent (study from 1995 -2005).   Now, the actual risk for stroke is still relatively low at 1 in 1,000 pregnant women but there is a lot to discuss because Dr Thomas and his colleagues are seeing older patients become pregnant and more women who are obese or with diabetes become expectant mothers.

I was surprised to hear the mortality rate during pregnancy was increasing in America …. doubling in the last 20 years. We are far behind other developed countries when it comes to death rates during pregnancy.  Dr Thomas suggests that is because women’s health is declining overall with higher rates of obesity and diabetes, older women are becoming pregnant, and women in America seem to have less access to healthcare than in other advanced countries.