NSAIDs and aspirin should be avoided in patients with advanced CLD or cirrhosis. Low-dose acetaminophen should be used instead of NSAIDs.
Acetaminophen (paracetamol), when taken in reduced doses (maximum 2–3 grams per day), is generally considered to be the safest pain relief option for your liver.
Acetaminophen or Tylenol® is the best known medication that can damage the liver. This medication is widely available without prescription and is present in many of the cold and flu remedies as well as in prescribed pain medications.
Certain NSAIDs such as diclofenac and naproxen have been associated with hepatotoxicity. Therefore, low-dose acetaminophen (2 grams or less/day on non-consecutive days) is preferred over NSAIDs in patients with chronic liver disease.
The anticonvulsant medications, such as gabapentin and pregabalin (Lyrica) are not hepatically metabolized and frequently used to treat neuropathic pain. ³ These agents may be started at a low dose and gradually titrated up. Practitioners should be mindful of unwanted side effects of dizziness, sedation, and nausea.
Acetaminophen remains the drug of choice for occasional use in patients with kidney disease because of bleeding complications that may occur when these patients use aspirin.
Non-steroidal anti-inflammatory drugs, or NSAIDs, like ibuprofen rarely affects the liver. Most users have little risk of liver damage from ibuprofen medication.
Abuse of paracetamol can cause damage on your liver, while abuse of ibuprofen can cause damage to your stomach or liver. It's safer to take paracetamol if you are pregnant than ibuprofen. (In the case of the latter, you should consult your doctor first, but completely avoid it in your 3rd trimester)
Foods that support liver health include berries, cruciferous vegetables, beans, whole grains, nuts, and fatty fish. Coffee and green tea contain antioxidants that are helpful for liver health.
The main treatment for primary biliary cirrhosis is to slow liver damage with the drug ursodiol (Actigall, Urso). Ursodiol can cause side effects like diarrhea, constipation, dizziness, and back pain. Know more about the treatment options for primary biliary cirrhosis.
Acetaminophen (Tylenol and other brands) is usually effective for mild pain and is easy on the stomach.
Acetaminophen. Taking acetaminophen in excess is the leading cause of drug-induced liver injury.
Nonprescription pain relievers such as acetaminophen (Tylenol, others), aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve, others) can damage your liver, especially if taken frequently or combined with alcohol.
HEPATOTOXICITY RISK FACTORS
While acute liver injury can occur when used at or below the recommended daily maximum dose (4000 mg)[4], paracetamol toxicity is often the result of ingestion of paracetamol over this maximum dose.
Acetaminophen is generally considered safer than other pain relievers. It doesn't cause side effects such as stomach pain and bleeding.
Considering the relative risks and alternatives, acetaminophen is the best option for pain relief in patients with chronic liver disease.
Egg whites are good for your liver, but over-consumption can lead to digestion issues and the yellow yolk is a source of bad cholesterol. These are the foods that are bad for the kidneys and liver.
Acetaminophen is harder on the liver than ibuprofen. The liver is the main organ responsible for breaking down acetaminophen. When taken occasionally, and at recommended doses (no more than 4,000 mg per day), it shouldn't cause any liver damage.
Luckily, a low dose of paracetamol is perfectly safe for everyone with liver disease. That means you can take 4 to 6 tablets in one day. Non-steroidal anti-inflammatory drugs like ibuprofen and aspirin are not the best choice of painkiller for people with liver disease as they can affect the kidneys.
Taking 1 or 2 extra tablets is unlikely to harm you. Do not take more than 8 tablets in 24 hours. Taking too much paracetamol can be dangerous and you may need treatment.
How could something natural be bad for your liver? In fact, some common herbs could cause toxic liver disease. Watch out for supplements that contain aloe vera, black cohosh, cascara, chaparral, comfrey, ephedra, or kava.
Stay Away From Fatty Foods
Eat too many foods that are high in saturated fat and it can make it harder for your liver to do its job. Over time it may lead to inflammation, which in turn could cause scarring of the liver that's known as cirrhosis.