Category: Adult Analgesia

Alcohol ingestion and Acetaminophen

Question #: 436

Question:


For analgesia, is Acetaminophen contraindicated in a patient who has had alcohol? Assuming there are no other contraindications.

Answer:


The contraindication “Signs or symptoms of intoxication” to Acetaminophen administration when using the Analgesia Medical Directive (originally Adult Analgesia Medical Directive) was removed with ALS PCS v 3.3. If you all contraindications are negative, including “Hx of liver disease, Active vomiting”, and indications/conditions are met; it is acceptable to consider administering Acetaminophen.
Note that some clinical contexts such as elevated amount of alcohol and ingestion time frame may lead to a change in LOA and active vomiting status.
Please ensure information, clinical picture, pertinent +/- and rationale supporting your management plan are documented.

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