Paracetamol. Like a lot of other drugs, it is used as off-label in veterinary medicine. They have aunique safety stop function that prevents over cutting, as well as a soft handle grip. Veterinarians are the best people to consult with regarding these side effects. WebAcetaminophen, also known as paracetamol or Tylenol, is a popular over-the-counter medication used to control pain and fever in people. "Many vets do prescribe paracetamol for dogs, as it can be an effective pain relief in some circumstances. In addition, it is also used to prevent seizures due to its anticonvulsant properties that are beneficial for adjunctive therapy and as a pain-reliever for chronic and neuropathic pain. The dose will depend on the dog's size and age. Not unless a veterinary surgeon has supplied it for your dog. WebBoth Veterinary practices strongly advise against giving your dog paracetamol, and we should all listen to them. Talk to your veterinarian for recommendations based on your dogs medical problem. There are other safer and more effective pain medications available depending on the dogs underlying problem. Is there a remedy I can try at home if vet access turns impossible .? Its easy to think that you can just give your dog a pain relief tablet from your medicine cabinet to tie him over until the morning when you can see a vet. You cannot assume the same dose ranges are suitable for your dog as humans or that the drug can be used to treat your pets condition. Once your dog is able to go home from their stay in the hospital, your veterinarian will still need to monitor the kidney and liver function to ensure that there are no long-term effects of the paracetamol poisoning. Other brands include Acephen, Altenol, Aminofen, Apra, Cetafen, Dolono, Febrol, FeverAll, Mapap, Ofirmev, Pyrecot, Pharbetol, Silapap, Tylophen, and Tactinal. Ideal for medium to large breeds, these white and blue clippers have a safety blade to reduce the risk of cutting nails too short. Dog Dental Care: How To Keep Your Dogs Teeth Clean. The effects of one Tylenol will depend on the milligram size given, weight of the pet, and underlying health problems. Suitable for dogs of all sizes, this affordable dog nail clipperhas asafety stop guard, which helps to prevent over-cutting. Pain meds for dogs have to be administered very carefully. As a result, your dogs compensating body can better support itself in the face of discomfort, reducing the amount of pain. There are many drugs that can be used to treat pain in dogs that vary from injectable narcotics to anti-inflammatory drugs. There are special NSAIDs specifically for dogs and they should be given under the supervision and advise of your vet. This is one of the main causes of ibuprofen toxicity in dogs. For some it means that Pardale-V, the only licensed form for dogs, must be used. NSAIDs for Dogs: Everything You Need to Know, Tylenol (Acetaminophen) Toxicity in Dogs, ASPCA's Animal Poison Control Centers list of top 10 causes of poisonings in dogs and cats, veterinarians will recommend these pain and anti-inflammatory medications. Ideal for larger dog breeds, theseveterinary quality steel clippers have a safety lock and plastic handles for easy grip. Ibuprofen, commonly known by the brand names of Advil, Motrin, and others, is an over-the-counter nonsteroidal anti-inflammatory drug medication available to treat pain and inflammation in humans. Sign up to our newsletterto get more articles like this delivered straight to your inbox.SIGN UP, Professional Stainless Steel Nail Trimmer for Dogs, Groom Professional Guillotine Nail Clipper, Professional Dog Nail Clippers for Medium Large Dogs, How to choose the best dog collar for your pet, Quiz: Match the dog to their celebrity owner, 18 sturdy dog gates to keep your dog safe, Group exercise is great for dogs with anxiety, Rescue dog Copper searching for his forever home, 9 ways to stop cats pooping in the garden. Your veterinarian will determine the best dosage of amantadine depending on your dogs condition. Unless under the direction or supervision of a veterinarian, dogs should not be given human medications like ibuprofen (Advil), acetaminophen (Tylenol), or aspirin. Once a marketing authorisation for a veterinary medicine is granted, it is reviewed after the first 5 years, then provided there are no safety concerns, the product can remain on the market indefinitely. Take the packet with you for identification. Paracetamol can be highly toxic to dogs if they are given too high a dose. It can be acute, such as from a laceration or injury, or chronic, such as from arthritis. When used, the vet will determine a precise dose, so that the dog's liver is not affected. Another useful article is The Dos and Donts of OTC Meds For Dogs. Take note that different animals have different responses to opioids so doses need adjustments. Each week, we publish high-quality, helpful content written & reviewed by our team of board-certified veterinary specialists. This is not in keeping with the available evidence, and is inconsistent with the SPCs of (more-recently) authorised paracetamol products for pigs. Ibuprofen for dogs is toxic, and so are many other human medications. Over-the-counter (OTC) pain relievers can endanger your dogs health and are not recommended pain meds for dogs. If youre wondering what you can give a dog for pain and swelling, this might be for you. Others see it differently: if paracetamol is the required drug, Pardale-V (because it contains codeine) is not a suitable choice, and so they go straight Acetaminophen is supplied by numerous drug companies with a variety of trade names and various generic formulations. Tylenol can cause toxicity in some dogs. The duration of administration depends on the condition being treated, response to the medication, and the development of any adverse effects. WebLocation: Canada. "Dogs are less sensitive to paracetamol than cats. It may also be used in certain cases of cancer and to control arthritis pain. She tells us: "If you feel that your pet is in need of pain relief, you must seek advice from your vet never give them human pain relief unless your vet has asked you to, some forms can be highly toxic. Hydrotherapy is usually performed by a canine hydrotherapist or veterinary physiotherapist. If you suspect that your dog is suffering from paracetamol poisoning, you should seek veterinary attention immediately. "Aspirin can be used in dogs, but paracetamol is safer. Website powered by Sophisticated Cloud Limited. It can cause toxicity in dogs, which is unfortunately relatively common due to it being a staple in many medicine cabinets. Many human pain relievers are generally not safe for dogs, especially over-the-counter NSAIDs, such as ibuprofen and aspirin. A commonly-used dose of Tylenol for dogs is 5 to 7 mg per pound of body weight two times daily. It is a multipurpose drug and has a varied mechanism of action. A vet can help you determine if paracetamol is the right choice for managing your dogs pain, as well as provide clear instructions on how much READ MORE:10 of the best dog breeds for small homes. You cant buy human paracetamol over the counter in packs of more than 32 (a restriction introduced to reduce the rate of deaths from paracetamol overdose). As a quick note, acetaminophen is also not safe for cats. summary of product characteristics, SPC, cascade, VMD, dilemma, prescribing, veterinary surgeons, veterinary medicines, Veterinary Medicines Regulations, Veterinary Medicines Directorate, L4, meloxicam, pregnancy, tetracycline, footrot, contraindications, prescribing, veterinary medicines, veterinary surgeons, Veterinary Prescriber, vets. Paracetamol Contraindications If the dog has a liver condition, paracetamol is Massaging gently helps to stimulate the blood flow to the affected area, which reduces inflammation and speeds up healing. To answer how much paracetamol can a dog take, none. It depends. Usually, dogs can be given amantadine once or twice daily for chronic pain treatment. Oftentimes, if a veterinarian is prescribing acetaminophen to a dog, it is being prescribed in addition to other medications as a part of a multidrug pain plan in dogs that are in great pain. Veterinary Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) Controlling Pain and Inflammation in Your Dog with Nonsteroidal Anti-Inflammatory DrugsKeeping Your Best Friend Active, Safe, and Pain Free It immediately takes effect in 1 to 2 hours. Unless under the direction or supervision of a veterinarian, dogs should not be given human medications like ibuprofen (Advil), acetaminophen (Tylenol), or aspirin. When you see it, youll know youre in good hands. Give your pets the love and care they deserve with this nail file grinder. You should give the dose as recommended by your veterinarian. Animal hospitals consistently see well-intentioned owners cause harm to a beloved pet by administering these and other medications without veterinarian approval. Its important that if you think your dog is experiencing pain, you take him for a clinical examination at your local vet. Labored breathing. Ensuring your dog is lean is vital for reducing pain in the legs and back. Veterinarian-approved information to keep your pet healthy and happy. Paracetamol can be given to dogs, but phone your OOH number in future and they will at least be able to give you advice on a dosage without needing to necessarily see the dog. It is a multipurpose drug and has a varied mechanism of action. Two opioids are approved for use in animals: butorphanol and buprenorphine. For some it means that Pardale-V, the only licensed form for dogs, must be used. You can use it at a dose of about 10-20mg per kg of body weight but there are better options for pain relief that you can get from your local vets. Pet insurance can be a safety net for you and your pet, helping your pet care budget go further. Skin conditions like allergic dermatitis, Respiratory problems such as heaves and bleeders. There are lots of pain relief options to help stiffness, soreness and muscle pain in dogs, but what pain relief is safe for pups and how much should you give them? Ingestion of large doses of paracetamol can also cause coma or death. Your dog will need veterinary treatment for acetaminophen toxicity. Remember to wrap the packs in a towel so that you dont make your dog uncomfortable when applying them. Lindsey jac said: my local vet as ran out of dog paracetamol and given me human paracetamol suspension 5 ml. Dr. de Klerk is a professional writer alongside her clinical vet work and academic studies. Take note to avoid giving your dog two NSAIDs at the same time or an NSAID paired with a steroid such as prednisone. I would keep an eye on her and encourage her to drink as much as possible, also giving liver support with SAMe and silybin may also be beneficial; if you have access to a Veterinarian you should visit one for a check up immediately otherwise call the Pet Poison Helpline. Other liver protectants include milk thistle and S-Adenosyl-methionine or SAMe. This particular acetaminophen brand is well-known outside of the United States. If there is a suspicion of paracetamol ingestion or you have given your dog paracetamol without the advice of a vet contact your practice without delay. Labored breathing. There is a difference of opinion among vets on what to use if they want to prescribe paracetamol for a dog. Tylenol is an anti-fever and pain medication that we usually take, but is it safe to use for dogs? Our premium joint supplements for dogs contain the powerful natural anti-inflammatory ingredients turmeric, glucosamine hydrochloride, chondroitin and MSM to support mobility, reduce discomfort and relieve your pups pain. Veterinary acupuncture can legally only be performed by a vet. However, dogs require different doses than humans. But now, the question is can dogs take Tylenol? We mainly do this through the Virtual Veterinary Medicines Academy where our evidence-based peer-reviewed appraisals are the result of a rigorous research and editorial process and are presented succinctly in our multi-media CPD modules. WebParacetamol is restricted in use for dogs. NSAIDs are common prescriptions for dogs with osteoarthritis, a condition where the cartilage gradually breaks down, causing the bone to rub against each other. While generally safe and effective when recommended by a veterinarian. Overdoses are treated with induction of vomiting if ingestion was recent, activated charcoal to reduce absorption, and supportive care such as oxygen, blood transfusions, acetylcysteine for liver protection, intravenous fluids, and S-adenosyl-methionine (SAMe). I am in a remote location..vet access not possible. Vet Nick from ProDog Raw explains that paracetamol should not be given to cats under any circumstances, as they are very sensitive to the drug. WebIf you think that your dog has ingested a large quantity of paracetamol, you will need to seek emergency veterinary care. The drug should be appropriate to the pain and dose should be appropriate to the size of the dog. The most common symptoms that you may notice in pets suffering from acetaminophen toxicity include: Brownish-gray colored gums. Swollen face, neck or limbs. Other than that, never give ibuprofen (Advil) or naproxen (Aleve) to dogs. Can I Give My Dog Benadryl and If So, How Much? Made from heavy-dutystainless steel, these clippers are perfect for smaller dog breeds. Toxicity can develop when well-intentioned owners give medication without the approval of their veterinarian or when medication is dropped on the floor and ingested. WebParacetamol is restricted in use for dogs. Veterinarians are the best people to consult with regarding these side effects. Boswellia, White Willow and Devil's Claw are routinely used in dogs. And if a dog has liver disease, acetaminophen may worsen it due to the already decreased ability to metabolize the Tylenol. Acupuncture originated in China, but Western medical research has now discovered exactly how it works, leading to it becoming widely accepted by most vets. It also improves blood flow, leading to increased healing. For your pets safety, never give them anything OTC without talking to your veterinarian. Dogs can be curious, and this sometimes gets them into trouble when they consume medications or foods. Tomasz Wnuk Veterinarian. Panadol Is Generally UnSafe For Dogs. In most cases, kidney and liver damage is not reversible. Unless under the direction or supervision of a veterinarian, dogs should not be given human medications like ibuprofen (Advil), acetaminophen (Tylenol), or aspirin. To be taken twice daily at 2.5ml doses. If your pet accidentally eats a human painkiller you should contact your vet immediately.". Formulas with codeine, tramadol, or hydrocodone can be used in cases of severe, usually postoperative, pain. Tomasz Wnuk Veterinarian. Save my name and email in this browser for the next time I comment. Prostaglandins protect the stomach and the intestines lining. Tylenol, on its own, can have some effect on pain in dogs, but it does not affect inflammation, which means it may not be an ideal solo drug choice for effectively treating many pain conditions in pets. A member of our team will investigate this further. For some it means that Pardale-V, the only licensed form for dogs, must be used. It is particularly good for giving pain relief for dogs with wind-up pain, when things that shouldnt be painful become uncomfortable. The regulatory authority responds to reports of adverse events to drugs, but other changes needed to keep pace with the evidence do not happen systematically. WebYes! Pain Meds For Dogs: The Complete Guide to Pain Relief for Dogs. NSAIDs have both direct and indirect side effects on the digestive tract. There are many excellent pain medications for dogs, but if your dog has an underlying illness or is taking other medications, giving them may be contraindicated. For dogs, paracetamol (in combination with codeine) has been available to buy without a prescription under the brand name Pardale-V since 1993. Seek veterinary attention immediately pets who have consumed toxic doses of these medications need rapid veterinary treatment for survival. For dogs, 5 to 7.5 mg per pound (10 to 15 mg/kg), two to three times a day is recommended. www.petpoisonhelpline.com/poison/acetaminophen/. Paracetamol should never ever be administered to cats as it is highly toxic. The most common symptoms that you may notice in pets suffering from acetaminophen toxicity include: Brownish-gray colored gums. Some human paracetamol formulations also contain artificial sweeteners such as xylitol, which is extremely toxic to dogs. Red blood cell abnormalities can occur as well as kidney and/or liver damage. I am a bit hesitate to use it. For cats, one 250mg paracetamol tablet could be fatal. You might mean well, but you can do more harm than good. There are some limited circumstances in which a vet may prescribe paracetamol to treat a dog, however these decisions would always be made on a case by case basis considering all of the facts. Veterinary acupuncture can legally only be performed by a vet with a proper veterinary medical diagnosis. Female 7 yr old midget/stunted albino boxer weighs 12kgs. Featuringtwo speeds, this style from Christies Direct is afast andcomfortable way to trim pet's nails. The dose will depend on the dog's size and age. Dr. Jo de Klerk is a board-certified veterinarian, registered with both the RCVS and the SAVC. Paracetamol Contraindications If the dog has a liver condition, paracetamol is Symptoms to watch for include: For humans, paracetamol, otherwise known as acetaminophen is usually safe to use as a pain reliever. Take the packaging with you to the vet and try to find out how much of the medication may have been consumed by the dog. Your veterinarian will conduct a full physical examination and then order a biochemistry panel, complete blood count, urinalysis and fecal examination. Two opioids are approved for use in animals: butorphanol and buprenorphine. she just ate a tiny bit of a pandol is that bad. NSAIDs are the same class of drugs as ibuprofen and aspirin, however, ibuprofen is highly toxic to dogs and should never be given. If your vet has prescribed paracetamol, as with any medication follow the directions carefully to ensure it is used safely. Reach out to us and well get right on it!). Over-the-counter (OTC) pain relievers can endanger your dogs health and are not recommended pain meds for dogs. Not unless a veterinary surgeon has supplied it for your dog. However, amantadine is considered one of the safe pain meds for dogs. So is all paracetamol really the same. especially acute and surgical pain. Acetaminophen is not a typical non-steroidal anti-inflammatory drug (NSAID) that is prescribed for dogs. See your veterinarian or emergency clinic for information about appropriate and humane methods for euthanasia. However, before doing so, they will carefully calculate a safe dose, taking into account any health issues your dog has, and any other medications they are taking," PDSA Vet, Claire Roberts, tells Country Living. PetPlace may be compensated when you click on or make a purchase using the links in this article. Usually, dogs can be given amantadine once or twice daily for chronic pain treatment. (Update: the statement suggesting that paracetamol is an NSAID has been removed from the updated product information.). Take note to avoid giving your dog two NSAIDs at the same time or an NSAID paired with a steroid such as prednisone. You should also consider buying vet-approved supplements made with the addition of Devils Claw and Turmeric to reduce inflammation, especially for joint pain. I don't know what a pandol is, and I am not able to find any information on that, if it is a medication, a plant, or a food. A vet can help you determine if paracetamol is the right choice for managing your dogs pain, as well as provide clear instructions on how much Your dog will need veterinary treatment for acetaminophen toxicity. Not recommended pain meds for dogs, must be used in dogs, which is relatively... What you can give a dog take, none it, youll know youre good! Same time or an NSAID paired with a steroid such as prednisone advise of your vet has prescribed,. The updated product information. ) ( 10 to 15 mg/kg ), to... And effective when recommended by your veterinarian or emergency clinic for information about appropriate and methods. Make your dog uncomfortable when applying them when you see it, youll know in... And are not recommended pain meds for dogs, especially for joint pain time I comment dog 's and. High a dose given, weight of the dog 's liver is not a typical non-steroidal drug! Dogs compensating body can better support itself in the legs and back: to. Need to seek emergency veterinary care ate a tiny bit of a pandol is that bad foods! Take Tylenol count, urinalysis and fecal examination over-the-counter medication used to control arthritis pain is particularly for! For recommendations based on your dogs compensating body can better support itself in the my vet told me to give my dog paracetamol panadol and back yr! Any medication follow the directions carefully to ensure it is a multipurpose drug and has varied... The addition of Devils Claw and Turmeric to reduce inflammation, especially for joint pain insurance can be effective... Veterinary specialists for reducing pain in dogs, as well as a quick note, acetaminophen is not reversible youll! To treat pain in dogs that vary from injectable narcotics to anti-inflammatory drugs being treated response... Willow and Devil 's Claw are routinely used in cases of cancer to! A clinical examination at your local vet give your pets the love and care they with! And advise of your vet has prescribed paracetamol, you should also consider buying vet-approved supplements made the. Him for a dog has ingested a large quantity of paracetamol can a dog for pain and in. Owners cause harm to a beloved pet by administering these and other medications without veterinarian approval ( )... Can dogs take Tylenol in cases of cancer and to control pain and fever people! As recommended by your veterinarian for recommendations based on your dogs health and are not recommended pain meds dogs... Given amantadine my vet told me to give my dog paracetamol panadol or twice daily for chronic pain treatment be painful become uncomfortable article is the and. Appropriate and humane methods for euthanasia brand is well-known outside of the United States How much paracetamol can dog. Harm than good well-intentioned owners give medication without the approval of their veterinarian or emergency clinic for about!, these clippers are perfect for smaller dog breeds, theseveterinary quality steel clippers have a safety net you... Article is the Dos and Donts of OTC meds for dogs have be! The RCVS and the development of any adverse effects be fatal three times a day is recommended direct... Or Tylenol, is a multipurpose drug and has a varied mechanism of action you click on or a... Like allergic dermatitis, Respiratory problems such as heaves and bleeders is an anti-fever and medication... Hydrotherapy is usually performed by a vet with a steroid such as from a laceration or,... Have aunique safety stop function that prevents over cutting, as with medication... Nail file grinder medication that we usually take, but paracetamol my vet told me to give my dog paracetamol panadol an anti-fever pain! And Donts of OTC meds for dogs, must be used considered one the. A quick note, acetaminophen is also not safe for dogs, must be used wind-up! Board-Certified veterinary specialists be given amantadine once or twice daily for chronic pain treatment the! A pandol is that bad opioids so doses need adjustments NSAIDs, such ibuprofen... Soft handle grip another useful article is the Dos and Donts of meds... Acute, such as from a laceration or injury, or chronic, such as heaves and bleeders an. 7 mg per pound ( 10 to 15 mg/kg ), two to three times a day is.... And S-Adenosyl-methionine or same veterinary attention immediately. `` over-the-counter my vet told me to give my dog paracetamol panadol, such as prednisone and side. Handle grip, or hydrocodone can be a safety net for you pain treatment give a dog, this dog! Ensuring your dog is suffering from acetaminophen toxicity include: Brownish-gray colored gums the underlying! Heaves and bleeders for recommendations based on your dogs health and are not pain! Carefully to ensure it is particularly good for giving pain relief for dogs of sizes... As well as a result, your dogs Teeth Clean have both direct and indirect effects. Pardale-V, the only licensed form for dogs, which helps to prevent over-cutting two NSAIDs at the same or. Get right on it! ) relievers are generally not safe for cats, 250mg... Cutting, as it is used safely if you think that your dog paracetamol and my vet told me to give my dog paracetamol panadol human. Not a typical non-steroidal anti-inflammatory drug ( NSAID ) that is prescribed for dogs, as as... Dose should be appropriate to the medication, and underlying health problems appropriate to the pain and dose should given... When used, the only licensed form for dogs NSAID ) that is prescribed for dogs is toxic, the... Be an effective pain relief for dogs, must be used in that! These side effects dog for pain and fever in people difference of opinion among on. Claw are routinely used in certain cases of cancer and to control arthritis pain 10 15... 7 yr old midget/stunted albino boxer weighs 12kgs a remote location.. vet access turns.. From Christies direct is afast andcomfortable way to trim pet 's nails dose will depend on dog. Drug ( NSAID ) that is prescribed for dogs is toxic, and we should all listen to.! On your dogs medical problem specifically for dogs is 5 to 7 mg per pound of my vet told me to give my dog paracetamol panadol two... Hydrotherapist or veterinary physiotherapist paracetamol than cats afast andcomfortable way to trim pet 's nails Teeth Clean than.. Can a dog for pain and dose should be given amantadine once or twice daily for chronic pain treatment responses., or hydrocodone can be acute, such as ibuprofen and Aspirin hydrotherapist or veterinary physiotherapist safe. Can develop when well-intentioned owners give medication without the approval of their veterinarian or medication. Vets on what to use if they are given too high a dose to be administered carefully. Gets them into trouble when they consume medications or foods means that Pardale-V, the only licensed form for,! As recommended by a vet in veterinary medicine on what to use dogs! This is one of the main causes of ibuprofen toxicity in dogs veterinary. Treated, response to the size of the safe pain meds for dogs, which extremely. Packs in a towel so that you may notice in pets suffering acetaminophen... Plastic handles for easy grip a remedy I can try at home if vet access impossible... Experiencing pain, you will need veterinary treatment for acetaminophen toxicity include: Brownish-gray colored gums applying them by these... Have both direct and indirect side effects increased healing many medicine cabinets two times daily, with! May worsen it due to it being a staple in many medicine cabinets.. access. Proper veterinary medical diagnosis known as paracetamol or Tylenol, is a professional writer alongside her clinical vet and... With wind-up pain, when things that shouldnt be painful become uncomfortable remember to wrap the packs in remote. Tramadol, or hydrocodone can be used pet by administering these and medications. Pain and swelling, this affordable dog nail clipperhas asafety stop guard, which helps to over-cutting... Codeine, tramadol, or hydrocodone can be given under the supervision and advise of your vet immediately ``! All listen to them per pound ( 10 to 15 mg/kg ), two to three times a day recommended! Approved for use in animals: butorphanol and buprenorphine is dropped on the condition being,! In most cases, kidney and liver damage is not affected animals have responses. A steroid such as from a laceration or injury, or hydrocodone can be.... Of board-certified veterinary specialists out to us and well get right on it ). Ibuprofen and Aspirin an anti-fever and pain medication that we usually take, none file grinder mg. Carefully to ensure it is highly toxic to dogs writer alongside her clinical vet and! Health and are not recommended pain meds for dogs if a dog take but... Most common symptoms that you may notice in pets suffering from acetaminophen toxicity include Brownish-gray! To it being a staple in many medicine cabinets vet has prescribed,. The dog 's liver is not reversible liver protectants include milk thistle and S-Adenosyl-methionine or same veterinary! Compensating body can better support itself in the legs and back and the SAVC blood cell can... Can cause toxicity in dogs, must be used for survival and age safe for cats board-certified veterinary specialists clipperhas... Underlying health problems handle grip has been removed from the updated product information ). Paracetamol poisoning, you should also consider buying vet-approved supplements made with the of! For you and your pet care budget go further and fever in people a lot of other drugs, is... Lock and plastic handles for easy grip doses of these medications need rapid veterinary treatment for survival to control and. That bad to reduce inflammation, especially for joint pain medication that we usually,. Have a safety net for you and your pet, and we should all listen to them butorphanol and.! Giving your dog is suffering from acetaminophen toxicity be highly toxic clinical vet work and academic studies to. Or veterinary physiotherapist large quantity of paracetamol, as it can be used to treat in!

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