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Paracetamol for Fever & Body Pain: Effects & Side Effects

By Dr. Meenakshi Jain in Internal Medicine

Dec 19 , 2024 | 8 min read

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As soon as the flu season starts, many people experience symptoms such as fever, body pain, cold, and cough. Often, in an attempt to find quick relief, most of us turn to over-the-counter drugs such as Paracetamol for feverandbody pain. But how much do we really know about the effects and potential side effects of these popular tablets for fever and body pain? If you frequently rely on readily available OTC Paracetamol tablets for high fever, staying informed is essential to prevent potential side effects associated with this type of medication. Keep reading to uncover everything you need to know before choosing the right tablet for fever and body pain—especially during flu season.

What is fever?

Fever is an elevation in your body temperature, typically caused by an underlying illness such as an infection. It occurs when the body's temperature rises above normal levels: 100.4°F (ear & body), 99°F (armpit), or 100°F (oral). A fever becomes concerning in adults if it exceeds 103°F (39.4°C), while in children, even a mild temperature can signal a more serious infection.

A fever in simple terms is the body's natural defence mechanism. When a pathogen like bacteria or a virus invades your body, your immune system raises your body's temperature to make it less hospitable for these invaders, helping your body fight off the infection more effectively.

Why do you need to control fever?

Though controlling fever will not eliminate the actual cause of fever, i.e., infection, it is essential to manage fever because the body's biochemical reactions occur within a narrow temperature range. Moreover, in children aged 6 months to 6 years, there are chances of seizures, especially if there is a family history. It is, therefore, advisable not to neglect fever, especially in children.

What is body pain?

Body pain refers to an uncomfortable sensation triggered by the nervous system, which can appear suddenly or develop gradually. It can be influenced by factors such as your environment, physical health, emotional state, and mental well-being. While you're the best judge of your pain’s severity and frequency, it's important to monitor how long it lasts. Often, the body pain resolves on its own, but if it persists for more than a few days, it's advisable to consult a doctor for the right treatment.

Why do you need to control body pain?

People may experience body aches for various reasons. While most body pains are harmless and treatable, in some cases, it can be a sign of a more serious condition that needs to be addressed quickly to prevent complications.

Are there any downsides to actively controlling a fever?

Yes, there are potential downsides to actively controlling a fever. While reducing a fever can offer comfort, it's important to understand that fever is a natural bodily response to fight infection. Here are some possible drawbacks:

Interference with the Immune Response

Fever aids the immune system by creating an environment less favourable for bacteria and viruses. Lowering it too quickly may reduce the body's ability to fight infections.

Delayed Diagnosis

Suppressing a fever with medication can mask symptoms, potentially delaying the diagnosis of underlying conditions that may require specific treatment.

Rebound Fever

Reducing a fever aggressively can sometimes lead to a rebound effect, where the body increases the temperature again, causing fluctuations that can be stressful.

Overuse of Medication

Frequent use of fever-reducing drugs such as paracetamol can lead to significant side effects, particularly affecting the liver. However, beyond its well-known antipyretic (fever-reducing) properties, paracetamol also has other effects and potential side effects. Are you aware of these? Let’s explore in detail the potential effects of prolonged or excessive use of paracetamol on the body.

What is paracetamol?

Paracetamol, also known as acetaminophen, is a widely used medication for relieving pain (analgesic) and reducing fever (antipyretic). It is one of the most commonly used over-the-counter drugs due to its effectiveness and minimal side effect profile when taken within recommended doses. It is available in various forms, including tablets, capsules, liquid suspensions, and injections.

Who Can Safely Take Paracetamol?

  • Adults and Teens: Safe for managing pain and fever in adults and teenagers when used as directed.
  • Children: Can be given to children for pain and fever relief, with age-appropriate doses.
  • Pregnant and Breastfeeding Women: Generally considered safe during pregnancy and breastfeeding, however it is advised to consult a doctor use.
  • Elderly Patients: Suitable for elderly individuals with careful monitoring of liver function.
  • Patients with Stomach Issues or NSAID Sensitivity: Suitable for individuals with stomach sensitivities, as it doesn’t irritate the stomach lining.

Effects and uses of paracetamol 

Paracetamol is readily available at both physical and online pharmacies and is commonly administered to patients with high fevers to help reduce their body temperature. In addition to its fever-reducing properties, paracetamol is widely used as a pain reliever and can be effective for managing various other health conditions, such as:

A Sore Throat 

People usually opt for antibiotics and other medicines to treat sore throats. However, paracetamol is one of the most effective drugs that can help relieve a sore throat

Migraine 

Migraines can cause severe discomfort and prevent people from carrying on their everyday tasks. However, if paracetamol is taken when a migraine attack begins, it can help reduce the ailment’s symptoms and provide relief to the patient. 

Toothache 

Paracetamol is an effective painkiller and can help alleviate toothache. However, if you have swelling, it is necessary to consult a dentist. 

Headache 

If you have a headache, then take a paracetamol tablet. It helps relieve pain. However, it should only be taken if the pain is unbearable. 

Backache 

Paracetamol is good for body pains and also provides relief from backache. But if the pain persists and does not get better even after taking paracetamol, it is necessary to see a doctor. 

Menstrual Pain 

Menstrual cramps can be quite uncomfortable, but Paracetamol, as an over-the-counter pain reliever, can help alleviate the pain. While NSAIDs are highly effective in reducing menstrual discomfort, paracetamol is a good alternative if NSAIDs are not accessible or suitable for you.

Neuralgia 

Neuralgia is a severe pain that is caused due to a damaged nerve. Though paracetamol will help provide temporary relief from the pain, it is always advisable to consult a doctor because if the pain is not treated, it can lead to other complications.

The Risks of Taking Paracetamol 

Paracetamol is commonly used for relieving mild to moderate pain and reducing fever. It's generally considered safe when taken as directed, but there can be several side effects of paracetamol if not used properly, such as:

  • Liver Damage: High doses or prolonged use can overwhelm the liver, leading to potential liver failure.
  • Overdose Risk: Accidental overdose of paracetamol can cause serious liver damage and requires immediate medical attention.
  • Kidney Damage: Extended use may increase the risk of kidney problems, especially in those with pre-existing conditions.
  • Gastrointestinal Issues: Can cause stomach discomfort in rare cases, but less likely than NSAIDs.
  • Drug Interactions: May interact with blood thinners, anti-seizure medications, and alcohol, increasing health risks.
  • Allergic Reactions: Rare allergic reactions include rashes, swelling, and difficulty breathing.
  • Pregnancy and Breastfeeding: Generally safe for short-term use, but prolonged use during pregnancy should be avoided.

Caution: Always follow the recommended dosage of paracetamol to avoid serious side effects of paracetamol. Seek immediate medical attention if you suspect an overdose of paracetamol or experience unusual symptoms.

Contact your doctor immediately if you experience any of the following symptoms after taking paracetamol:

  • Nausea or vomiting
  • Abdominal pain, especially in the upper right side
  • Unusual fatigue or weakness
  • Skin rashes
  • Yellowing of the skin or eyes (jaundice)
  • Dark urine and pale stools
  • Difficulty breathing 
  • Swelling of the face, lips, or throat
  • Low blood pressure, fast heartbeat, or flushing (These symptoms may appear when paracetamol is given intravenously.)

Frequently Asked Questions

1. Which MG paracetamol is best for fever?

For adults experiencing fever, the standard dosage of paracetamol is 500 mg to 1,000 mg taken orally every 4 to 6 hours as needed. For children, the dosage is typically based on weight. Always consult your doctor before administering paracetamol to ensure the appropriate dosage.

2. How long does paracetamol take to work for fever?

Paracetamol typically begins to take effect within 30 minutes to 1 hour after ingestion, reducing fever and alleviating discomfort. The full effects are visible within a few hours, and it typiclly lowers body temperature for 4-6 hours. 

3. Can I take paracetamol for fever and body pain?

Yes, paracetamol is commonly used to relieve both fever and body pain. It is effective in reducing fever and providing relief from mild to moderate pain, such as headaches, muscle aches, or joint pain. Be sure to follow the recommended dosage guidelines and avoid exceeding the maximum daily dose (usually 4,000 mg for adults). 

4. Does paracetamol make you sleepy?

Paracetamol itself does not typically cause drowsiness or make you sleepy. It is primarily a pain reliever and fever reducer. However, if you're taking paracetamol to alleviate symptoms like pain or fever, the relief from discomfort may help you feel more relaxed and potentially improve your ability to sleep. If drowsiness occurs, it may be due to other factors such as the underlying condition you're treating or other medications you're taking alongside paracetamol.

5. Is it ok to take paracetamol before bed?

Paracetamol can be taken before bed, especially if you're experiencing a fever. It may help reduce your temperature and alleviate discomfort, allowing you to sleep more soundly through the night.

6. What is the best time to take paracetamol?

The best time to take paracetamol depends on the type of symptoms you're experiencing:

  1. For Pain Relief: Paracetamol can be taken as needed, typically every 4-6 hours, ensuring you don’t exceed the recommended daily dosage (usually 4,000 mg for adults). It's best taken after meals to minimise stomach irritation.
  2. For Fever: If you're using paracetamol to reduce fever, take it when your temperature rises above 100°F (37.8°C). You can take it every 4-6 hours if the fever persists, but ensure you're not exceeding the maximum daily limit.

Always follow your doctor's instructions regarding dosage and timing for optimal effectiveness and safety.

Conclusion

While Paracetamol is often the go-to medication for fever and body pain, it must be used responsibly. Whether you're looking for the best tablets for fever or the most effective cold fever and body pain medicine, always consult a healthcare professional before starting any medication. Self-medicating with tablets for high fever or overusing medicine for fever and body pain can lead to serious health issues. For expert guidance on choosing the right body pain and fever medicine, and to learn more about managing fever and pain safely, reach out to Max Hospitals. Your health deserves the best care—don't take chances with an overdose of Paracetamol.


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