Patient was educated on contraindications for using Tylenol # 3 as follows:
- Tylenol # 3 must be avoided in individuals allergic to Acetaminophen and/or Codeine.
- Tylenol # 3 slows down the bowel movements heavily and leads to constipation. Tylenol # 3 must be avoided or used with extreme caution in chronically constipated patients, as they are at increased risk for episodes of ileus and intestinal obstruction with Tylenol # 3.
- Tylenol # 3 produces and intense feeling of drowsiness and dizziness, as a side effect to modifying the pain perception of brain. Patients can also experience hallucinations and mood changes due to Tylenol # 3 use. Tylenol # 3 must be avoided or used with extreme caution in individuals taking antidepressants and other psychotropic medications that have the potential to induce hallucinations and mood changes.
- Tylenol # 3 is mainly metabolized by the liver and Tylenol # 3 intake can lead to hepatic injury and acute pancreatitis. Individuals with history of compromised liver function cannot metabolize Tylenol # 3 and this can lead to increased blood levels of Tylenol # 3 for longer duration, leading to toxicity. Tylenol # 3 should be avoided or used with extreme caution in such individuals.
- Tylenol # 3 is mainly excreted in the urine. Individuals with compromised renal functions tend to retain the drug in the circulation longer, thus resulting in toxicity. Tylenol # 3 should be avoided or used with extreme caution in such individuals.
