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I was being a very foolish teenager and was using hydrocodone/acetaphetamine 5/500 to get high i would take 4 some days and sometimes up to 6 for a few days but then i stopped becuase i found out it was dangerous for my liver have i sustained permanent damage or should i go to the e.r im not sure what to do i think i freaked myself out but i would just like to be sure if im ok or if i should go to the hospital
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replied February 28th, 2017

Welcome to e health forum.

If the total dosage of Acetaminophen (paracetamol) taken over 24 hours exceeds 4000 mg, the chances of direct liver damage is possible.

The degree of your liver injury will depend on the severity of liver enzymes and serum bilirubin level elevation as well as Ultrasound findings.

Usually in cases of mild - moderate liver damage, with proper treatment and with passage of time, the liver cells would regenerate and return to normal function within a few months time. If the damage is very severe recovery would be slower.

To exactly assess your condition, it would be recommended that you either visit the ER or consult your doctor. A few tests - liver function tests, ultrasound of the liver will help to provide the necessary information, whether you have sustained any liver injury or not.

If the tests have already been done and everything has been found to be normal, then there is no reason to worry.

But if you develop any symptoms like - right abdominal pain, nausea, lack of appetite, vomiting, jaundice, malaise, fatigue, etc, you might consult your doctor and seek proper help.

I hope the information provided here is helpful.

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