From the FDA:
If you have liver disease or drink three or more alcoholic drinks per day, you should not take Tylenol due to the risks associated with the medications, cautions the FDA.
From About.com:
Many people with chronic hepatitis and other types of liver disease (who don’t regularly drink alcohol) can safely take the recommended doses of Tylenol; however, you should definitely check with your physician before taking any medication if you have liver disease. For people with advanced cirrhosis (decompensated cirrhosis), Tylenol probably can’t be used because of the serious existing liver damage. If you have serious liver disease, talk to your doctor about appropriate dosing and best alternatives for treatment of pain or fevers.
There are many alternatives for pain and fever besides OTC:
(Aspirin, Naproxin , etc.)
Arnica Montana is a good example.
Well, I guess I cannot take on the Mayo clinic, but if it were me in this situation, I would not touch it.
If it IS used, I would hope he would do it under the strict eye of his physician.
Some people go with, well “if two are good, than three is better” type of dosaging, and that is where serious problems will occur.
Only drinking “4 to 5 beers an night” which is 28 to 35 cans of beer a week is what got him in this predicament.
I hope you can see where I’m going with this.
Regards..
But, even that is controversial, as indicated by the several FReepers who have replied much as you have. If at all possible, avoid over the counter pain medications if you have liver disease, is probably the best approach. If it can't be avoided, be very cautious and take nothing without clearing it with your doctor.
Fair enough?