Hi doctor I need help here.  My friend a female aged 25 weight 47 kg took 9 dolowin tablets i think 650 mg of paracetamol.  It was yesterday night at 12.  when she told me in morning i told her to vomit, and there was some white phlegm in the vomit.  She was allright then, now the next day afternoon she is having abdominal pain.  I saw in the net that there might be liver failure.  it this 9 dolowin capable of having liver failure.  Please help me.
Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It is not likely that 9 these pills cane cause acute liver failure. Yes, it is true that paracetamol overdose may have negative impact on liver and even cause fatal liver failure. However, for this is much higher dosage necessary than this one that you mention. In this case it is more likely that there is gastritis induced with Dolphin which is known to be irritation for stomach and bowels. She should take milk products and have easier diet and more fluids. Also she should take sanitizing pills and reduce Paracetamol intake till pain persist. It should improve in short time on these measures. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.