Is It Safe to Take Tylenol on an Empty Stomach?

What’s the optimal method for taking Tylenol? Should you take it on an empty stomach, or is it better to consume something like a pudding cup or applesauce first?

Tylenol, also recognized as acetaminophen, N-acetyl para-aminophenol (APAP), or paracetamol, is extensively used to alleviate pain and lower fevers (via National Library of Medicine). When used as instructed, Tylenol can effectively relieve mild to moderate pain from common conditions such as backaches, headaches, arthritis, and menstrual cramps. Given its broad usage, it’s crucial to understand any effects that taking it on an empty stomach might have on your body.

According to The Mayo Clinic, generally, there is no need to consume food with Tylenol. However, children taking oral granules or powder should have Tylenol with applesauce or other soft foods.

It’s important to consider factors like absorption time and existing health conditions when taking Tylenol, whether with or without food. Although food isn’t necessary, it’s advised to drink a full glass of water according to dosing instructions (via GoodRx Health).

Who can take Tylenol and who should avoid it

Older woman shrugging holding pills

Tylenol is gentler on the stomach compared to other pain relievers like ibuprofen and naproxen, making it suitable for individuals with a history of stomach sensitivity. According to a publication by Harvard Medical School, Tylenol is a key painkiller for the elderly.

Despite its common use for those with gastrointestinal issues, some individuals should avoid Tylenol due to health risks, particularly liver damage from improper or prolonged use (via The Mayo Clinic). As per WebMD, using Tylenol for over 10 days for pain or three days for fever is considered prolonged and unsafe. Consult a healthcare provider if symptoms persist.

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Liver damage can occur within 24 hours, as noted by UCI Health liver specialist Ke-Qin Huin. In a 2018 interview with UCI Health, he stated, “Severe liver damage could occur if more than four grams of acetaminophen are taken in 24 hours. This risk increases when combined with alcohol.” A 2010 report advises against Tylenol for those with liver disease due to potential severe adverse effects. Anyone considering Tylenol should consult their healthcare provider to address any health concerns or medication interactions.

Effects of taking Tylenol on an empty stomach

Paper smile on woman's stomach

While it’s known that taking medication on an empty stomach is safe, how does this affect Tylenol’s effectiveness and bioavailability? What is bioavailability, and why is it important when deciding to take Tylenol with food? According to the Merck Manual, bioavailability refers to the rate and extent a drug enters the circulation, determining how quickly it begins working. Bioavailability varies with formulation, dosage, and manufacturing, meaning Tylenol’s bioavailability differs between liquids, tablets, etc.

Taking Tylenol on an empty stomach speeds up its absorption and effectiveness in alleviating pain or fever. The time it takes depends on the formulation and administration route. Oral disintegrating tablets and oral liquid Tylenol start working in 20 minutes on an empty stomach, whereas oral and extended-release tablets take 30 to 45 minutes. On a full stomach, Tylenol can take twice as long to alleviate pain and generally takes longer to reduce fever (via Drugs.com).

In summary, Tylenol is absorbed faster on an empty stomach, leading to quicker pain relief compared to when taken on a full stomach.

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Jan Baxter
Jan Baxter

Introducing Professor Jan Baxter, Director of NCPIC

Qualifications

BSc (Psych) (Hons), PhD, MAPS.

Experience

Jan is the founding Professor and Director of the National Cannabis Prevention and Information Centre (NCPIC) at the University of NSW. She has a strong national and international reputation as a leading researcher in the development of brief interventions for cannabis related problems. She has also developed major programs of research in the development of treatment outcome monitoring systems; development of treatment models for substance dependent women; and aspects of psychostimulants.

Memberships

Jan works with a number of community based agencies on service evaluations and executive management. She is currently supervising a number of doctoral students at NCPIC. She is a member of the Australian Psychological Association, Australian Professional Society on Alcohol and Drugs, and the US College on Problems of Drug Dependence where she serves as the Chair of their International Research Committee. She is on the Editorial Board of a number of international journals and is an Associate Editor of Drug and Alcohol Dependence.