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IRRITABILITY and Tylenol

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IRRITABILITY Symptoms and Causes

For most adults, moderate alcohol use is probably not harmful. However, about 18 million adult Americans have an alcohol use disorder (AUD). This means that their drinking causes distress and harm. It includes alcoholism and alcohol abuse.

Alcoholism, or alcohol dependence, is a disease that causes

  • Craving - a strong need to drink
  • Loss of control - not being able to stop drinking once you've started
  • Physical dependence - withdrawal symptoms
  • Tolerance - the need to drink more alcohol to feel the same effect

With alcohol abuse, you are not physically dependent, but you still have a serious problem. The drinking may cause problems at home, work, or school. It may cause you to put yourself in dangerous situations, or lead to legal or social problems.

Another common problem is binge drinking. It is drinking about five or more drinks in two hours for men. For women, it is about four or more drinks in two hours.

Too much alcohol is dangerous. Heavy drinking can increase the risk of certain cancers. It can cause damage to the liver, brain, and other organs. Drinking during pregnancy can harm your baby. Alcohol also increases the risk of death from car crashes, injuries, homicide, and suicide.

You may have an AUD if you can answer yes to two or more of these questions:

In the past year, have you

  • Ended up drinking more or for a longer time than you had planned to?
  • Wanted to cut down or stop drinking, or tried to, but couldn't?
  • Spent a lot of your time drinking, or recovering from drinking?
  • Felt a strong need to drink?
  • Found that drinking - or being sick from drinking - often interfered with your family life, job, or school?
  • Kept drinking even though it was causing trouble with your family or friends?
  • Given up or cut back on activities that you enjoyed just so you could drink?
  • Gotten into dangerous situations while drinking or after drinking? Some examples are driving drunk and having unsafe sex.
  • Kept drinking even though it was making you feel depressed or anxious? Or when it was adding to another health problem?
  • Had to drink more and more to feel the effects of the alcohol?
  • Had withdrawal symptoms when the alcohol was wearing off? They include trouble sleeping, shakiness, Irritability, anxiety, depression, restlessness, nausea, and sweating. In severe cases, you could have a fever, seizures, or hallucinations.

If you have any of these symptoms, your drinking may already be a cause for concern. The more symptoms you have, the more serious the problem is. If you think you might have an AUD, see your health care provider for an evaluation. Your provider can help make a treatment plan, prescribe medicines, and if needed, give you treatment referrals.

NIH: National Institute on Alcohol Abuse and Alcoholism

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IRRITABILITY Clinical Trials and Studies

Treatments might be new drugs or new combinations of drugs, new surgical procedures or devices, or new ways to use existing treatments. The goal of clinical trials is to determine if a new test or treatment works and is safe. Clinical trials can also look at other aspects of care, such as improving the quality of life for people with chronic illnesses. People participate in clinical trials for a variety of reasons. Healthy volunteers say they participate to help others and to contribute to moving science forward. Participants with an illness or disease also participate to help others, but also to possibly receive the newest treatment and to have the additional care and attention from the clinical trial staff.
Rank Status Study
1 Unknown  Analgesic Effect of Paracetamol, Paracetamol + Codeine, Ibuprofen and Their Combination
Condition: Pain, Postoperative
Interventions: Drug: Ibuprofen + Paracetamol;   Drug: Ibuprofen + Paracetamol + Codeine;   Drug: Paracetamol + Codeine;   Drug: Placebo
Outcome Measures: Sum pain intensity SPI (0-10 Numerical Rating Scale);   Sum pain intensity difference score (PID);   Overall assessment of efficacy (4-point Verbal Rating Scale);   Adverse effects AE (Specific reporting of AE - type, duration and severity)
2 Not yet recruiting Equality Study of Ofirmev vs Oral Acetaminophen
Condition: Pain, Postoperative
Interventions: Drug: IV acetaminophen;   Drug: oral acetaminophen
Outcome Measures: Primary outcome will measure total opioid consumption while the patient is in the PACU;   time from PACU admission to request for first opioid dose
3 Unknown  Acetaminophen for Cancer Pain
Conditions: Cancer;   Pain
Interventions: Drug: Acetaminophen;   Drug: acetaminophen;   Drug: placebo, sugar pill
Outcome Measures: Patient preference for the acetaminophen or the placebo arm as assessed by asking the patient whether he/she preferred treatment period 1 or treatment period 2;   Differences in the mean pain intensity score as assessed by the daily average Numeric Rating Scale (NRS) pain score during the week given acetaminophen compared with the daily average NRS pain score during the week given placebo;   Symptoms possibly associated with acetaminophen use for each period using an NRS: feeling sick (nausea and vomiting);   drowsiness;   constipation;   cold sweats;   overall sense of well being;   Total analgesic consumption in each treatment period;   Best and worst pain scores for each treatment period;   Pain relief obtained in each treatment period;   Effect of pain on functional ability;   Strength of preference for acetaminophen versus placebo on a 5-point scale;   Proportion of patients who had a preference for acetaminophen who perceived the improvement warranted taking the additional tablets;   Proportion of patients having a clinically significant improvement in pain (defined as an improvement in mean NRS of at least 33% during the week taking acetaminophen)
4 Recruiting Intraoperative and Post-operative Analgesic Effect of IV Acetaminophen for Sinus Surgery
Condition: Chronic Sinusitis
Interventions: Drug: IV Acetaminophen;   Drug: Placebo
Outcome Measures: Assess the efficacy of IV acetaminophen in controlling postoperative pain;   Investigate the effect of IV acetaminophen on the use of postoperative opioid analgesics;   Analyze effects of IV acetaminophen on intraoperative analgesic use;   Identify potential correlation between vital signs and postoperative pain intensity;   Examine the effect of IV acetaminophen on post-operative quality of recovery
5 Recruiting Paracetamol (Acetaminophen) for Closure of PDA in Preterm Infants
Condition: PDA
Interventions: Drug: Paracetamol;   Drug: Ibuprofen;   Procedure: Closure of PDA
Outcome Measures: Closure of arterial duct - yes / No;   Need for surgical closure of arterial duct
6 Recruiting Paracetamol Effect on Oxidative Stress and Renal Function in Severe Malaria
Condition: Malaria
Interventions: Drug: Paracetamol;   Drug: No Paracetamol
Outcome Measures: Effect of paracetamol concentrations;   Compare treatment arm with control arm with respect to duration of Acute Kidney Injury (AKI) and development of AKI.;   Oxidative stress assessed by measuring F2-isoprostanes (F2-IsoPs);   Assessment of Blackwater fever;   Mortality trends;   Intravascular Haemolysis;   Fever clearance time;   Parasite clearance time;   Parasite sequestration;   Assessment of Acute Kidney Injury;   Creatinine clearance;   Safety assessment
7 Recruiting Slow Initial β-lactam Infusion With High-dose Paracetamol to Improve the Outcomes of Childhood Bacterial Meningitis
Condition: Bacterial Meningitis
Interventions: Drug: Infusion with paracetamol;   Drug: Bolus without paracetamol
Outcome Measures: Mortality;   Status on the modified Glasgow Outcome Scale;   Death or any sequelae;   A change in hearing threshold compared to the first test result;   Death or severe neurological sequelae;   Deafness
8 Unknown  Paracetamol for Cancer Pain
Conditions: Advanced Cancer;   Opioid Use, Unspecified
Interventions: Drug: paracetamol;   Drug: placebo tablets
Outcome Measures: Pain reduction caused by paracetamol 4g/d;   Overall satisfaction with the pain treatment
9 Recruiting Clinical Study Comparing the Efficacy of Transbuccal Paracetamol 125 mg Versus Paracetamol Injection 1g in Slow Infusion IV in Patients With Acute Pain
Condition: Acute Pain
Interventions: Drug: paracetamol;   Drug: Placebo
Outcome Measure: Pain score measured by visual analogue scale
10 Unknown  The Effect of Single Dose Paracetamol on the Lower Airways of Asthmatic and Healthy Children
Condition: Asthma
Intervention: Drug: paracetamol
Outcome Measure: A measurable change in lung functions in response to paracetamol exposure.
11 Recruiting Prospective, Randomized, Double Blind Study Comparing IV vs PO Acetaminophen in Patients Undergoing Lumbar Discectomy
Condition: Pain
Interventions: Drug: oral acetaminophen;   Drug: intravenous acetaminophen
Outcome Measures: Postoperative pain scores;   Quantity of intraoperative and postoperative opioids administered.
12 Recruiting Can Acetaminophen Given 1-2 Hours to Children Before Ear Tube Surgery Reduce Agitation After Anesthesia?
Conditions: Emergence Agitation;   Pain
Intervention: Drug: Acetaminophen
Outcome Measures: Emergence Agitation;   Pain
13 Recruiting Analgesic Efficacy of Intravenous Acetaminophen After Video-assisted Thoracic Surgery
Condition: Video-assisted Thoracic Surgery
Interventions: Drug: IV Acetaminophen;   Drug: Saline Placebo
Outcome Measures: Total morphine consumption;   Number of PCA morphine bolus requests;   Pain Scores;   Vital signs
14 Recruiting A Prospective, Randomized, Double Blind, Comparative-effectiveness Study Comparing Perioperative Administration of Oral Versus Intravenous Acetaminophen for Laparoscopic Cholecystectomy
Condition: Laparoscopic Cholecystectomy
Interventions: Drug: 2 capsules Oral Tylenol 2000 mg and IV "salt water";   Drug: IV Tylenol 1000mg and 2 oral capsule "sugar pills"
Outcome Measures: Pain;   Opioid Use
15 Not yet recruiting Adding Paracetamol to Ibuprofen for Treatment of Patent Ductus Arteriosus in Preterm Infants
Condition: Hemodynamically Significant Patent Ductus Arteriosus in Preterm Infants
Interventions: Drug: Paracetamol;   Drug: Placebo
Outcome Measures: The incidence of patent ductus arteriosus closure;   The need for surgical ligation for PDA;   Adverse effects
16 Recruiting Intravenous Acetaminophen for Non-Narcotic Postoperative Pain Management Following Knee Arthroscopy
Condition: Pain, Postoperative
Intervention: Drug: Intravenous Acetaminophen
Outcome Measures: Postoperative pain levels;   Postoperative opioid consumption
17 Recruiting Intravenous Acetaminophen in Craniotomy
Condition: Postoperative Pain
Interventions: Drug: Acetaminophen;   Drug: Placebo
Outcome Measures: Post-Operative Opioid Requirement;   Intra-Operative Opioid Requirement;   Post-Operative Pain;   Post-Operative Side Effects
18 Recruiting Efficacy of IV Acetaminophen for Pain Management
Condition: Post-operative Pain
Interventions: Drug: Placebo (normal saline);   Drug: IV acetaminophen
Outcome Measures: Amount of opioid rescue needed;   Time to return of bowel function (passage of flatus);   Patient Satisfaction;   Cost Effectiveness
19 Recruiting Acetaminophen Versus Ibuprofen in Children With Asthma
Conditions: Asthma;   Wheezing
Interventions: Drug: Acetaminophen;   Drug: Ibuprofen
Outcome Measure: exacerbation frequency
20 Recruiting The Efficacy of Intravenous Acetaminophen During The Perioperative Period Of Neurosurgical Patients Undergoing Craniotomies
Conditions: Craniotomy;   Brain Surgery
Interventions: Drug: Acetaminophen;   Drug: Placebo
Outcome Measures: Opioid requirement after surgery;   Time to rescue medication in both groups;   Amount of rescue medication in PACU in both groups;   Median difference in ICU length of stay/hospital length of stay between both groups;   Number of successful neurologic exams between intervention and placebo group as determined by a neurosurgical provider by answering either Yes or No;   Median difference in temperature between intervention and placebo groups;   Sedation scores measured by RASS every 8 hours for 24 hours in both groups;   Pain VAS scores (1-10) every 8 hours for 24 hours in both groups;   Delirium measured by CAM-ICU every 8 hours for 24 hours in both groups