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FACT CHECK: Is Paracetamol Truly the World’s Most Dangerous Drug?

Jul 07, 2025

In recent months, claims about the dangers of paracetamol (also known as acetaminophen) have flooded social media platforms. One particular podcast, shared by popular X (formerly Twitter) and Instagram accounts, declared it “the most harmful medicine in the world.” The statements sparked panic, especially among Indian households where Dolo 650 (a popular paracetamol brand) is a go-to remedy for fever and mild pain.

Let’s fact-check what we know—its benefits, risks, and how it compares to other treatments.

 

The Viral Claim

A podcast clip shared by @vatsalasingh, alleged that taking paracetamol can cause kidney and liver failure—even claiming that it’s responsible for sudden collapses and deaths. The speaker, identified as Dr. Manish Ji, went as far as saying:

“If there’s the worst tablet in the world, it is paracetamol.” This video was also posted on YouTube by @haveshuddhi

Naturally, these statements caused alarm, particularly among parents who routinely administer paracetamol to children.
 

What Medical Experts Say

Contrary to viral speculation, paracetamol remains a safe and widely used medications in the world.

There is no doubt about its safety when taken in the recommended dosage. The problem is not the medicine—it’s self-medication and misuse.

Paracetamol is generally safe. Pregnant or breastfeeding women and children over two months old can take it. Said MedPark Hospital.

 

The Real Risk: Overdose and Misuse

Paracetamol is safe at therapeutic doses, but like any drug, it can be harmful if taken in excessive amounts. According to the World Health Organization (WHO) and the U.S. FDA overdose can lead to liver damage—but this is only when the recommended daily limit is exceeded.

The maximum safe dose for an adult is:

  • 4,000 mg (4 grams) per day, divided into 500–1,000 mg every 4–6 hours.

Exceeding this limit—especially over multiple days—can strain the liver, potentially leading to toxicity. That’s why patients with pre-existing liver conditions, or those who consume alcohol heavily, should be extra cautious.

 

Is Paracetamol Banned Anywhere?

No. Despite rumors, paracetamol is not banned in any major country. It is listed as an essential medicine by the World Health Organization (WHO) and is prescribed globally for treating fever, mild pain, headaches, and post-vaccination reactions.

 

Bottom Line: Myth Busted

While it’s true that any drug—when abused—can be harmful, calling paracetamol “the most dangerous medicine in the world” is factually incorrect and misleading.

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