Low dose Panadol and alcohol

Conta, I am on co-codamol 4 tablets per day (2 in the morning and 2 before I go to sleep) for many years and have 2 glasses of wine per day and have done both of these for many years. I also have a genetic liver disease called Caroli's disease. When I asked my liver consultant whether it was OK to take co-codamol and wine he said those amounts were fine but that I must not under any circumstances increase the wine, and if I increased the co-codamol I had to stop the wine.

I think you need to be careful with Dr. Google - you can get a lot of incorrect and scaremongering information.  I believe that you are fine but you do need to be careful not to drink more than 1 pint or 2 glasses of wine per day, and certainly never to have more 8 co-codamol per day and ideally as little as you can possible get away with - a lot depends on the amount of pain you have, you specific pain threshold and how you cope with pain all of which are different with everybody. I believe what my liver consultant has said, he is a professor at Leeds Hospital but do be careful about drinking and taking any tablets, not just panadol which I presume is a branded version of paracetomol.

Ok, whilst I'm no doctor I do know an awful lot about liver function and I can tell you now that this one slip up is unlikely to affect you as long as you don't keep doing it. I have a friend who is addicted to zapain (prescription high dose para and codeine mix) and she drinks a shed load of vodka all the time and is in her late forties! She has done this for a long time and she is still going strong. The liver is the best self healing organ in the body and will heal itself quickly. Drink loads of water and if you can manage your pain with a non paracetamol based tablet for a few days your liver will get the break it needs to replenish itself of these toxins. There are many signs of liver damage such as shaky hands and yellow eyes, if you don't have any of these symptoms (and I highly doubt you do) then I really shouldn't worry. I would recommend trying not to take these tablets anymore though. Although you are on a very low dose, daily paracetamol, even at a low dose, will still stat to cause liver damage overtime and the codeine, again, even at a low dose, will become addictive and you will find as your tolerance builds you will feel the need to take more of it and end up in the mess that a lot of the rest of us on this forum are in. And forget Dr Google, he causes more stress than good imo.

Conta I feel that you have too much time on your hands and are worrying about nothing. Chill out and stop googling and worrying please!