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Can dogs eat paracetamol / acetaminophen (tylenol)?

Never give a dog paracetamol. It is not a safe human painkiller to share, and it damages red blood cells and the liver. If your dog is in pain, ask a vet for a drug licensed for dogs.

Call now

  • +1 (888) 426-4435ASPCA Animal Poison Control Center · US · 24/7. A consultation fee applies.
  • +1 (855) 764-7661Pet Poison Helpline · US · 24/7. A consultation fee applies.
  • 01202 509000Animal PoisonLine · UK · 24/7. Lower cost than a direct vet call.
  • 1300 869 738Animal Poisons Centre · AU · 24/7, free for the public.

Do not wait for symptoms and do not try to make your dog sick unless a vet has told you to — some substances cause more damage coming back up. Have your dog's weight, what was eaten, roughly how much, and when, ready before you call.

What to do

Go to a vet immediately. There is an effective antidote, acetylcysteine, and it works far better the earlier it is given.

Signs to watch for

  • brown or muddy gums
  • swollen face or paws
  • laboured breathing
  • vomiting
  • lethargy
  • jaundice
  • dark urine

When: 4–12 hours.

What makes it harmful

Acetaminophen and its reactive metabolite NAPQI

Dogs have limited capacity to conjugate acetaminophen safely. The surplus is converted to NAPQI, which depletes glutathione and then attacks liver cells directly. It also oxidises haemoglobin to methaemoglobin, which cannot carry oxygen — hence the characteristic muddy-brown gums.

How much matters

Liver injury above roughly 100–150 mg/kg in dogs, with signs reported lower. Cats are far more sensitive still, at around 10 mg/kg. A single 500 mg tablet is a significant dose for a small dog.

Also check for

  • combination cold and flu remedies
  • co-codamol

How confident is this

established

Well established in the veterinary literature and consistent across sources.

  • Plumb's Veterinary Drug Handbook, 10th ed.
  • ASPCA Animal Poison Control Center

Further reading

Check another food

Informational only, and not a substitute for veterinary advice. Individual dogs vary, and this page cannot account for your dog's age, size, health conditions or medication. If you are worried, phone a vet — that call is always the right call.