Am I ruining my liver?

If you have the option, I would suggest going to a Dr before assuming anything is the only plausible explanation.

Personally, I found out about my neck / posture issues (even though outwardly I have decent looking posture so I never assumed it would be that), got some excercises from a physio and a completely different pillow, and that combo drastically reduced my headaches

But did you talk about it with a medical trained person ? In the end its just a damaged nerve in your neck or sonething that can be easily fixed with proper care.

I have some chronic pain issues as well, some of which were solved and some are managed. I'm sorry you're going through this. Have you tried getting a second opinion or maybe a different type of medical provider? I had headaches as well that turned out to be largely brought on by stress and also some bad posture. I did get an MRI+MRA just to be sure nothing was actually wrong in the brain itself, but techniques to reduce the causes were helpful to me. Good luck!

Ok, follow up question. If you don't take a painkiller in the morning, how does the headache progress?

Another hypothesis is bruxism (teeth grinding). Some people have it during the day, others (like me) have it during sleep. Stress and anxiety makes it worse. I only discovered I had it because people heard me biting my teeth against each other while asleep. I went to a dentist, she made me a mouth guard that I use every night before going to sleep, and the morning headaches stopped since then.

CBG can be really helpful for headaches. I use it for migraines and a lot of times i can wait until i get home to take prescription meds that make me feel weird. Lots of people use it as a preventative with about half the frequency/severity. Helps with migraine nausea too.

Migraines come during sleep like that, but if Paracetamol works no way is it a migraine. That stuff literally does nothing for any pain I've had, ever.

I agree with everyone here, this seems like a lifestyle thing - if your body is indeed sensitive to stress and relaxation, you are not doing it any favors with the paracetamol. Likely too stressed in day, too relaxed at night, the sudden change a trigger. Obviously you don't want to fix that by being tense while asleep, so tackling the day stress responses make more sense. Do you exercise?

What happens if you just have either coffee or the Adderall in the morning, without the painkiller drug?

Also a fatal dose of acetaminophen/paracetamol is one of the worst ways to die. If you don’t get treatment within like, eight hours of taking it, you will slowly die of liver failure over the next few days and there’s nothing anyone can do about it. So you painfully waste away in the hospital.

Stories of people who attempted suicide by downing a whole bottle of Tylenol are horrific, because MANY people who attempt suicide regret it after the attempt (as is reported by people who survive attempts). This means that people who attempt suicide this way still die, slowly, painfully, regretting it but unable to do anything about it, over a few days. Having to face their loved ones, knowing how hurt those loved ones are by the action. The idea terrifies me.

Note, I am not a doctor, so take this with a grain of salt. But this is what I’ve read.

Well...no. I personally didn't have headaches, but supposedly it's very common, which is also why it flew under the radar for me. The tech kept asking, like it was almost a requirement. She also said I might feel fine now, but in 10 years I could develop heart problems, so the wearing the mask became an easy choice.

Wrote a bunch more but the accidentally deleted it. No undo on Android so fuck it, have half a post :D

Well, there's your problem, then.

Another thing to talk to your doctor about.

Ah, alright. Yeah interaction of medication is a complicated thing. I'd advise you to ask your specific questions to a doctor. Is it okay to take them at the same time, is it okay on an empty stomach, is it okay for my liver to take that dose of paracetamol x-times in a month... Maybe they suggest an alternative to Paracetamol that works better and has less side-effects, thus being more appropriate for you, individually. And I think doctors have access to databases and general recommendations concerning drugs and reciprocity and (case) studies. They're probably more qualified to make a judgement and know about possible superior alternatives. (If there are any.)

They can also just test your blood and see if your liver is fine with what it's been subjected to.

Yeah, I'd say abstaining from the medication for months and still having the same headaches pretty much rules out it being the cause of that.

I hope you'll be granted an appropriate solution to your problem. Living with regular pain... isn't nice.

There is a plethora of causes for "headache", but you could maybe figure it out based on where and how it hurts. Get it checked.

I have AuDHD, and… yeah, I sometimes get so tense that I get muscle aches because of stress that I create myself.

That being said, I also suggest you talk to a doctor, because it would be way better if there was a way to fix it. If you can’t, then harm reduction in painkillers makes sense, but if there’s a simple solution (like nighttime stretching or going to bed earlier), you’ll save yourself a lot of worry and pain.

Additionally, please don’t feel pressured to discuss this here (though I’m happy to talk to you further about it, I’m just not trying to pry), but something to consider: I tend to, as a result of my AuDHD, process really unpleasant personal situations somewhat subconsciously. What I mean is that I’m often not aware of negative emotions until I notice their psychosomatic effects on my body. I used to get headaches 3-5 days a week that would basically send me to bed after work. When my awful boyfriend broke up with me, they went away. I was incredibly unhappy with him and didn’t realize it, but I still carried a lot of tension that expressed itself physically.

For another example: I’m now in grad school and I’m a stereotype of an ADHD student (not everyone with ADHD is like this, but I definitely procrastinate until deadline stress can carry me through), so it’s very difficult. Since I started my master’s, I’ve also started vomiting, a lot. I’m getting checked out (tomorrow, actually) to see if there’s a physical cause, but I’m 90% sure it’s just stress. I’ll be done with my degree in February, but if it were a job instead of a temporary thing, I’d probably have to quit or develop some more effective coping skills.

I just wanted to throw that out there and suggest that you might be physically reacting to a source of stress or tension in your life, and you might want to weigh whether that tension is worth the headaches or whether you can employ coping skills and assertively reduce that stress.

Probably only need a liver panel once every two years if you're not symptomatic though. But you can also lower your daily dose to 750mg daily by doing three doses of 250mg.

The best solution of course is figuring out the cause of the headache

N-acetyl-L-cysteine, commonly sold under the name NAC, is an amazing over the counter liver aid you should think about adding to your med list. It's one of the most energy intensive detox molecules made by your liver. Taking it orally provides your liver a helping hand and allows it to focus more on detoxification rather than producing the required tools for detox. But definitely talk to your doc about it all, yet it's something you can do to help out without much worry as its basically a fancy amino acid.