I never truly appreciated how close I got to killing my self horribly as a dumbass middle school kid. I saw so much media on people stealing drugs from the bathroom that I wanted to try it. We only really had Tylenol Extra Strength, and other simple OTC meds. Not deterred, I went and downed probably 8-10 of the 500mg pills and stopped because I couldn't swallow any more. Got super tired and fell asleep on the couch for a few hours. Can't imagine if I had something like this that also had alcohol in it that I wouldn't have tried to chug it instead. Kids are dumb and they'll do shit nobody expects and tell nobody about it for fear of consequence.

Not to mention how fucking dangerous DXM is

That would be way safer, DXM is dangerous bullshit the CIA pushed to replace codeine.

Buddy of mine studied in China for a year. He ended up having to get surgery over there. He informed me that you can get real actual codeine lean over the counter there lol.

As fitting for America, this shit is bootleg garbage

well excuse us for sippin on some sizzur

Nah, there's no codeine (an opiate) in this which is what sizzurp/purple drank is made out of. Codeine is still a controlled substance, you cannot purchase OTC without a Rx anymore.

I had the same reaction, just "oh this is a dumb shop. Wait."

Funniest(?) part is the reviews for that product on the linked page

Watching (med) students play drug or pokemon is a lot of fun

by age 22, i'd taken enough ibuprofen in my lifetime (for migraines) to now instantly give me intestinal ulcers as soon as a milligram of NSAID touches it.

The 10% alcohol in this is less concerning than the absolute quantity of acetaminophen in the bottle. Acute co-ingestion of APAP and alcohol isn't especially dangerous. Alcohol and APAP both deplete liver stores of glutathione, which one's body uses to neutralize toxic metabolites of both substances as you mentioned. Chronic co-ingestion can cause fulminant liver failure pretty suddenly, as can acute co-ingestion of both substances in large enough quantities.

Some people are able to take what should be lethal doses of acetaminophen for prolonged periods of time with no issues, other people are uniquely susceptible to the toxic effects. The only way to find out which camp you're in is if you end up with liver damage!

Ibuprofen has its own risks and is not nearly as benign as it's made out to be. It won't cause acute liver failure but taken at usual doses for long enough will give you an ulcer and utterly shred your kidneys. People who are hypocoagulable (on blood thinners/various psych meds or have an inborn or acquired bleeding disorder) shouldn't or can't take NSAIDs. They're contraindicated in kidney failure, too.

All that to say the ease with which one can acquire lethal amounts of OTC painkillers in North America is a problem! If this were a saner country this wouldn't be on the market, APAP wouldn't be available in any combination products, and there would be quantity limits on how much you could buy at a time.

I've had the displeasure of almost needing a liver transplant from acetaminophen poisoning. Two weeks in the ICU in indescribable pain, then my liver decided it was fine, actually. I recovered with my factory liver intact and no sequelae but it's not worth risking, ever.

I found a YouTube link in your comment. Here are links to the same video on alternative frontends that protect your privacy:

• yewtu.be
• inv.nadeko.net
• yt.artemislena.eu
• piped.video