Written by Medicover Team and Medically Reviewed by Dr M N Lakshmikanth Reddy, General Medicine
What Happens if I Take 2 Dolo 650 Tablets?
Dolo 650 is a popular medicine that helps reduce fever and relieve pain. It is safe and effective when taken in the correct dose. However, some people take more than they should, such as two tablets at once, without consulting a doctor. This can be harmful and may cause side effects. In this blog, we will talk about what Dolo 650 does, what might happen if you take two tablets at the same time, and how to use it safely.
What is Dolo 650?
Dolo 650, a brand name for paracetamol (also known as acetaminophen), is widely used to alleviate mild to moderate pain and reduce fever. The "650" in its name refers to the dosage, with each tablet containing 650 milligrams of paracetamol. Paracetamol is often preferred due to its effectiveness and relatively low side effect profile when used correctly.
Always take Dolo 650 in the dose recommended by your doctor. Avoid taking more than the prescribed limit, as it may affect the liver.
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Get Second OpinionDolo 650 Uses
It is mainly prescribed to bring down high fever and to relieve mild to moderate pain. Common conditions where Dolo 650 is helpful include headache, migraine, toothache, back pain, muscle pain, joint pain, menstrual cramps, and body aches due to viral infections or flu.
Doctors often recommend Dolo 650 for managing fever in infections like cold, flu, or after vaccinations. Since it is a higher strength tablet, it should be taken only in the prescribed dose and avoided in case of liver problems or overdose risk.
Recommended Dosage of Dolo 650
It is important to take Dolo 650 the right way to avoid any side effects or harm. Here is the recommended dosage:
- Adults can take one tablet, 650 mg, every 4 to 6 hours
- Do not take more than four tablets, 2600 mg in 24 hours
- For children, the dose depends on their age and weight
- A doctor should decide the correct dose for children, so do not give it without medical advice
What Happens If You Take 2 Dolo 650 Tablets at Once?
Taking two Dolo 650 tablets simultaneously results in a dosage of 1300 mg of paracetamol. While this is higher than the recommended single dose, it may only sometimes lead to immediate harm if it occurs infrequently. However, consistently exceeding the recommended dosage can result in serious health risks.
Immediate Effects
The immediate effects of taking two Dolo 650 tablets may include:
- Pain Relief: Enhanced analgesic effect due to the higher dose.
- Fever Reduction: More significant antipyretic effect.
Dolo 650 Potential Side Effects
Exceeding the recommended dose can increase the risk of side effects, including:
- Nausea and Vomiting: Common gastrointestinal reactions to higher doses of paracetamol.
- Dizziness and Fatigue: Overdosing may have effects on the central nervous system.
- Liver Damage: Paracetamol is metabolized in the liver, and excessive intake can lead to hepatotoxicity, a potentially life-threatening condition.
Symptoms of Paracetamol Overdose
Understanding the symptoms of paracetamol overdose is critical for timely intervention. Symptoms may not appear immediately and can develop within 24 hours after ingestion. They include:
Early Symptoms (0-24 hours)
- Nausea and Vomiting: Initial signs of overdose.
- Sweating: Excessive perspiration as the body reacts to the overdose.
- Pallor: Unusual paleness of the skin.
Intermediate Symptoms (24-72 hours)
- Abdominal Pain: Pain in the upper right quadrant, indicating liver involvement.
- Elevated Liver Enzymes: Blood tests may reveal increased liver enzyme levels.
- Jaundice: Yellowing of the skin and eyes due to liver dysfunction.
Late Symptoms (72-96 hours)
- Hepatic Failure: Severe liver damage leading to liver failure.
- Coagulopathy: Impaired blood clotting ability.
- Encephalopathy: Brain dysfunction due to liver failure.
How to Use Dolo 650 Safely?
- Take Dolo 650 only when you have pain or fever
- Follow the dose given by your doctor or written on the pack
- Do not take more than one tablet at a time
- Wait at least 4 to 6 hours before taking the next tablet
- Do not take more than 4 tablets in one day
- Do not drink alcohol while taking this medicine
- Do not use it for many days without asking a doctor
- Keep the medicine away from children
- Store it in a cool, dry place, away from sunlight
Dolo 650 Age Limit
Dolo 650 is generally recommended for adults and children above 12 years of age. It contains paracetamol 650 mg, which is a higher dose compared to regular paracetamol tablets. For children below 12 years, doctors usually prescribe a lower dose of paracetamol based on age and body weight, instead of Dolo 650.
It is always best to use Dolo 650 only under a doctor's advice, especially for children, elderly people, or those with liver problems.
What Happens If I Take 4 Dolo 650 Tablets?
Taking four Dolo 650 tablets results in a dosage of 2600 mg, which is the maximum recommended daily dose. Consuming this amount in one go significantly increases the risk of severe side effects and potential overdose.
Overdose Effects
The effects of such a high intake can be severe and may include:
- Acute Liver Failure: Rapid deterioration of liver function.
- Renal Failure: Kidney damage due to the high paracetamol load.
- Metabolic Acidosis: A dangerous condition where the body produces excessive acid.
Immediate medical attention is necessary if such an overdose occurs.
Safety Precautions for Dolo 650
To minimize the risk of adverse effects and ensure safe usage, consider the following precautions:
Adhere to Dosage Guidelines
Always follow the prescribed dosage and avoid self-medicating beyond the recommended limits.
Avoid Alcohol
Alcohol consumption can exacerbate the hepatotoxic effects of paracetamol, increasing the risk of liver damage.
Consult Healthcare Professionals
Before taking Dolo 650, especially if you have pre-existing medical conditions or are on other medications, consult a healthcare professional.
Be Aware of Drug Interactions
Certain medications can interact with paracetamol, enhancing its toxic effects. Inform your doctor about all the medicines you are taking.
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Schedule Your AppointmentDolo 650 Tablet Overdose Treatment
If an overdose is suspected, immediate medical intervention is crucial. Treatment options include:
Activated Charcoal
Administered within a few hours of ingestion, activated charcoal can absorb paracetamol in the stomach, reducing its absorption into the bloodstream.
N-acetylcysteine (NAC)
NAC is an antidote for paracetamol overdose and can prevent liver damage if administered promptly.
Supportive Care
In severe cases, hospitalisation and supportive care, including intravenous fluids and medications to support liver function, may be necessary.
Conclusion
Understanding the appropriate use and potential risks of Dolo 650 is essential for safe and effective pain management. While taking two tablets may not lead to immediate harm, it is crucial to adhere to the recommended dosage to prevent serious side effects and potential overdose. Always consult a healthcare professional for personalised advice and treatment options.
Frequently Asked Questions
You should wait at least 4 to 6 hours between doses of Dolo 650. Do not take more than 4 tablets in 24 hours unless told by your doctor.
If you take two Dolo 650 tablets by mistake, monitor for side effects. One extra dose is usually safe, but contact a doctor if you feel unwell or took more than advised.
Taking Dolo 650 with alcohol can increase the risk of liver damage. Avoid combining both, especially if drinking heavily or using the medicine regularly.
Dolo 650 can relieve pain and body aches even without fever. It's safe for headaches, muscle pain, or toothaches. Don't overuse it if it's not needed.
Yes, Dolo 650 can be taken on an empty stomach, but taking it with food may help avoid nausea or stomach upset in some people. Always follow your doctor's advice.
The recommended daily dosage of Dolo 650 for adults is usually one tablet every 6 to 8 hours as needed for pain or fever. The maximum safe limit is not more than 6 tablets (4,000 mg) in 24 hours. Taking more than this can harm the liver, so it should always be used under medical advice.
Dolo 650 may cause side effects like nausea, stomach upset, rashes, or allergic reactions in some people. Taking it in high doses can damage the liver. Always use it only as prescribed to avoid harmful effects.
Taking 2 Dolo 650 tablets at once without fever may overload the liver unnecessarily. It can cause nausea, stomach discomfort, or liver strain. It is best to avoid unnecessary use and consult a doctor.
Paracetamol overdose has four stages: nausea and vomiting in the first 24 hours, liver damage signs in 24-72 hours, severe liver failure in 72-96 hours, and recovery or risk of death after 4-14 days. Early treatment improves chances of recovery. Immediate medical help is crucial.
Yes, you can sleep after taking Dolo 650 as it does not usually cause drowsiness. It helps reduce fever or pain, which may make sleeping easier. However, follow the prescribed dose.
Dolo 650 usually does not increase heart rate. In rare cases, allergic reactions or overdose may affect the heart. If you feel palpitations, seek medical help.
Yes, you can lie down after taking a pill, but it is better to wait at least 10-15 minutes. This helps the medicine move smoothly to the stomach. It also reduces the chance of throat irritation.
Paracetamol generally does not cause a fast heart rate. Rarely, overdose or allergic reactions may lead to heart-related issues. If you notice unusual symptoms, consult a doctor.
Yes, recovery from a paracetamol overdose is possible with early medical treatment. Doctors may use antidotes like N-acetylcysteine to protect the liver. Delay in treatment can lead to serious complications.
Disclaimer:The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.

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