Acetaminophen (Tylenol)
DangerousVerdict
Never — a single regular-strength tablet can kill a cat.
If your cat ate this
Cats hide symptoms — don't wait and see. Even small amounts of certain substances can be fatal to a cat. Act fast.
- 1. Call your veterinarian immediately
- US — National hotline: ASPCA Animal Poison Control Center (888) 426-4435 aspca.org(24/7, Consultation fee may apply.)
- US — National hotline: Pet Poison Helpline (855) 764-7661 petpoisonhelpline.com(24/7, $89 per incident fee; also covers Canada.)
- GB — National hotline: Animal PoisonLine 01202 509 000 animalpoisonline.co.uk(24/7, £35 per call (8am–8pm weekdays), £45 at other times.)
- AU — National hotline: Animal Poisons Helpline 1300 869 738 animalpoisons.com.au(24/7)
- NZ — National hotline: Animal Poisons Helpline 0800 869 738 poisons.co.nz(11am–7pm NZ time (currently being extended), Charges apply.)
- CA — National hotline: Pet Poison Helpline (855) 764-7661 petpoisonhelpline.com(24/7, $89 per incident fee.)
Verified 2026-08-06
Verdict
Cats are deficient in the glucuronidation pathway that people use to clear acetaminophen. The leftover metabolites damage red blood cells (methemoglobinemia) and the liver. Brown or muddy gums, facial swelling, and respiratory distress can appear within hours. This is not “people medicine at a smaller dose.” There is no home dose. Dog products that contain acetaminophen are equally dangerous.
Quick comparison
| Drug | Cat risk |
|---|---|
| Acetaminophen / Tylenol / paracetamol | Dangerous — often fatal |
| Ibuprofen / Advil | Dangerous — kidneys and gut |
| Aspirin | Dangerous — do not give |
Symptoms to watch for
- • lethargy
- • difficulty breathing
- • brown or pale gums
- • swelling of the face or paws
- • vomiting
- • collapse
What to do
Emergency. Bring the bottle. Do not give anything else. Call a vet or ASPCA Poison Control (888-426-4435) now.
ASPCA Animal Poison Control Center: (888) 426-4435 aspca.org
Related foods
Ibuprofen
DangerousNever — NSAIDs ulcerate the gut and injure feline kidneys.
Pain relieversAspirin
DangerousNever give leftover aspirin. It is an NSAID and cats clear salicylates slowly.
Pain relieversNaproxen (Aleve)
DangerousNever — a long-acting NSAID with the same gut and kidney risks as ibuprofen.
Pain relievers5-fluorouracil cream
DangerousNever — tiny amounts of 5-FU cream are often fatal to cats.
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