Ripose, I feel alarmed for you. That much tylenol and the human liver just don't make a good combination ... but you already know that.

SplitImage's suggestion about dialectical behavior therapy is a good one. Your pdoc can probably refer you to a source in your area. It helps people deal with feelings of low-self worth, as well as self-harm. What you're doing sounds like self-harm, compulsive behavior and a true addiction. Purists would disagree because tylenol is not considered an addictive substance, but you need large amounts and you when you try to quit or cut back you last about three days, which sounds a lot like a typical withdrawal pattern..

I'm not an alcoholic or drug addict, but I've used the fellowship and principles of AA to deal with every major life challenge I've ever had.

I suggest you get a copy of Alcoholic Anonymous -- the Big Book -- and begin reading it, substituting the word tylenol for alcohol. It doesn't matter what substance we're using, AA can help.

Some people object that AA is religious. I am not only not religious, I'm not a believer. It doesn't make any difference. I know there is something bigger and more powerful than me in the universe and it's the laws of nature. If you keep abusing your body, the laws of nature will catch up with you.

Maybe tylenol is just a symptom of a larger problem, maybe your MI, but right now tylenol is making your life unmanageable. You're allowing it to control you and if you keep going it will destroy you and whatever relationships you hold dear.

I know it's an unusual suggestion, but I'm pretty sure AA can help a tylenolic, too. AA is also full of other very nice people who have felt like outsiders, with low-self worth and just plain weird. The weird part doesn't matter one bit.

I wish you well.