53685
In over-the-counter formulations , DXM is often combined with acetaminophen ( paracetamol , APAP ) to relieve pain and to prevent recreational use ; however , to achieve DXM 's dissociative effects , the maximum daily therapeutic dose of 4000 " mg of APAP is often exceeded , potentially causing acute or chronic liver failure , making abuse and subsequent tolerance of products which contain both DXM and APAP potentially fatal .
 liver failure
Please list all entity words in the text that fit the category. Output format is "word1, word2". 
Option: media, plant, vehicle, astronomical object, time, disease, animal, location, person, organization, mythical figure, food, biology, geographical phenomenon, instrument, event 
Text: {0} 
Answer:
 liver failure