The first line of treatment for many knee and hip problems includes taking over-the-counter pain medications. Acetaminophen and non-steroidal anti-inflammatory drugs NSAIDs such as ibuprofen and naproxen are the most common pain medication options. However, these pain medications have a variety of side effects, so it's important to discuss your personal health risks with your doctor when considering long-term use for chronic conditions such as osteoarthritis.
Acetaminophen Tylenol and other brands is usually effective for mild pain and is easy on the stomach. However, it is toxic to the liver at high doses.
The recommended maximum per day is generally set at 4 grams 4, milligrams , which is the equivalent of eight extra-strength Tylenol tablets. But that dosage can still cause liver problems for some people. To be safe, aim for 3, milligrams or less, and be cautious of mixing multiple products containing acetaminophen, such as a pain reliever and a cold medication or a prescribed narcotic. The FDA now recommends using products containing no more than milligrams per pill or capsule the equivalent of regular-strength Tylenol rather than extra-strength in order to avoid excessive dosages.
Don't take acetaminophen if you drink more than a moderate amount of alcohol on a regular basis or if you have liver disease. NSAIDs such as aspirin, ibuprofen Advil, Motrin , and naproxen Aleve, Anaprox may be more effective than acetaminophen for certain conditions because they reduce inflammation as well as relieve pain.
Still, you should always verify how much is in each pill. If you have prescription-strength ibuprofen, talk to your prescriber before mixing it with any other medications, including acetaminophen. For children under the age of 12, contact their healthcare provider or refer to the product label for dosage guidelines. You can take ibuprofen and acetaminophen at the same time. Just make sure to not take more than the recommended dose.
Some people experience some stomach or abdominal pain when taking the two medications together. For example, you could take ibuprofen first, followed by acetaminophen four hours later, and then repeat this process as needed.
You could also alternate days. For example, if you take ibuprofen on Monday, take acetaminophen on Tuesday and so on. Follow the same guidelines as if you were taking acetaminophen and ibuprofen together. By doubling up on NSAIDs, you could enhance this effect to the point that it becomes harmful or leads to an overdose.
In rare scenarios, a healthcare professional may advise a patient it is safe to take up to mg of acetaminophen in 24 hours. Do not use more than the recommended amount of acetaminophen, especially for prolonged periods of time and if not under the advice of a healthcare professional because it can be harmful to the liver.
It is safe to take these two OTC pain relievers together in the recommended doses. Both pain relievers also come with side effects , and they can be harmful in cases of overdose.
Rare but serious adverse events of ibuprofen and acetaminophen include allergic reactions rash, hives, swelling , hoarseness, difficulty breathing or swallowing, and chest pain. Too much ibuprofen can cause gastrointestinal bleeding, and it can worsen stomach ulcers. Liver damage may occur in the overuse of acetaminophen. These symptoms require medical attention. You should call or seek out an emergency department as soon as possible.
Make sure you safely combine OTC pain relievers to avoid complications. NSAIDs use the same mechanism in the body and can lead to overdose and severe side effects when combined. When combining medications, only take the recommended dosages. Most people can take the two medications together.
Doctors and pharmacists may recommend Tylenol or Aleve to reduce fevers or mild to moderate pain, such as that caused by:. If the pain is moderate or severe, a person may wonder if it is safe and effective to take both types of pain medication together.
Yes, Aleve and Tylenol are generally safe to take at the same time. However, taking them at different times is often more effective. A person could start, for example, by taking Tylenol in the morning.
The pain may return before the next scheduled dose, depending on the strength of the Tylenol. At the first sign of pain, a person could take Aleve and continue to alternate the two as necessary. If instead, a person takes both at the same time, the combined pain relief may wear off before it is safe to take the next doses.
For example, a person may take either Tylenol or Aleve every day to help control aches and pains from arthritis. If new pain arises, they could take the other drug as needed. Or, if the pain is severe, taking regular doses of Tylenol may not provide relief. A person may decide to add regular doses of Aleve. The combination may work better than either drug alone. Aleve is an anti-inflammatory drug.
As inflammation decreases, a person usually experiences less pain. Naproxen sodium is the active ingredient in Aleve. Acetaminophen is an analgesic and antipyretic.
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