Comparing Pain Relievers

Tylenol (Acetaminophen):

  • May result in potential side effects like nausea, vomiting, headaches, and sleep disturbances.
  • If you have liver disease or are taking anti-seizure medication, it’s advisable to steer clear of Tylenol.
  • It effectively relieves pain and reduces fever.
  • In contrast to NSAIDs, it lacks anti-inflammatory properties.
  • Caution is essential when exceeding doses of 4 g/day due to the potential for liver toxicity.
  • Elderly patients often favor acetaminophen due to a reduced risk of adverse reactions.
  • There might be interactions with blood thinners, which could increase the international normalized ratio.
  • Combining acetaminophen with alcohol elevates the risk of liver toxicity.

NSAIDs (Non-steroidal Anti-Inflammatory Drugs):

  • Potential adverse effects include water retention, an increased risk of bleeding, gastrointestinal issues, and potential kidney damage.
  • If you have a history of stomach ulcers, kidney problems, or are on blood pressure medication, consider alternative pain relief options.
  • It’s recommended to avoid NSAIDs if you’re currently taking blood thinners.
  • These drugs possess analgesic, antipyretic, and anti-inflammatory properties.
  • Commonly observed side effects consist of dyspepsia, nausea, heartburn, and upper abdominal discomfort.
  • When GI discomfort occurs, taking NSAIDs with food, milk, or antacids is advised.
  • Consider potential drug interactions, such as with bisphosphonates, digoxin, or anticoagulants.
  • An increased risk of cardiovascular issues, such as heart attack, heart failure, hypertension, and stroke, is associated with NSAIDs, particularly for patients predisposed to cardiovascular problems.
  • Using the lowest effective dose for the shortest duration is the recommended approach.
  • The FDA suggests restricting NSAID use to no more than 10 days, unless directed otherwise by a healthcare professional.

General Advice for NSAIDs and Tylenol:

It’s crucial to abstain from alcohol when taking NSAIDs or Tylenol.

Salicylates (Aspirin):

  • Although technically an NSAID due to being non-steroidal and anti-inflammatory, aspirin serves a dual purpose.
  • Indicated for osteoarthritis, rheumatoid arthritis, rheumatologic conditions, as well as mild-to-moderate pain associated with muscular aches and back pain.
  • Additionally employed for preventing thromboembolic events in high-risk patients.
  • Be cautious of potential interactions with various drugs, including beta-blockers and anticoagulants.
  • The maximum recommended dose for self-administration of aspirin is 4 g/day.
  • Avoid administering aspirin to children recovering from chickenpox or influenza.
  • Use with care in patients with gout, diabetes, renal impairment, and other factors increasing the risk of upper gastrointestinal bleeding.
  • Aspirin is not suitable for pregnant women in their third trimester or for children under 15 years of age, especially those with viral infections.
  • There are other Salicylate-based drugs like Doan’s Pills (Magnesium Salicylate) but they are not proven to be better than plain Aspirin.

Evaluating Efficacy:

  • Several clinical studies have compared the effectiveness and safety of over-the-counter analgesics.
  • Different analgesics may be more suitable for specific types of pain.
  • Research indicates that aspirin and acetaminophen provide similar pain relief in various pain models.
  • Ibuprofen demonstrates efficacy comparable to aspirin in treating different types of pain.
  • For self-treatment of inflammatory conditions, NSAIDs are favored due to their anti-inflammatory effects.
  • Aspirin may be a better treatment for arthritis but may have detrimental side effects.

Brand Names and Functions:

NameFunction
TylenolAcetaminophen
AddaprinNSAID
AdvilNSAID
AflaxenNSAID
A-G ProfenNSAID
AleveNSAID
AnaproxNSAID
AnjesoNSAID
AnsaidNSAID
CaldolorNSAID
CambiaNSAID
CataflamNSAID
ClinorilNSAID
DayproNSAID
DylojectNSAID
EC-NaprosynNSAID
FeldeneNSAID
FenorthoNSAID
Flanax Pain RelieverNSAID
GenprilNSAID
HaltranNSAID
IBUNSAID
IndocinNSAID
Indocin SRNSAID
LodineNSAID
LofenaNSAID
Midol Extended ReliefNSAID
Midol IBNSAID
MobicNSAID
MotrinNSAID
NalfonNSAID
NaprelanNSAID
NaprosynNSAID
NeoProfenNSAID
NuprinNSAID
OrudisNSAID
OruvailNSAID
PonstelNSAID
ProFenoNSAID
ProprinalNSAID
Qmiiz ODTNSAID
Q-ProfenNSAID
RelafenNSAID
Relafen DSNSAID
SprixNSAID
TivorbexNSAID
ToradolNSAID
VivlodexNSAID
VoltarenNSAID
ZipsorNSAID
ZorvolexNSAID
VimovoNSAID with Nexium
DuexisNSAID with Pepcid
Prevacid NapraPACNSAID with Prevacid
ArthrotecNSAID with ulcer protection
AspirinSalicylic acid
DolobidSalicylic acid derivative

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