Reducing The Pain Of Arthritis: Looking At Over The Counter Drugs
- Tylenol is a pain reliever or analgesic drug. It can have side effects, especially if you take more that the recommended dosage
- Ibuprofen is an anti-inflammatory drug that is one of the Non Steroidal Anti-inflammatory Drugs or NSAIDs. Other NSAIDs are aspirin or naproxen . These drugs can have side effects on the stomach and heart
- Exercise is medicine. Exercise can relieve pain and research suggests it can also reduce inflammation
- Taking ibuprofen within two hours of low dose aspirin will completely stop the heart health benefit from the low dose aspirin.
Tylenol is a proprietary brand of acetaminophen and is known outside of Canada and the U.S. as paracetamol. In its standard form, acetaminophen is a mild analgesic used for headaches, minor pain and reducing fevers. It is not intended to reduce inflammation and is intended for relief of pain. For those with osteoarthritis, a type of arthritis where inflammation plays a minor role, acetaminophen is the first line drug treatment. Reducing pain can help you maintain an active lifestyle. If you are looking for pain relief in order to stay active, acetaminophen may be helpful. Looking at the risks- be sure to follow the maximum dosage instructions. Overdose and long-term use may be harmful to the liver and kidneys as well as causing gastrointestinal problems.
Which One Works For Longer
Acetaminophen and ibuprofen both work for a similar length of time
Acetaminophen is short acting with a relatively quick onset of action. Pain-relieving effects last for three to four hours however, it is important acetaminophen is not taken more often than every four to six hours, and the maximum of 4000mg per day is not exceeded. In some cases a lower maximum dose should not be exceeded.
Ibuprofen is a short-acting NSAID, with a relatively quick onset of action. Pain-relieving effects last for approximately four hours. Like acetaminophen, it is better suited for the treatment of acute pain. Ibuprofen tablets/capsules can be given every four to six hours. If you are taking ibuprofen over-the-counter, the maximum recommended daily dose is 1200mg. Do not take more ibuprofen than recommended without consulting your doctor.
Drug Interactions Of Acetaminophen And Ibuprofen
Both acetaminophen and ibuprofen can interact with warfarin , a common blood thinner. Taking warfarin with either of these drugs can increase the risk of bleeding. Drinking alcohol with acetaminophen or ibuprofen can also thin the blood and increase the risk of adverse effects.
Acetaminophen can interact with isoniazid, an antibiotic used to treat tuberculosis. Taking isoniazid can affect how the liver processes acetaminophen and may cause liver damage. Phenytoin and carbamazepine are two antiepileptic drugs that can also increase the risk of liver injury when taken with acetaminophen.
Ibuprofen can interact with more drugs than acetaminophen. As an NSAID, it should be avoided with other drugs like high blood pressure medications as it can alter blood pressure levels. Certain antidepressants can also increase the risk of bleeding when taken with ibuprofen.
This may not be a complete list of all possible drug interactions. Consult a doctor with all the medications you may be taking.
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If Acetaminophen Isnt Providing Enough Pain Relief
If acetaminophen doesnt provide enough relief for your moms pains, then it may be reasonable to consider over-the-counter NSAIDs, preferably for a limited period of time. But be sure to discuss the risks and alternatives with the doctor first, and be sure to discuss possible non-drug approaches to lessen pain.
You may also want to ask about topical painkillers, such as gels, creams, and patches. These are generally safer than oral medications, because less of the body is exposed to side effects.
Questions? Please post them below.
Paracetamol Versus Nonsteroidal Anti
In rheumatoid arthritis , the joints are swollen, stiff and painful. Nonsteroidal anti-inflammatory drugs such as ibuprofen are often recommended to ease the pain and swelling in the joints. Paracetamol is another type of medication to relieve pain in RA.
This Cochrane review found only four old and small trials of poor quality that have compared the two types of drugs. There were a total of 121 patients in the four trials. In each trial, the patients tried both types of drugs, one after the other, in different periods of the trial.
In the largest trial, of 54 patients, where each drug was tested twice, 20 patients preferred ibuprofen on both occasions, and 7 paracetamol.
In the trials, each drug was used for only 4-7 days and side effects from the drugs were poorly reported. It is therefore not clear whether NSAIDs are better than paracetamol.
When considering the trade off between the benefits and harms of non-steroidal anti-inflammatory drugs and paracetamol/acetaminophen, it is not known whether one is better than the other for rheumatoid arthritis. But people with rheumatoid arthritis and the researchers in the study did prefer non-steroidal anti-inflammatory drugs more than acetaminophen/paracetamol. There is a need for a large trial, with appropriate randomisation, double-blinding, test of the success of the blinding, and with explicit methods to measure and analyse pain and adverse effects.
What Is The Risk Of Stomach Bleeding With Nsaid Pills
All NSAID pills, including aspirin, block enzymes that protect the stomach. Thiscan cause stomach bleeding. It is not possible to predict any one person’s risk.Research cant tell how long you can use NSAID pills without bleeding. Ingeneral, stomach bleeding is more likely for people taking NSAIDs who:
- Are older, especially more than 75 years old.
- Take higher doses.
- Use NSAIDs for a longer time.
- Also take medicine to help prevent blood clots, like aspirin or warfarin.
Older people taking NSAID pills have higher risk of stomachbleeding
For people age 1644:
5 out of 10,000 people taking NSAIDs will have a serious bleed
1 out of 10,000 people taking NSAIDs will die from a bleed
For people age 4564:
15 out of 10,000 people taking NSAIDs will have a serious bleed
2 out of 10,000 people taking NSAIDs will die from a bleed
For people age 6574:
17 out of 10,000 people taking NSAIDs will have a serious bleed
3 out of 10,000 people taking NSAIDs will die from a bleed
For people age 75 or older:
91 out of 10,000 people taking NSAIDs will have a serious bleed
15 out of 10,000 people taking NSAIDs will die from a bleed
Tips On Safer Use Of Otc Painkillers
In short, the safest oral OTC painkiller for older adults is usually acetaminophen, provided you dont exceed 3,000 mg per day.
If you have any concerns about liver function or alcohol use, plan to use the medication daily on an ongoing basis, or otherwise want to err on the safer side, try to not exceed 2,000 mg per day, and seek medical input as soon as possible.
You should also be sure to bring up any chronic pain with your parents doctor. Its important to get help identifying the underlying causes of the pain. The doctor can then help you develop a plan to manage the pain.
And dont forget to ask about non-drug treatments for pain they are often safer for older adults, but busy doctors may not bring them up unless you ask. For example, chronic pain self-management programs can be very helpful to some people.
Now if your older parent is taking acetaminophen often or every day, youll want to be sure youve accounted for all acetaminophen she might be taking. Remember, acetaminophen is often included in medications for cough and cold, and in prescription painkillers. So you need to look at the ingredients list for all medication of this type. Experts believe that half of acetaminophen overdoses are unintentional, and result from people either making mistakes with their doses or not realizing they are taking other medications containing acetaminophen.
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Which One Is Better For Pain Relief Acetaminophen Or Ibuprofen
Which is better, acetaminophen or ibuprofen
- Acetaminophen is used for a pain reliever and to reduce fever as well as aches and pains associated with many conditions.
- Acetaminophen relieves pain in mild arthritis but has no effect on the underlying inflammation, redness, and swelling of the joint.
- If the pain is not due to inflammation, acetaminophen is as effective as aspirin.
- Acetaminophen is as effective as NSAIDS like ibuprofen for the pain relief of osteoarthritis of the knee.
Unless directed by a doctor, acetaminophen should not be used for longer than 10 days.
Ibuprofen is used for the treatment of mild to moderate pain, inflammation, and fever caused by many and diverse diseases, including
Advil Aleve And Tylenol: Whats The Difference
You wake up with a terrible headache, a sore muscle or yesterdays sunburn is bothering you, and shuffle your way to your medicine cabinet. You open the cabinet, hoping to find something to help with the pain and discomfort, but find yourself faced with three choices: Advil, Aleve and Tylenol. Which one should you take? What are the differences to consider before taking?
All of these pharmaceuticals are useful to treat pain and reduce fever, which is why theyre such common occurrences in households, said David E. Potter, Ph.D., professor and chair of pharmaceutical sciences with the Texas A& M Health Science Center Irma Lerma Rangel College of Pharmacy. However, there are some instances where one of these medicines may work better than its counterparts.
To help navigate when to choose which of these common over-the-counter medications, Potter offers the following information about each pain and fever-reducer:
Acetaminophen is a popular option for treating cold and flu-like symptoms, but Potter cautions that users need to be aware of how much they take in a day. Since acetaminophen is often combined with other over-the-counter cold medications that contain fever-reducing ingredients, people may end up taking multiple doses and exceeding the daily limitations.
Advil and Aleve
Although most people have these medications or are aware of them, Potter suggests that not everybody should use these as their primary form of pain management.
What Are Some Things I Need To Know Or Do While I Take Tylenol Arthritis Pain
- Tell all of your health care providers that you take Tylenol Arthritis Pain . This includes your doctors, nurses, pharmacists, and dentists.
- Avoid taking other products that have acetaminophen in them. Check labels closely. Too much acetaminophen may cause liver problems.
- Follow the directions exactly. Do not take more acetaminophen in a day than directed. If you do not know how much acetaminophen you can take in a day, ask your doctor or pharmacist. Some people may take up to 4,000 mg in a day if told to do so by the doctor. Some people should take less acetaminophen. Call your doctor right away if you have taken too much acetaminophen in a day, even if you feel well.
- Talk with your doctor before you drink alcohol.
- This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Tylenol Arthritis Pain .
- Allergic reactions have happened with Tylenol Arthritis Pain . Rarely, some reactions can be very bad or life-threatening. Talk with the doctor.
- Different brands of Tylenol Arthritis Pain may have different doses for children. Talk with the doctor before giving Tylenol Arthritis Pain to a child.
- Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.
Be Careful Or Avoid This Common Class Of Painkillers
At the drugstore, the most common alternatives to acetaminophen are ibuprofen and naproxen .
Both of these are part of a class of drugs known as non-steroidal anti-inflammatory drugs . Many people are familiar with these medications. But in fact, older adults should be very careful before using NSAIDs often or regularly.
Unlike acetaminophen, which usually doesnt become much riskier as people get older, NSAIDs have side-effects that are especially likely to cause harm as people get older. These include:
- Increased risk of bleeding in the stomach, small bowel, or colon. Seniors who take daily aspirin or a blood-thinner are at especially high risk.
- Problems with the stomach lining, which can cause stomach pain or even peptic ulcer disease.
- . This can be especially problematic for those many older adults who have already experienced a chronic decline in kidney function.
- Interference with high blood pressure medications.
- Fluid retention and increased risk of heart failure.
Experts have estimated that NSAIDs cause 41,00 hospitalizations and 3,300 deaths among older adults every year.
Recent research has also suggested that NSAIDs cause a small but real increase in the risk of cardiovascular events .
Despite this fact, NSAIDs are often bought by seniors at the drugstore. Perhaps even worse, NSAIDs are often prescribed to older adults by physicians, because the anti-inflammatory effect can provide relief from arthritis pain, gout, and other common health ailments.
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Acetaminophen Won’t Help Arthritis Pain Study Finds
Prescription diclofenac a more effective choice for short-term pain relief, researchers say
THURSDAY, March 17, 2016 — Acetaminophen — commonly known as Tylenol in the United States — isn’t an effective choice for relieving osteoarthritis pain in the hip or knee, or for improving joint function, a new study finds.
Although the drug rated slightly better than placebo in studies, nonsteroidal anti-inflammatory drugs such as ibuprofen or diclofenac are better choices for short-term pain relief, the researchers said.
“Regardless of dose, the prescription drug diclofenac is the most effective drug among painkillers in terms of improving pain and function in osteoarthritis,” said lead researcher Dr. Sven Trelle. He’s co-director of clinical trials at the University of Bern in Switzerland.
However, even diclofenac comes with side effects.
“If you are thinking of using a painkiller for osteoarthritis, you should consider diclofenac,” Trelle said, but also keep in mind that like most NSAIDs the drug increases the risk for heart disease and death.
“The safety and efficacy profile of acetaminophen is supported by more than 150 studies over the past 50 years,” the company added.
The new report was published March 17 in The Lancet.
Osteoarthritis is the leading cause of pain in older people. It can impair physical activity, and that increases the risk of obesity, heart disease, diabetes and general poor health, the study authors said.
Conditions Treated By Acetaminophen Vs Ibuprofen
Acetaminophen and ibuprofen are both effective pain relievers that are FDA-approved to treat mild to moderate pain and fever. Examples of mild to moderate pain include headaches, back pain, toothaches, muscle aches, sprains, and menstrual cramps.
Acetaminophen is only indicated for the temporary treatment of pain and fever. However, it also has off-label uses for arthritis, migraines, and dysmenorrhea . Acetaminophen may not be as effective as other drugs for these off-label uses.
Research has also shown that acetaminophen and ibuprofen can be used to treat patent ductus arteriosus in preterm infants. The ductus arteriosus is a major blood vessel in the infant heart that normally closes after birth. However, in some babies, this blood vessel remains open and can cause heart complications. NSAIDs like ibuprofen or naproxen have been used to treat patent ductus arteriosus.
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Which Painkiller Should You Pick
So which pain med reigns supreme? While theres no right answer, these pointers can help you decide.
Most research suggest acetaminophen and ibuprofen have similar results in controlling fevers, so pick what works for you.
If you have a sensitive stomach or find that ibuprofen causes heartburn or nausea, give acetaminophen a whirl.
Ibuprofen reduces your bodys production of prostaglandins. These are the chemicals that trigger the uterus to contract and start periods each month. Ibuprofen can ease menstrual cramps and may also make menstrual bleeding lighter.
Both ibuprofen and acetaminophen can interact negatively with some prescription and over-the-counter drugs. If youre taking medication, talk to your provider doctor or pharmacist before reaching for the painkillers.
If youre taking painkillers over several days, consider alternating ibuprofen and acetaminophen to lower the risk of side effects.
Both ibuprofen and acetaminophen can control pain in kids. But ibuprofen tends to work better as a fever reducer. Be sure to follow the dosage guidelines on the label for your little ones age and weight.
Whats the takeaway? When used responsibly, ibuprofen and acetaminophen are safe choices for turning down the dial on fever and pain. And isnt it good to have options?
What Are The Main Differences Between Acetaminophen And Ibuprofen
Acetaminophen also known by the brand name Tylenolis an analgesic and antipyretic medication. The exact way in which acetaminophen works is unknown, but it is believed to be a weak inhibitor of the COX enzyme, which is responsible for producing prostaglandins. It may also work in the central nervous system to relieve pain and fever. Unlike NSAIDs, acetaminophen does not work as well for inflammatory conditions like osteoarthritis and rheumatoid arthritis.
Ibuprofen is an NSAID that can be used for pain, fever, and inflammation. Common brand names of ibuprofen include Motrin and Advil. Unlike acetaminophen, ibuprofen is a nonselective COX enzyme inhibitor that can reduce pain and inflammation from arthritis and joint pain. Because of its effects on the COX-1 enzyme, ibuprofen may also have adverse gastrointestinal effects.
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Nsaids Over Acetaminophen For Arthritis Pain
Study finds that the NSAID diclofenac may be a better option for arthritis pain than Tylenol.
What medication should you reach for when you are experiencing aches and pains in your hands or knees?
Many people wonder what is the best pain medication for arthritis pain.When it comes to the pain and stiffness of osteoarthritis, researchers of a new study are now recommending you reach for a nonsteroidal anti-inflammatory drugs , such as ibuprofen or diclofenac, rather than acetaminophen .
“Regardless of dose, the prescription drug diclofenac is the most effective drug among painkillers in terms of improving pain and function in osteoarthritis,” said Sven Trelle, MD, co-director of clinical trials at the University of Bern, Switzerland, and lead researcher of the new study published in The Lancet.
Osteoarthritis is the most common form of arthritis, affecting approximately 27 million Americans aged 25 and older, primarily those over the age of 65. It causes pain, swelling, and reduced motion in any joint, but usually it affects hands, knees, hips or spine. It can impair physical activity, and that increases the risk of obesity, heart disease, diabetes and general poor health, the study authors said.
“The safety and efficacy profile of acetaminophen is supported by more than 150 studies over the past 50 years,” the company added.