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Acetaminophen vs. ibuprofen

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Re: Acetaminophen vs. ibuprofen

#381
At least in the US, its hard to find single-purpose over the counter medicines. Most "cold" remedies now also include acetaminophen. So that makes it easier to OD on acetaminophen if you take some by itself and then don't realize that your cough syrup also includes it. I think this (bundling acetaminophen) should be banned for safety reasons.

Re: Acetaminophen vs. ibuprofen

#382
post #170

Earlier quoted context omitted.

When it hurts. Like, when your head hurts for example.

And if it stops the hurt - does it stop the actual pain?

What is the difference between the two? I treated them as synonym.

I did not said it cures the root issue, frankly I dont care that much. I am taking it so that the pain stops and I can function normally.

Paracetamol does not stop pain/hurt. It is like taking nothing and just waiting. It may help with fewer or some such, but I am not taking Ibuprofen for fewer.

Re: Acetaminophen vs. ibuprofen

#383

Earlier quoted context omitted.

It is mind boggling how statements like that are possible in the US. I guess it is much better than the situation before that, where you paid $5000+ and they also gave you an opioid addiction.

> I guess it is much better than the situation before that, where you paid $5000+ and they also gave you an opioid addiction. Having a condition that actually warrants strong opioids and not being able to get them at any price is definitely not an improvement. The problem is fundamentally that we want to pretend doctors can always distinguish two people describing the same symptoms when one person actually has them a…

> and not being able to get them at any price

Brother (or sister), you were simply not trying hard enough. I live in a very clean, safe, expensively-policed county, and even I know where to buy fentanyl for much lower cost than a hospital. I would happily turn to that than take 20(!!!) advils in s single day.

Re: Acetaminophen vs. ibuprofen

#384
post #263

Earlier quoted context omitted.

AIUI one of the many quirks of the US health insurance system is that a lot of people have only minimal cover which doesn't include things like physiotherapy and rehabilitation treatment. That means that they often can't treat a painful condition at source so their only option is to mask the pain with painkillers.

It's worse than that - there is also no job protection. Hurt yourself and miss a few days of work and you are possibly unemployed on top of injured. And then you lose your health insurance, so you can no longer get/afford any treatment. I'm convinced it's designed this way on purpose. Can't have people relaxing, ever. Must extract every ounce of productivity and blood while they're alive.

Yes, it's the combined outcome of both of those "features." Many Americans don't have access to healthcare and/or can't afford it even if they have access, AND they are not allowed to stop work to take care of their bodies, it's just a steady stream of painkillers to keep you numb and working until you retire or die.

Re: Acetaminophen vs. ibuprofen

#385

At least in the US, its hard to find single-purpose over the counter medicines. Most "cold" remedies now also include acetaminophen. So that makes it easier to OD on acetaminophen if you take some by itself and then don't realize that your cough syrup also includes it. I think this (bundling acetaminophen) should be banned for safety reasons.

I thought this was partly intentional to discourage DXM tripping. Same reason the only opioid they seem to give anyone now is the shitty hydrocodone/acetaminophen mix.

Re: Acetaminophen vs. ibuprofen

#386
post #379

Earlier quoted context omitted.

wait, how are you getting naproxen? Whenever its prescribed here, its paired with some sort of intestine protection medicine to stop it burning holes in your stomach/intenstines Ibuprofen is much safer, so long as you eat with it. Paracetamol is also safer, so long as you don't OD. BUT! so long as you stay below 4 grams a day, you'll be safe. (yes yes, in some situations you can take double, but unless you are under…

In the US, Aleve is the name-brand pill for naproxen, available in grocery stores next to everything else. I have a bottle of 160 gelcaps. Each pill is 220mg naproxen sodium or in parentheses 200 mg of naproxen. The advertised effect is 12 hours / all day, getting anywhere near 4g would only happen in a suicidal "swallow bottle of pills" situation.

GP meant 4g is the safe limit to paracetamol (hence "liver pain"). About 8 typical doses over 24 hours. It's little known amongst the general population, who have the occasional extreme of people taking double doses every few hours

Re: Acetaminophen vs. ibuprofen

#387

Something I'm surprised this article didn't mention is that sometimes the anti-inflammatory is the point. If you have swelling along with the pain then ibuprofen or any other NSAID is going to be much more effective. That would be the main reason to go with ibuprofen in my opinion. But again if you take medical advice from an internet comment you're already doing it wrong.

> if I needed a painkiller, I’d try to take ibuprofen rather than acetaminophen. My logic was that if eight grams of acetaminophen could kill my liver, then one gram was probably still hard on it.

This article is explicitly considering usage as painkiller.

You can’t use Tylenol as an anti-inflammatory so it’s meaningless to compare them for that distinction usage.

Re: Acetaminophen vs. ibuprofen

#389
Acetaminophen and Ibuprofen are taken for different things and can be taken together as well, it's not a versus...

Ibuprofen is mostly for inflammation and Acetaminophen for fever and pain. Now there's overlap in that both work on headaches and some other kinds of pain but the main use case for each is different.

Re: Acetaminophen vs. ibuprofen

#390

Earlier quoted context omitted.

Really? I get headaches semi-frequently and my first line of defense is ibuprofen, I use acetaminophen sporadically as a last resort

Why? Does ibuprofen work better? It's bad for your stomach walls.

There seems to be some percentage of people that acetaminophen seems to do very little for. Ibuprofen has a much more pronounced effect, to the point that I take it at half it's recommended dosage.
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