My hepatologist told me to take Ibuprofen. Tylenol just didn't work on my headaches, so I was really glad that I could take the Ibuprofen... which is Advil... just cheaper. The most important thing is to watch the dose... only 2 every 6 hours.
Most knowledgeable hepatologists tend to recommend Tylenol/acetaminophen for over the counter pain relief. Aspirin and NSIAD’s can prolong clotting time; something that people with advanced liver disease often have trouble with. Additionally, they can cause GI irritation as well.
Although acetaminophen can be toxic to the liver in large doses, there is no evidence that it’s cumulative. Taken as directed, it’s considered safe even for patients with compensated cirrhosis.
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“Jorge L. Herrera M.D.
Division of Gastroenterology
University of South Alabama College of Medicine
Mobile AL
http://www.hcvadvocate.org/hcsp/articles/Herrera.html
“Acetaminophen use: Contrary to popular belief, acetaminophen (the active ingredient in Tylenol®) is perfectly safe for patients with cirrhosis as long as it is used cautiously. Any person who drinks alcohol regularly should not consume any acetaminophen. For patients with early cirrhosis (CPT class A or B), the use of acetaminophen is safe as long as the recommended dose is not exceeded (1,000 mg per dose, repeated no more often than every 6 hours). Patients with more advanced cirrhosis should take only ½ of the recommended dose. In fact, for patients with cirrhosis, acetaminophen, when used as described, is the preferred medication for the treatment of pain.”
--Bill
I have heard Ibprophin is the best this to take