Different people with different kind of pain react differently to various pain killers. An arthritis pain medicine may not work for other kind of pain. In general, ibuprofen and acetaminophen are two most common active ingredients in most readily available over-the-counter pain relievers. Neither of them is completely safe. From what I learned, if you have little or no liver damage, you can use either ibuprofen or acetaminophen. But if your liver damage is more advanced, acetaminophen is safer AS LONG AS YOU DON'T OVERDOSE IT OR MIX IT WITH ALCOHOL. Be careful that acetaminophen is in a lot of other medications and if you take those PLUS your own acetaminophen, you might be overdosing it. Read the labels and ask your liver specialist (not just a GP) for his/her recommendation.
Here's a quote: "When used within proper dosing limits Acetaminophen (Tylenol) is the only painkiller recommended for person suffering with advanced liver disease (cirrhosis). 1000-2000mg daily for compensated cirrhosis (CPT class A or B) and about half that for persons with decompensated cirrhrosis (CPT class C)."
Here are some links about this discussion.
http://www.medhelp.org/posts/Hepatitis-C/Ibuprofen-vs--acetminophen/show/86699
http://www.medhelp.org/posts/Hepatitis-C/FDA-Clamp-Down--Acetaminophen-/show/1436009
http://www.doloteffin.de/
http://www.versandapo.de/it/10034/4360014/DOLOTEFFIN-Filmtabletten.htm
http://www.simn.org/schede_professionisti/professionisti_artiglio_diavolo.html
Several studies have been performed using Doloteffin, a standardized preparation of Devil's Claw.[2] A series of small-scale studies completed in Germany found that H. procumbens was indistinguishable from Vioxx in the treatment of chronic low back pain,[3] and was well-tolerated after more than four years of treatment of H. procumbens alone.[4] H. procumbens also seems efficacious in the treatment of arthritis-caused hip and knee pain.[5] An author involved in several studies on Devil's Claw and pain relief had the general conclusion that a minimum 50 mg per dose standardized extract was an alternative to synthetic analgesics with a low risk of adverse events.[6] A separate 2006 systematic review of herbal medications for low back pain reached the conclusion that a standardized daily dose between 50 and 100 mg of harpagoside performed better than a placebo, and an unspecified dose of harpagoside demonstrated relative equivalence to 12.5 mg per day of Vioxx.[7]
ibuprofen have reported death cases on people with liver diseases, same aspirin, absolutely out of question
the safest and most potent pain relever is harpagoside contained in Devil's Claw:
http://en.wikipedia.org/wiki/Harpagophytum
no toxicity at any dose it is a vegetable used regularly for centuries in several countires.the minimum dose that works as pain relever is not approved in many countries (clearly for corruption because it has no toxicity and of course makes damage to pain relever markets), in germany and some euro countires it has the correct dose to work as pain relever, pills of 600-1200mg or more are needed to work or even better check for harpagoside quantity in devil's claw pills which is 30mg minimum.Doloteffin from germany is the best brand i have found
http://www.rzuser.uni-heidelberg.de/~cn6/iasp-sig-rp/phyto.html
http://www.ncbi.nlm.nih.gov/pubmed/12046857
http://www.kew.org/plants-fungi/Harpagophytum-procumbens.htm
my relatives and friends with reumatic diseases used
Hi, not a doctor but I would take ibuprofen. That is what I take for my back problem, good luck
At one point I had such back pain that my doc told me I could take ibuprofen (Motrin) and tylenol.
Good luck
Dee
Get your Doctor to take your B12 levels; mine were checked and the nurse muddled the results, resulting in me getting a couple of B12 injections before they realised I was able to take supplements orally. My sciatica magically went (I checked B12 - sciatica, on google and found a connection)...