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7510956 tn?1411671417

TYLENOL OR ADVIL?

I was told by my Doctor to take Tylenol (no more than 2000 mg per day)  instead of Advil while on treatment for headaches  since advil damages the kidneys. I have always heard to avoid Tylenol since its bad for the liver or have things changed?.
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163305 tn?1333668571
If you do not have low platelets ( under 100) it is safe to take aspirin. There's also not med solutions such as massage, salves and compresses. Gentle exercise is always good and do be sure to drink lots of water.
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7510956 tn?1411671417
The fracture of fermur was painful , I would take 4 advil every 24 hrs and lots of ice to be able to get thru it. This was my second time I fractured it and this time it was more painful, maybe its the age. If I would have known of tylenol, I would have taken more. I have decided that climbing trees is out of my life:)  
Helpful - 0
766573 tn?1365166466


Ouch a fractured femur. Injuries like that can linger. I hope you do not have any problems. Before I had CT surgery on both wrists I was amazed at the profound and immediate relief I experienced with an NSAID called Celebrex. It enabled me to function as if nothing was wrong. I am glad I was able to use it at the time since it would not be an option now or actually ever in my near future. Glad none of this is because your HCV.
Helpful - 0
7510956 tn?1411671417
I am  F4  bridging to Cirrohis, I never get headaches but when I fractured my fermur in 2012 my doctor Dr. (ortho) asked me to take advil only if I could not stand the pain, not because of the Hep C but because of the stomach  walls. Anyway, thank you all for the info.
Helpful - 0
766573 tn?1365166466


I am not cirrhotic or anything but due to other things I can't take NSAIDS.
I took Tylenol when I treated and it basically got the job done.
My Nephrologist told me that Cox 1 and 2 inhibitors do different things to the kidney. When I treated I only ever researched the impact meds had on my liver. Never once did I consider the kidneys.


I am not sure how long you are treating but taking anything other than Tylenol for a lengthy period of time might not be the wisest of things.
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Avatar universal
Hector's post above is 100% correct.  I use to take NSAID's by the handfuls...talk about headaches!!!...you try managing 200+ people a day...HA!!!  

When doctor had me do upper GI to check for varices he was shocked to see none but to see ulcers the size of baseballs.....can never take NSAID's again.

He ok's with Tylenol but only take if absolutely necessary.  I find most of my headaches while on sovaldi and riba have occurred when I have been dehydrated or my seasonal allergies due to change of seasons or the ups/downs if temp we have had this year I take a children's chewable Benadryl twice a day.....give them to my 12# poodle who is allergic to grass of all things and has seasonal allergies.  Works for me....be sure you are hydrated.....coke, sodas, coffee are not hydrating ... it is very important ....you need water.   Also get headache when my blood pressure drops or spikes....

Then if nothing else works....stand in shower....let soft warm spray hit you in the face.  That helps...and tugging on your ear lobes...gently at the same time will help if you have a sinus headache....and have you ever done the Vulcan finger pressure points on your face?  And when I get really bad headache I wear bandana folding into a head band and tying it tightly on my head and go to sleep.  Others will also tell you moving arms, legs, and walking if you can will help create blood flow to generate to the areas it is needed.

I'm the queen of headaches...went to a neurosurgeon for 4 years.....he would show me pie charts...and write scripts for several code 4 drugs at the same time that the pharmacists probably wouldn't fill today but oh yah...they couldn't...all of them have been taken off the market because they caused liver and kidney problems.  Took me 3 - 4 weeks to detox from all of them...swear...when on the drugs  a semi-trailer truck could drive through my front room and I would have just said wow....Went back to exercise and vegetarian ways....started redoing transcendental meditation and started yoga and thi chi and pilates.

But when you are on a drug like we are that is causing the headache you have to find a way to control them without medication if you can.

Good Luck.  
Helpful - 0
Avatar universal
Hi Fred , I also can not take NSAIDs. Tylenol is prescribed for me .however I only take it when absolutely needed . It might be silly but I always. Feel like I am taking two steps backward s . I try every thing else first .
Helpful - 0
446474 tn?1446347682
Only patients with F4 cirrhosis need to avoid certain pain relievers.
If you have cirrhosis you should only take Tylenol and under 2,000 mg per day. Everyone is different so ask your doctor if you aren't sure. This is what people on the liver transplant waiting list are told.

Tylenol is safe for those with advanced liver disease as long as they do not take higher than the recommended dose. In cirrhotics commonly 2,000 mg per day is recommend. In those with more advanced cirrhosis it can be even a low maximum dosage. The people you hear about having liver damage from Tylenol either took a very high dose or took the drug over a period of months or years.

NSAIDs in cirrhotics can cause internal bleeding and kidney damage which in a cirrhotic can be life threatening.

From "The Center for Drug Information at the University of Illinois Medical Center"

"Aspirin and other NSAIDs are widely used for their anti-inflammatory, antipyretic and analgesic effects. NSAIDs are metabolized by the liver via oxidative and conjugative pathways and have the potential to cause liver injury, with some agents being more hepatotoxic than others. Patients who develop complications of cirrhosis are at increased risk for kidney injury due to NSAIDs. Since this may lead to both liver and kidney failure, individuals with liver disease should avoid using NSAIDs in general and the following agents specifically: ibuprofen, aspirin, diclofenac and sulindac. In chronic hepatic insufficiency, the clearance of naproxen is reduced; some recommend that the dose may be reduced by 50%."

For those with lesser liver disease they can take any analgesics they like.

Hector
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7510956 tn?1411671417
Thanks for thread,  very good.  
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766573 tn?1365166466

The OTC products you are told to take might depend on your medical history. The 'Tylenol Question' has been asked many times on here and answered quite well. Advil is a brand of ibuprofen. Here is a thread that has lots of posts related to this

http://www.medhelp.org/posts/Hepatitis-C/Ibuprofen-or-acetaminophen/show/1591193
Helpful - 0
Avatar universal
The opinions on this one varies from doctor to doctor and also on whether or not their patient is allowed to take NSAIDS.  I can't take NSAIDS, so Tylenol it is for me.  I usually only take it on shot nights, though. It's not something I take on a daily basis, or even every 8 hrs.  Susan400
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