Tylenol eight hour arthritis pills for joint pain?

Posted by lindaadel @lindaadel, Sep 28 5:30pm

I was wondering if it pays to give Tylenol eight hour pain relief pills a try for my joint pain? every once in a while my rheumatologist asks me if I have ever tried Tylenol which I never did. I am not doing well on any of the pills that I’ve tried so far all they do is give me way too many side effects which are not great!!! any information would be helpful!!!

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It’s worth trying to see if it helps. Tylenol is usually more commonly recommended for people for whom bleeding, stomach ulcers, or kidney issues are a risk (which is most older people) as opposed to NSAIDs. Plus if you’re taking prednisone, it’s not recommended to mix that with NSAIDs…which is probably why your rheumatologist brings up Tylenol.

But Tylenol tends to be pretty useless for me; I think it’s because my arthritis pain is inflammatory (I have a different inflammatory arthritis and my dad has PMR). Tylenol doesn’t work for period pain, headaches, or other my arthritis l pain so I just don’t bother with it anymore. NSAIDs are anti-inflammatory, which is how they give relief whereas literally no one knows how Tylenol relieves pain. It’s hypothesized it acts somewhere in the central nervous system and it’s possible some people don’t respond as well.

My dad doesn’t use Tylenol unless he has a fever because it actually makes him really drowsy. The same thing happens to his sister.

Tylenol is pretty low risk so it may be worth trying. But unless my dad is in a flare, his pain tends to be pretty well-managed on the prednisone. However he is also in PT and does some stretches and at least some of his home exercises most days.

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I take extra strength Tylenol as needed. It's 500 mg. I only take 1 capsule. I find it does help. I'm at 3.5mg prednisone and pain is minimal.

Arthritis strength is 650 mg. My husband has been taking the arthritis strength, 2 tablets. He has osteoarthritis in his hands, bone on bone. This past week he saw the ortho Dr. He got steroid injections. I asked the Dr how much is too much Tylenol. His advice was no more than 1000 mg at a time and no more than 3000 mg in a day.

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I use Tylenol arthritis every day, ecause I cannot take nsaids at all. Tylenol is okay, and it gives me an hour or so of relief. I try to take it at night before bed so I can get comfortable and sleep.

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Tylenol is very helpful to me. I take 1,000mg in the morning and again before bed. It is subtle compared to opioids as there is no sedation,
But also no side effects like constipation, stomach upset, etc.

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I take two Tylenol arthritis (1300 mg) at bedtime every night. It allows me to get 7 hours of sleep, but it probably helps more with my extensive osteoarthritis than with PMR pain. I usually don’t take anymore during the day, but instead use BenGay type topical.

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@emo

It’s worth trying to see if it helps. Tylenol is usually more commonly recommended for people for whom bleeding, stomach ulcers, or kidney issues are a risk (which is most older people) as opposed to NSAIDs. Plus if you’re taking prednisone, it’s not recommended to mix that with NSAIDs…which is probably why your rheumatologist brings up Tylenol.

But Tylenol tends to be pretty useless for me; I think it’s because my arthritis pain is inflammatory (I have a different inflammatory arthritis and my dad has PMR). Tylenol doesn’t work for period pain, headaches, or other my arthritis l pain so I just don’t bother with it anymore. NSAIDs are anti-inflammatory, which is how they give relief whereas literally no one knows how Tylenol relieves pain. It’s hypothesized it acts somewhere in the central nervous system and it’s possible some people don’t respond as well.

My dad doesn’t use Tylenol unless he has a fever because it actually makes him really drowsy. The same thing happens to his sister.

Tylenol is pretty low risk so it may be worth trying. But unless my dad is in a flare, his pain tends to be pretty well-managed on the prednisone. However he is also in PT and does some stretches and at least some of his home exercises most days.

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I've read where taking 500 mg of Tylenol along with the NSAID ibuprofen is a good combination for pain relief. And my son-in-law says he says they are being sold as a combo in single doses.
Yet, you say that Tylenol and NSAIDs do not go together. I'll need to do a search to find out for sure. There's always the issue as whether the risk is if the patient were to take the two together every day as opposed to once in a while.

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@laughlin1947

I've read where taking 500 mg of Tylenol along with the NSAID ibuprofen is a good combination for pain relief. And my son-in-law says he says they are being sold as a combo in single doses.
Yet, you say that Tylenol and NSAIDs do not go together. I'll need to do a search to find out for sure. There's always the issue as whether the risk is if the patient were to take the two together every day as opposed to once in a while.

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They are sometimes sold together as a combination; they have different mechanisms of action. You might want to check your doctor if you're unsure of your risk.

At least in my experience helping my parents, their doctors pretty much never recommend NSAIDs because they're viewed as having "more side effects," especially for older people. My mom has a kidney transplant and my dad has PMR so has been on long-term use of prednisone, and Tylenol makes him exceptionally drowsy. NSAIDs are hard on the kidneys, have a higher risk of stomach bleeding, thin the stomach lining with regular use, etc. On top of that, NSAIDs are generally not recommended with prednisone because it increases the risks of bleeding.

I've heard of others on this forum who have been taking Aleve, Advil, etc. while being treated for PMR, so it's not that it can't be done, but it's hard to know how much is "too much" since our bodies all respond differently.

As for me, I have only one kidney so my nephrologist told me never to take NSAIDs but that's kind of ridiculous because I have very bad period and migraine pain and Tylenol is pretty much useless for those conditions, but that's the only thing they would let me take when I was hospitalized and I was super-annoyed, so maybe that has something to do with my antipathy for Tylenol lol. I understand why Tylenol is usually "recommended," but if it doesn't work for someone, what's the point? It's just a personal pet peeve of mine that in hospitals and with doctors in general, they usually point to Tylenol, not recognizing that it's known not to work for all people for pain relief. That's a "me" thing.

So I just take as a little NSAIDs as possible. It's a treatment for the inflamatory arthritis and OA I do have, but I know I can't take it regularly because it's too much of a risk with my pre-existing GI issues and one kidney. My PCP gave me a prescription for Celebrex to take as needed, which she said has some evidence to show it's "easier" on the kidneys. And that's the risk I'm okay with, so I do it.

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@emo

They are sometimes sold together as a combination; they have different mechanisms of action. You might want to check your doctor if you're unsure of your risk.

At least in my experience helping my parents, their doctors pretty much never recommend NSAIDs because they're viewed as having "more side effects," especially for older people. My mom has a kidney transplant and my dad has PMR so has been on long-term use of prednisone, and Tylenol makes him exceptionally drowsy. NSAIDs are hard on the kidneys, have a higher risk of stomach bleeding, thin the stomach lining with regular use, etc. On top of that, NSAIDs are generally not recommended with prednisone because it increases the risks of bleeding.

I've heard of others on this forum who have been taking Aleve, Advil, etc. while being treated for PMR, so it's not that it can't be done, but it's hard to know how much is "too much" since our bodies all respond differently.

As for me, I have only one kidney so my nephrologist told me never to take NSAIDs but that's kind of ridiculous because I have very bad period and migraine pain and Tylenol is pretty much useless for those conditions, but that's the only thing they would let me take when I was hospitalized and I was super-annoyed, so maybe that has something to do with my antipathy for Tylenol lol. I understand why Tylenol is usually "recommended," but if it doesn't work for someone, what's the point? It's just a personal pet peeve of mine that in hospitals and with doctors in general, they usually point to Tylenol, not recognizing that it's known not to work for all people for pain relief. That's a "me" thing.

So I just take as a little NSAIDs as possible. It's a treatment for the inflamatory arthritis and OA I do have, but I know I can't take it regularly because it's too much of a risk with my pre-existing GI issues and one kidney. My PCP gave me a prescription for Celebrex to take as needed, which she said has some evidence to show it's "easier" on the kidneys. And that's the risk I'm okay with, so I do it.

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Do you think Gabapentin would be helpful to you?
My pain management specialist prescribed for me to take 200 mg daily (I take it before bedtime). This was prescribed following a fractured pelvis I suffered early last year after mis-stepping off the lower rung of a step ladder. My back was injured from the fall too, with a resultant effect of 3 disc bulges and two other sets of vertebrae compressed with no disc cushioning.
That's not a high dose of gabapentin, I realize. I also find some relief at bedtime with also taking 50 mg of diclofenac (Cataflam). I don't know how much of a blood thinning effect that has.
Yet my wife, who is really fraught with dual hip pain, neck arthritis, and full spinal arthritis (bone spurs) is taking 600 mg of Gabapentin a day.
Neither one of us has any debilitating kidney or other organ issues, although my wife is on the edge with kidney failure related to high creatinine levels.

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@reets70

I use Tylenol arthritis every day, ecause I cannot take nsaids at all. Tylenol is okay, and it gives me an hour or so of relief. I try to take it at night before bed so I can get comfortable and sleep.

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I also take only Tylenol but not the arthritis formula yet, however, I'm not getting any help from the Regular or Extra Strength, so I'm thinking about trying it.
How is your pain during the day?

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Pain today is 8 out of 10. Every step I take is painful. I tapered my prednisone from 20 to 10 mg because the side effects were really severe this time around. I think that’s the reason I’m in so much pain. I see my rheumatologist on Wednesday so we’ll see what she has to say. I was such an active person a year ago. Go figure!

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