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Are the over the counter NSAID versions safe to take with the prescriptions?

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After checking with your physician and pharmacist, it may be acceptable to add certain over the counter pain relievers.  Never start such pills without the approval and awareness of all of your treating doctors, including specialists.  Once cleared, Tylenol (acetaminophen) is a commonly combined agent. Excreted differently from the NSAID pathway (liver for acetaminophen, kidney for NSAID) this provides a differing mechanism of pain relief while not targeting inflammation.  Your doctor may find this an appropriate avenue of treatment for non-inflammatory causes of pain, or as an add-on when NSAIDs are already in use.  Acetaminophen should be cautiously dosed since a toxic level is reported for an average patient at 3200 milligrams (mg).  Care should also be taken to inspect closely all other medicines as acetaminophen is often a combined agent in other medicines, especially those with a pain focus.

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