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A 42-year-old female asked:

3 teeth extracted on thurs. is it necessary to alternate hydrocodone and advil (ibuprofen). can take advil (ibuprofen) alone for swelling? please note other meds in profile

5 doctor answers11 doctors weighed in
Dr. Lori Semel
Pediatrics 35 years experience
Extractions: The advil (ibuprofen) alone is enough for inflammation and mild pain relief. No reason to take the hydrocodone if the pain is not severe.
Dr. Frederick Thum
Specializes in Emergency Medicine
Treat on symptoms: Alternating hydrocodone and ibuprofen is not necessary if Ibuprofen is sufficient to treat your pain. Of course, follow up with your dentist.
Dr. Rex Mahnensmith
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Pain: avoid hydrocodone at this point. Use advil, (ibuprofen) Use cold packs as needed.
Dr. Keith Hollander
Dentistry 36 years experience
Its always better to minimize the use of narcotics (like hydrocodone). Some narcotics like hydrocodone) are combined with Tylenol. Advil is ibuprofen and is a good anti-inflammatory and will help with pain control. Watch how much Tylenol you take with the hydrocodone
Aug 3, 2014
Dr. Dustin Colegrove
Internal Medicine 12 years experience
Ok to take: ibuprofen alone, but if the pain gets bad you can use the hydrocodone as well. no need to alternate necessarily as they can be taken together as well.
Dr. Carrie Cannon
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Fine if pain control: You do not need to take hydrocodone if your pain is adequately controlled by Advil. The interactions between Cymbalta (duloxetine) and Advil are incr. risk of bleeding, SIADH, hyponatremia (NSAID antiplatelet effects augmented by inhibition of platelet serotonin). Caution is advised. Low salt in the blood can cause seizures and swelling. If you take it often, may need salt monitored.

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Last updated Aug 4, 2014

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