A member asked:

I was diagnosed with ra. i have pain 24/7. i'm allergic to nsaids. is norco or tylenol (acetaminophen) 4 better for pain? what is the difference between those meds?

3 doctors weighed in across 2 answers
Dr. Mitchell Cohn answered

Specializes in Pain Management

Better is relative: Some patients have improved RA pain with opiates, but they do nothing to actually treat the condition.There are several other potential treatments-pharmacologic & natural alternatives that may help incl. avoiding inflaming substances like table sugar.NSAIDs decrease inflammation, thus decreasing pain.Opiates do nothing for RA but, in some cases make the pain more bearable.

Answered 3/28/2015

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Consult physician: Both of the medicines you mentioned are combination of acetaminophen ( Tylenol is one of the brand names) and a codeine derivative ( an opioid, or narcotic, painkiller) They are regulated prescribed substances that might be used to alleviate the pain, after consulting with specialist. It is important to know what is your allergy to NSAIDS, because reducing inflammation is very important in RA

Answered 3/28/2015

3.4k views

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