What a PAIN

During my time as a fourth-year pharmacy intern at Axtell Community Pharmacy in Pilot Point, I’ve quickly learned that one of the most common questions patients ask is whether they should use ibuprofen or acetaminophen for their symptoms.

Although both medications are widely used and easy to find, they each serve different purposes. Knowing when to choose one over the other can make a big difference in how well your symptoms are managed and how safely you’re using them.

Ibuprofen, which belongs to the Non Steroidal Anti Inflammatory Drug (NSAID) family, is especially useful when pain is linked to inflammation. This makes it a great option for muscle soreness, menstrual cramps, joint pain, and swelling. However, it’s not ideal for everyone—patients with kidney issues, heart problems, or a history of stomach ulcers may need to avoid it, and it’s best taken with food to reduce stomach irritation. Acetaminophen works differently. It’s a good choice for headaches, fever, and everyday aches when inflammation isn’t the main issue. While it tends to be easier on the stomach, it must be used carefully to avoid exceeding the daily maximum of 4000 milligrams (4 grams or 8 x 500mg tablets), which is especially important for those with liver concerns or people who regularly consume alcohol.

There are times when alternating or combining these medications can offer more effective relief, such as for high fevers or acute pain. However, this should be done with caution to prevent taking too much of either medication—especially because many cold and flu products already include acetaminophen. When in doubt, checking with a pharmacist can help prevent unintentional dosing mistakes.

Working with patients to choose the safest and most effective option has been one of the highlights of my rotation at Axtell. If you ever need help deciding which medication fits your situation, our team is here to guide you. We’re always happy to take a moment to talk through your symptoms and help you find the most appropriate pain relief.

By: Kyah Bowens, 4th year student Pharmacist – TTUHSC Intern at Axtell Pharmacy, Pilot Point