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A High School athlete comes to you with acute ankle swelling. His mother is a chemistry...

A High School athlete comes to you with acute ankle swelling. His mother is a chemistry teacher at school and says the best NSAID for him to take is Tylenol because it has very few side effects. Do you agree with this? Why or why not? What side effects are possible with taking aspirin or Ibuprofen? You will also want to briefly discuss why the side effects occur when you speak to his mother concerning this matter.

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Answer #1

Tylenol is not a NSAID. It is an acetaminophen or paracetamol. It helps to reduce minor pain and fever. Tylenol does not help reduce inflammation or swelling.

Side effects tylenol are less common abd fewer compared to other NSAIDs. These include nausea rash and headache. Otger side effects include Hypersensitivity reactions, skin reactions, Kidney damage, anemia, reduced platelet count.

Side effects with ibuprofen and aspirin are more common and include:

- nausea, vomiting, rashes, dizziness

- GI bleed and ulcerations due to gastric mucosal erosion as a result of COX inhibition

- increased risk of bleeding due to interaction with blood cloting mechanism

- kidney impairment

- hepato-toxicity

- tinnitus

Aspirin and ibuprofen have higher risk of adverse effects compared to tylenol. That is why tylenol is recommended for minor aches and pain.

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