European Stars And Stripes (Newspaper) - May 3, 1988, Darmstadt, Hesse                                Painful choices Byjah Debrody new York times o doubt you be heard inc Many advertised claims of Over Lac counter painkillers compiling Lor a share of a Al .8 billion Market. Some assert they Are the pain reliever  disc  or twice As last As aspirin " still another Hills i sell As Iho extra strength pain  while one advertisement assures us Hal you can t buy a Mic potent pain reliever Wilhour a  confused1 Are All Iho claims giving you a headache in who you should try the Brand Hal . Gel the pain til of of or pint without the unpleasant Ide effects " for d which it he Best All Force drugs arc what medical science ends peripherally acting analgesics. In other words they relieve pain via a Localised action As opposed to narcotics which act centrally on the brain thus unlike narcotics 1hoy arc nor addictive in ire usually recommended doses aspirin.  and ibuprofen Are about equally of Celivo m relieving mild o moderate pain and in reducing Lover aspire ends 10 bring Lastor pain relict. But ibo Prolan Sefl acts generally last longer than Eilicer aspirin s or Icola Minophee a ibo Proton rooms to have a slight pain relieving advantage in treating soil tissue sports injuries like sprains and strains. Aspirin and ibuprofen Bill not acetaminophen also reduce into Malion and thus Are especially useful in treating arthritis and  i Junos. Ibuprofen is also Superior in to icing menstrual cramps Largo doses Are nol necessarily More Olf Octive neither arc combinations of the drugs.  o. Both Large doses and combinations can increase Iho risk o lore Side a floats originally ibo Proton was sold Only As 3 prescription drug under the Ligand names of Malm and Rufen Bui it Wao disposed at double and quadruple the strength now available in single tablets ova to counter. In several studies i to tablets of ibuprofen 400 milligrams were belter Al relieving postoperative pain than two aspirin tablets 650 milligrams you would be Wise. Though to Check Wilh your physician Betta Tak Fig Ibur Jerolen a such dosages. Most experts say it to unwise and unnecessary to Lake More than a 400 Milligram dose of Tau proven. Several Large studies Havo indicated that one aspirin to Biol every other a or one children s aspirin daily can reduce the risk of Hearl Atlace and the common form of stroke. Caused by a clot. However she risk of aspirin la no longer King of Over the counter pain medications. 16 the stars and stripes Hemorrhagic stroke May to increased Sli Jelly by this. Regimen. Aspirin s inti tolling properties account Tor this bup Iolyn has similar clip cos on blood but has nol yes been tested As a Dot preventive Tiu proven comes is both coated and Uncha Larj tablets and As capsules aspirin is produced in Many forms coated arid uncool of lab Lols limed release and Bude Tud tablets Chow acc labels in a children s dosage re Cal suppositories and chewing gum. The gum is said to to least cd Lclive. The coated tablets Lake longer to act about 45 minutes and Iho lined Resoso and coated tablets May not be Lully Ahoi id acetaminophen is sofas tablets capsules ii quirk and recall suppositories. As Lor Brand names versus gentries experts say there Are no important d defences other than Price unless you respond to the Placebo collect of a particular Brand Bayer aspirin for example seems la work belter Lor you because you believe in it you would be Wiso to choose the cheapest product How Safe Are they about 5 percent to l q percent of people react Adverse to aspirin common Side Etc cos include stomach upset ringing in the ears blurred vision and bloody of Tarry stools. Some people especially asthmatics Saflor allergic reactions with Lehing hives rash wheezing and asthma attacks some Dragice of stomach bleeding usually  Al occurs in Aboul 40 be icon of aspirin users even those  Lake enteric coated aspirin that does not dissolve until reaching the intestines Long Tern use can result in ulcers or anaemia. Aspirin is not recommended Lor people prone to ulcers or gout Pali cats taking anti coagulants prawn and and nursing women people Wilt asthma kidney or fiver disease of known aspirin allergy heavy Consumers of alcohol and children under 16 who have Chicken poor in Lunza. Children Wilh these diseases Are considered More Susce Priblo to rec s syndrome in Hoy Lake aspirin acetaminophen is much less Likely than aspirin to produce Sigro lican Side locis or allergic Tea Lions. Ii docs not irn Lata the stomach or cause bleeding problems. Ii is also considered Sale Lor wants he elderly and pregnant and nursing women flare ado cell Els include bloody or Cloudy urine pain luf urination skin rash unusual bleeding or bruising and aim Dico High doses for several weeks May cause Ivor tuesday May 3.1933 damage and death acetaminophen should not to used by people with chronic liver disease liver infection or severe kidney disease or by people who Are heavy Consumers of alcohol ibuprofen Liko aspirin can irritate the Slomach and affect Wood clotting although the Overall incidence of Side Elfo Cusand allergic reactions lend to be lower than Lor aspirin As Many As 16 percent of users Pulfor  upset loss Iro Quonn reactions include skin rashes itching dizziness and temporary vision disturbances. Burro in May also interfere Woltri the effectiveness at diuretics and other High blood pressure medications because to lends to cause sodium Helen icon and it May multiply the cd facts of blood thinning drugs. Ibo Folen is nol Reeoma Mondsh for pregnant and1 nursing women children under 12, heavy alcohol Consumers and people i i Goul. Ulcers of allergy to aspirin. Reducing the risks. But cred enteric coated or otherwise aspirin and Tau proven Are Best taken during or Allor meals or at Casl with a Glass of milk or water. Pregnant and nursing women and people Wilh any condition Hal May involve bleeding such As Oral surgery Luccis or a Deco injury should use  the exception is menstruation whore ibuprofen provides Superior pain Relief. Acetaminophen is also considered Saso Lor Puoplo with aspirin allergy stomach disorders or blood dolling disorders. However prolonged daily use even of Normal doses of  a cause Over damage Sard f. James gig in director of pharmacy services Al St. Louis stale Hospital and author of tit pharmacist s  Tawson $17.95be sure to keep this and All other drugs inaccessible to Small children. As Tow As 10 Eilora St Fengl acetaminophen table can kill a child avoid combinations of aspirin and acetaminophen Al teas for blended use. Several vow Tho counter analgesics inducing extra  Bristol Myers vanquish by Glenbrook. A Mesic by Squibb and headache powders like Goody s contain such a combination. Doctors scythe co Munaton when used in Large doses of Tang periods May cause kidney damage. They also suggest thai patients rut Lake aspirin when the Are also taking ibuprofen or any ctn i Anli inflammatory drugs thai to nol steroids such As Ana prox by Synrex or by Azo Idin by beige