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Ibuprofen vs. Tylenol With Codeine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Ibuprofen (Advil, Motrin) is a nonsteroidal anti-inflammatory drug (NSAID) that treats pain and relieves fevers. Acetaminophen / codeine (Tylenol #3) is also a pain medication, but it’s considered an opioid because it contains codeine. It also contains acetaminophen (Tylenol). Most forms of ibuprofen are available over the counter. It’s usually considered a first-choice medication for mild-to-moderate pain before trying opioids such as Tylenol #3. Common ibuprofen side effects include heartburn and nausea. More seriously, stomach ulcers, bleeding, and kidney damage can occur. It can also raise the risk of a heart attack. Tylenol #3 side effects include drowsiness, constipation, and nausea. Serious risks include misuse, overdose, and liver damage.

Ibuprofen

 

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Tylenol with Codeine

 

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Summary for Ibuprofen

Prescription or over-the-counter

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that's used to temporarily relieve fever, pains, and aches in adults and children. In general, ibuprofen is taken by mouth every 4 to 8 hours, though the dosage depends on your age, weight, and other medical problems. Ibuprofen side effects include nausea, heartburn, and stomach pain, but taking it with food might help prevent these side effects. Ibuprofen is available over the counter and by prescription, depending on the strength you need.

Indications for Ibuprofen

Over-the-counter ibuprofen:

Prescription ibuprofen:

Pros and Cons for Ibuprofen

Pros

  • Works well for fever, pain, and swelling
  • Available over the counter and by prescription and as lower-cost generics
  • Available as tablets, capsules, chewable tablets, and an oral liquid
  • Chewable tablets and liquid can be used in children

Cons

  • Lasts for only about 6 hours, so might need to take multiple doses throughout the day
  • Might not be the best option if you're 65 years or older or if you have kidney, heart, liver, or bleeding problems
  • Has risk of stomach bleeding, stomach ulcers, and kidney problems
  • Shouldn't take other NSAIDs at the same time because of higher risk for side effects

Common Side Effects for Ibuprofen

The following side effects were reported in up to 9% of people in clinical studies.

  • Nausea
  • Stomach pain
  • Heartburn
  • Dizziness
  • Rash

Warnings for Ibuprofen

  • Stomach bleeding and ulcers
  • Heart attack and stroke
  • High blood pressure and heart failure
  • Kidney damage
  • Liver problems
  • Severe allergic reactions
  • Harm to unborn babies
  • Caution use in people with phenylketonuria (PKU) - chewable tablets only

Summary for Tylenol With Codeine

Prescription only

Tylenol with Codeine (acetaminophen / codeine), also known as Tylenol #3, is a combination opioid medication. Both acetaminophen and codeine treat mild-to-moderate pain by blocking pain signals in the body. This medication is taken by mouth, typically every 4 hours as needed. Tylenol with Codeine is available as a tablet and liquid. Like other opioids, Tylenol with Codeine can cause common side effects like sleepiness, dizziness, and constipation. It also has a warning for dangerous breathing problems and risk of dependence and misuse.

Indications for Tylenol With Codeine

Pros and Cons for Tylenol With Codeine

Pros

  • Works well for treating mild-to-moderate pain
  • Combines 2 medications with different modes of pain relief into a single pill
  • Available in a liquid form for people who have trouble swallowing tablets
  • Available as a generic medication

Cons

  • For short-term pain relief only
  • Can be habit-forming
  • Not recommended to take with other medications containing acetaminophen, since it can raise the risk of liver damage
  • Liquid solution contains alcohol

Common Side Effects for Tylenol With Codeine

  • Drowsiness
  • Lightheadedness
  • Dizziness
  • Sleepiness
  • Trouble breathing
  • Nausea
  • Vomiting
  • Constipation
  • Sweating

Warnings for Tylenol With Codeine

  • Potential for dependence and misuse
  • Dangerously slow breathing (respiratory depression)
  • Risk of accidental overdose
  • Harm to newborn babies
  • Serious medication interactions
  • Difficulty concentrating and extreme sleepiness
  • Liver damage
  • Severe allergic and skin reactions
  • Seizures
  • Low blood pressure
  • Low adrenal hormone levels
  • Caution in certain medical conditions
  • Withdrawal

Prices with our coupons for Ibuprofen vs. Tylenol With Codeine

Price Card Drug Icon
Ibuprofen30 tablets / 800mg
$7.91$8.43
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Price Card Drug Icon
Acetaminophen/Codeine30 tablets / 300mg/30mg
$17.33$51.79
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