Whenever you feel a headache coming on or you tweak your back, it’s common to reach into the medicine cabinet for a couple of acetaminophens (Tylenol) or ibuprofen (Advil). But does it matter which one you take? And is there anything wrong with taking both to fight off what ails you?

Acetaminophen is an analgesic, which is a type of drug that reduces pain signals within your nervous system. It’s used to treat discomfort like headaches and joint pain, and to reduce fever.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is typically used to tackle issues such as back pain, menstrual cramps and toothaches. It also works to decrease fever.

Sarah Sheley is a pharmacist with OSF HealthCare. She says it’s important to know that ibuprofen helps with inflammation and acetaminophen can’t do that.

“The difference between the two is the fact that the ibuprofen, that anti-inflammatory component, reduces pain by affecting the production of certain hormones in your body that cause inflammation,” she says.

But each pain reliever comes with its own risks.

Acetaminophen is typically safer to use for most people. Some side effects include nausea, vomiting and headache. But it’s a drug that's absorbed by your liver so it’s not the best option for people with liver problems.  

The side effects of ibuprofen include heartburn, nausea and stomach pain (it’s important to take it with food). Taking ibuprofen for a long time or at high doses can increase the risk of blood clots, kidney damage and ulcers.

“With ibuprofen there is more concern with patients using it if they had renal insufficiency, heart failure, GI (gastrointestinal) issues like Crohn's or IBS; they could cause a lot of irritation in the GI tract or stomach,” Sheley says. 

If you are taking a blood thinner ibuprofen can increase your risk of bleeding so opt for acetaminophen instead.

Sheley says that acetaminophen and ibuprofen are appropriate choices for children with fevers. However, stick with acetaminophen for infants 3 months or younger. The correct dose for your child is based on their weight, not their age. Do not guess their weight — acetaminophen and ibuprofen can be dangerous when given in the wrong dose. Check with your pediatrician before giving your child any pain relievers. 

Since the two pain relievers work differently, Sheley says it’s fine for most adults to use them interchangeably.

“As long as you don't have any kidney or liver issues, you can alternate between the two. It is safe,” she says. “You want to keep the doses four to six hours apart to help maintain and it probably is a good thing to alternate those, if you want to hit the pain from two different mechanisms.” 

Sheley says the most important tip is to know why you’re taking a particular pain reliever and don’t overdo it. The recommended maximum dosage for adults is 3,000 milligrams a day for acetaminophen and 2,400 milligrams a day if you’re taking ibuprofen.

Additionally, other factors such as your medical history and underlying cause of pain also help determine which pain reliever is best for you.

“Making sure that you know the source of your pain is important, and make sure that you are aware of a total daily dose that you should be taking of either medication prior to starting it,” Sheley says. 

Be aware that ibuprofen and acetaminophen can have a negative interaction with some prescription and over-the-counter drugs. If you have any concerns or questions, consult with your primary care provider or your pharmacist.

For more information, visit the OSF HealthCare website.

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Warmer temperatures bring the return of pesky insects, especially at dusk.

Experts say while most bug bites are not serious, there are times when you need to see a health care provider immediately.

Most bites can be treated quickly

Andrew Zasada, MD, an internal medicine physician at OSF HealthCare, says treatment of most minor bug bites (think mosquito or bee) is down to a science.

First, move away from the area so the bugs don’t bite you again. If the insect left a stinger behind, gently remove it with tweezers.

“Put some ice on the bite site. Wash it gently. Put a little calamine or hydrocortisone on it. Keep it elevated,” Dr. Zasada says.

Don’t scratch the bite site. Leave it alone and let it heal. For children who may find it difficult not to itch, put a Band-Aid over the bite. You can take an antihistamine like Benadryl, Allegra or Zyrtec for itching and ibuprofen or acetaminophen for pain.

If you notice a rapid worsening of symptoms in the 30 to 45 minutes following the bite, or if the wound is not healing over several days, it may be a sign of a more serious problem. See a health care provider.

Serious insect bites

Dr. Zasada says in the Midwest, two types of spiders come with dangerous fangs: black widow and brown recluse.

“These bites can cause tissue destruction at the bite site,” Dr. Zasada explains. “The venom is very potent. It can cause cell death. It’s very irritating.”

If the venom gets into your bloodstream, then chest pain, muscle cramps, sweating and nausea could follow. Dr. Zasada says black widow and brown recluse bites are “very rarely” fatal, but the illness they bring is quite unpleasant.

If you think you’ve been bitten by a black widow or a brown recluse, see a health care provider right away. Your local urgent care is equipped to treat insect bites, but if your symptoms have worsened, the Emergency Department at your local hospital may be the best destination.

Another serious condition to keep an eye on after a bug bite is an allergic reaction known as anaphylaxis.

Symptoms of anaphylaxis include shortness of breath, wheezing and a drop in blood pressure. Dr. Zasada says some people with known allergies may have an EpiPen handy and can inject themselves to alleviate symptoms. Regardless, immediate attention from a medical professional is still needed.

 Leave the critters alone

It’s inevitable that a stroll through the neighborhood will bring an encounter with an insect like an ant or mosquito. But Dr. Zasada says spiders that pack a punch don’t want to mess with humans. They tend to come out at night and live in wooded areas or a dark space in the back of a garage.

In other words, don’t mess with them, and they won’t mess with you.

“When you take clothing out of storage, shake it to make sure there are no spiders,” Dr. Zasada suggests. “When you clean the garage, don’t sit on anything that’s been stored there for a while. Dust it off first.”

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