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Medical Forum / Diseases and Disorders / Diabetes / February 2007Any alternative to Aspirin?
Can this drug be replace with foods found in nature like onion, garlics, or something else? My mother is admitted to hospital after suffering chest pains last year. She is 68, diabetics & has high blood pressure. The doctor said there is no symptoms of heart attack & the pains probably due to some strong pain killer taken by her to cause heart burn. She didn't go for a nuclear cardiology testing as recommended, so the doctor prescribe aspirin 100mg/day for primary prevention since then. I've post this question in the past & get valuable feedback from the members here. Asked some doctors regarding the side effect. They say as long as one do not takes it empty stomach, side effect will be minimise. Others says side effect will be experience in the long term no matter what you do to minimise it. My mother is quite worry about this. I know I have to judge between risk & benefit. How I wish I could make the best decision for her. Thanks ck > Can this drug be replace with foods found in nature like onion, > garlics, or something else? [quoted text clipped - 15 lines] > Thanks > ck You two have a problem. For whatever reason she didn't go for tests recommended by the Dr. and you are trying to get help on a newsgroup as to letting her take prescribed medicine. I suggest you do as the doctor suggests. Get her butt down for the test. Make sure she takes her prescribed medicine. Hopefully she will live a little bit longer. History suggests if you listen to the doctors you will live longer than someone who does not. -- Dave, T2 Canada ck wrote in message <1162710293.720522.92520@f16g2000cwb.googlegroups.com>... >Can this drug be replace with foods found in nature like onion, >garlics, or something else? [quoted text clipped - 15 lines] >Thanks >ck Millions of people take 1 baby aspirin a day as a heart attack preventative. Very small doses of aspirin such as this affect the way our blood clots and thus acts to prevent clot-type heart attacks. People who have headaches or bad arthritis often take up to 8 full-strength tablets a day. That's 32 times as much aspirin as the very small dose in a single baby aspirin. If your mother had heartburn from aspirin, I suggest that it was from taking typical large pain-relief doses. I am one of the people who is very sensitive to aspirin. I cannot take aspirin for pain relief. However, I take one very small baby aspirin every night before bed and I don't have any problems. The very small dose in a single baby aspirin has been shown to prevent heart attacks. It's not perfect, but it's one of the best preventatives we have nowadays. The judgement between risk and benefit for a single, very small dose of aspirin per day is far, far over on the benefit side. Regards Old Al > ck wrote in message > <1162710293.720522.92520@f16g2000cwb.googlegroups.com>... [quoted text clipped - 17 lines] >>Thanks >>ck > Millions of people take 1 baby aspirin a day as a heart attack > preventative. Very small doses of aspirin such as this affect the way our > blood clots and thus acts to prevent clot-type heart attacks. > People who have headaches or bad arthritis often take up to 8 full-strength > tablets a day. That's 32 times as much aspirin as the very small dose in > a single baby aspirin. If your mother had heartburn from aspirin, I > suggest that it was from taking typical large pain-relief doses. > I am one of the people who is very sensitive to aspirin. I cannot take > aspirin for pain relief. However, I take one very small baby aspirin > every night before bed and I don't have any problems. > The very small dose in a single baby aspirin has been shown to prevent heart > attacks. It's not perfect, but it's one of the best preventatives we > have nowadays. The judgement between risk and benefit for a single, > very small dose of aspirin per day is far, far over on the benefit side. Salicylic acid (aspirin) is found in vegetables, and the more vegetables you eat you more you get in your food. This study found that the amounts of salicylic acid in the blood of vegetarians overlapped with the amounts found in those taking low dose aspirin. http://qjmed.oxfordjournals.org/cgi/content/abstract/94/8/445 This study found significantly more salicyclic acid in organic vegetables. http://www.springerlink.com/content/kv04xx5y5dqgdxyg/ Once again, as we often find, maybe all you need to do is eat more veg, preferably organic :-)  SignatureChris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/] I can't even take the baby aspirin..I told my Dr everytime I tried to my upper respiratory system would feel stuffy and clogged...along with itchy face and eyes. He told me to stop trying it because drug allergies get worse and one day I would try it and my throat might close up. I have the same reactions with ibuprofen and Nasaids......I used to take them all the time until I turned about 45 then they started to affect me. So I can take Tylenol and vicodin. I really wish I could take the aspirin because I like the benefits. SignatureJacquie > ck wrote in message > <1162710293.720522.92520@f16g2000cwb.googlegroups.com>... [quoted text clipped - 42 lines] > Regards > Old Al > I know I have to judge between risk & benefit. How I wish I could > make the best decision for her. You should let her doctor make the best decision for her. In the U.S., most take an 81mg aspirin but studies show that as little as 30mg is just as effective. You could break the 100mg in half. Fish oil is also effective. Eating fish, consuming moderate amounts of red wine and almonds would be an alternative to the aspirin but I wouldn't do anything without her doctor's approval. Improving her diet would help also. Limit saturated fat to 20g/day. Lower sodium intake to 1500mg or less. Consume more soy based products. Drink plenty of water. eat more fruit and vegetables. Eat more fish and less red meat. Use canola oil, olive oil and eat plenty of nuts. Oh, and get her to go for walks on a regular basis. C >>I know I have to judge between risk & benefit. How I wish I > [quoted text clipped - 18 lines] > > Oh, and get her to go for walks on a regular basis. I basically agree with what Chrome has said except for soy bean based products since they are high in omega 6 fatty acids. The balance between various essential fatty acids has a lot to do with inflammation and pain. Diet Balance--> Tissue Balance--> Eicosanoid Balance http://efaeducation.nih.gov/sig/dietbalance1.html Evening Primrose oil should be accompanied with sesame seed oil derivatives to impend its conversion to inflammation and pain causing substances. Frank "ck" <chinkiak@yahoo.com> wrote in news:1162710293.720522.92520 @f16g2000cwb.googlegroups.com: > Can this drug be replace with foods found in nature like onion, > garlics, or something else? [quoted text clipped - 15 lines] > Thanks > ck I have a a terrible stomach problem and diabetes. Asprine is the only thing I have found to end a really bad headache or joint pain. I take it in one Alka Seltzer tablet in luke warm water and have found this way of taking asprine and only this way doesn't upset my stomach. I think because it's in a disolved state, in bicarbonate of soda and in body temperture water it gets into the system faster and spends less time in the stomach - or so it seems to me. All I can say is it works for me. > stomach. I think because it's in a disolved state, in bicarbonate > of soda and in body temperture water it gets into the system faster > and spends less time in the stomach - or so it seems to me. Stomach problems due to aspirin are caused by its pharmacology, not by its way of application. Aspirin is an inhibitor of the enzymes cyclooxygenase 1 and 2. COX-1 is responsible for the protection of the stomach's mucosa. Since aspirin inhibits both,. COX-1 and COX-2, the way it gets into the body has no effect on its actions on the stomach. > All I can say is it works for me. If it works for you, that's fine ;-) Anja Hello, I can understand the problem as I've dealt with it myself. I would suggest taking the aspirin with food or a small glass of milk. You might also consider aspirin in its buffered state. I've had chest pains from both a heart attack and as a result of heartburn. It's important to try and minimize the heartburn as it can eventually cause erosions in the esophagus. JMHO, Gayle > Can this drug be replace with foods found in nature like onion, > garlics, or something else? [quoted text clipped - 15 lines] > Thanks > ck >Can this drug be replace with foods found in nature like onion, >garlics, or something else? [quoted text clipped - 15 lines] >Thanks >ck Has she tried the enteric coated aspirin? Also it should always be taken with at least six ounces of milk if possible or at the very least six to eight ounces of water. My wife recently had a very sore stomach. The doctor put her on Prevacid for two weeks. She told him she had been taking 3 ibuprofen fairly often. When asked how much water or milk she drank to wash them down she admitted she had only been using enough water to swallow them. BINGO! That was her problem. He said any NSAID (aspirin, ibuprofen, naproxen sodium, and a couple of others) will burn through the protective coating in your stomach if you don't drink enough water or milk with them. I'm happy to say she is fine now. Had I known that was what she was doing I could have told her the same thing, but it had more authority coming from our doctor. SignatureGrandpa Chuck -ô¿ô- ~ Americans killed in Iraq as of November 05, 2006 is 2831. United Kingdom = 120 Other = 119. Non-Mortal American casualties 44,779. Over 100 Iraqi civilians are killed every day. Most by so-called insurgents. As of November 5, 2006 it has been 1282 days since Bush declared, "Mission Accomplished." "When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair Lewis There are two reasons for taking aspirin: to kill pain and to help prevent heart attacks. For the latter, most doctors seem to think the 81 mg "baby" aspirin, taken daily, is fine. I've been on that for years - had to stop temporarily after surgery but I'll get back on it as soon as possible. The other reason for aspirin is to kill pain. Well...........I have a herniated disc which objects painfully when I forget it's there and do too much bending or lifting. Even my 12 pound cat hits the limit of lifting.....too bad. My diabetes doctor said: "in order to TAKE THE WALKS THAT YOU NEED TO TAKE (and he says it LOUDLY, too) you need a pain killer. Tylenol, 1000 mg tablets, take up to 4 a day but no more - or 2 500 mg tablets, and get the store brand, acetephenol (sp?). It's cheaper. Just don't over do it." I won't and don't. In fact, I took one today because I was doing some cleaning and bent over a sink too long. Just one. Onion and garlic are great. How much they help the heart is unknown. (Or I'm not aware of studies showing the effect.) Baby aspirin is known and studies exist. The old YMMV applies to aspirin and Tylenol, too..........they annoy some stomachs and not others. Nan, Type 2 since 1990 > Can this drug be replace with foods found in nature like onion, > garlics, or something else? [quoted text clipped - 15 lines] > Thanks > ck > There are two reasons for taking aspirin: to kill pain and to help > prevent heart attacks. For the latter, most doctors seem to think the [quoted text clipped - 11 lines] > one today because I was doing some cleaning and bent over a sink too > long. Just one. I did long ago severely damage my lower back in a way that I wasn't supposed to recover from, including herniated disks and sciatica on the slightest exertion. All the doctors, consultants, and alternative therapists I consulted said it was either surgery or learn to live with it by being careful and using pain killers. Except one. She said never use painkillers because you need the warning of pain to stop. You should walk as much you can as often as you can but *never* *ever* *EVER* keep walking or standing when in pain or fatigued. Stop immediately and rest, even it it means sitting down in the street against a wall. To begin with I had to sit down twice to get round the block under that regime. She said if I did that I would recover in ten years. She was wrong. It took twelve. :-) But since that success I've taken her mantra of never push into pain and fatigue with a damaged back very seriously. My damaged back is now stronger than many supposedly undamaged backs of my age. I used not to be able to carry a heavy book in one hand without pain. I can now carry a fridge a short distance, and do all sorts of things I was told I'd never do again, such as dance. So I'm reinforcing your doc's advice to walk as much as possible but NOT to overdo it, except I'm being even stricter about the overdoing it, by saying that pain and fatigue when not taking pain killers may be overdoing it. YMMV, just my personal rather unexpected success story. SignatureChris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/] : > There are two reasons for taking aspirin: to kill pain and to help : > prevent heart attacks. For the latter, most doctors seem to think the [quoted text clipped - 11 lines] : > one today because I was doing some cleaning and bent over a sink too : > long. Just one. : I did long ago severely damage my lower back in a way that I wasn't : supposed to recover from, including herniated disks and sciatica on [quoted text clipped - 7 lines] : against a wall. To begin with I had to sit down twice to get round the : block under that regime. : She said if I did that I would recover in ten years. She was wrong. It : took twelve. :-) But since that success I've taken her mantra of never [quoted text clipped - 3 lines] : without pain. I can now carry a fridge a short distance, and do all : sorts of things I was told I'd never do again, such as dance. : So I'm reinforcing your doc's advice to walk as much as possible but : NOT to overdo it, except I'm being even stricter about the overdoing : it, by saying that pain and fatigue when not taking pain killers may : be overdoing it. YMMV, just my personal rather unexpected success : story. I have this d--ned sciatica and do some walking (I live in NYCity, where we walk further to get to transportation than people outsid ehte city do. They would ake a car for the same distance:-) I know every standpipe in my neighborhood and will si twhenever I need to. I am also a great wll lener and cupermarket trolly pusher, as I can lean forward easign the back. I can't stop walking or I woud rot in the house. Chris, I hope youe prescription works becaus I have been doing it fo rseveral years now and would like to look forwrd t some relief. Wendy > : > There are two reasons for taking aspirin: to kill pain and to help > : > prevent heart attacks. For the latter, most doctors seem to think the [quoted text clipped - 11 lines] > : > one today because I was doing some cleaning and bent over a sink too > : > long. Just one. > : I did long ago severely damage my lower back in a way that I wasn't > : supposed to recover from, including herniated disks and sciatica on [quoted text clipped - 7 lines] > : against a wall. To begin with I had to sit down twice to get round the > : block under that regime. > : She said if I did that I would recover in ten years. She was wrong. It > : took twelve. :-) But since that success I've taken her mantra of never [quoted text clipped - 3 lines] > : without pain. I can now carry a fridge a short distance, and do all > : sorts of things I was told I'd never do again, such as dance. > : So I'm reinforcing your doc's advice to walk as much as possible but > : NOT to overdo it, except I'm being even stricter about the overdoing > : it, by saying that pain and fatigue when not taking pain killers may > : be overdoing it. YMMV, just my personal rather unexpected success > : story. > I have this d--ned sciatica and do some walking (I live in NYCity, where > we walk further to get to transportation than people outsid ehte city do. [quoted text clipped - 4 lines] > youe prescription works becaus I have been doing it fo rseveral years now > and would like to look forwrd t some relief. What kept me going with my regime was the observation that in general it slowly but surely was improving. There were always relapses where I ended up on my back, but gradually they too became fewer and shorter. I got them to give me an architect's drawing board in my office as ell as a desk, so that I could switch between sitting at my desk and standing at it, as well as taking lying the floor breaks. SignatureChris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/] > Tylenol, 1000 mg tablets, take up to 4 a day but no more > - or 2 500 mg tablets, and get the store brand, acetephenol (sp?). It's > cheaper. Just don't over do it." I won't and don't. > ..... > The old YMMV applies to aspirin and Tylenol, > too..........they annoy some stomachs and not others. Too much acetaminophen (e.g. Tylenol) can damage the liver. It's *very* important not to overdo it. You also have to watch out for other meds that may include acetaminophen (e.g. some cold meds, some prescription pain meds) if you're also taking it on its own. Also have to be careful about alcohol. Check out the liver foundation on this -- http://www.liverfoundation.org/db/articles/1056 or there's http://www.nlm.nih.gov/medlineplus/ency/article/000226.htm It's enough to scare you! bj > > Tylenol, 1000 mg tablets, take up to 4 a day but no more > > - or 2 500 mg tablets, and get the store brand, acetephenol (sp?). It's [quoted text clipped - 14 lines] > It's enough to scare you! > bj Too much aspirin may cause irritation or bleeding in the stomach. Too much acetominophen (Tylenol in North America, Panadol and other names in the rest of the world) can damage the liver. Too much of either one with codeine can cause constipation. (Note: In Canada, aspirin or acetominophen with 8 mg of codeine can be bought over the counter. Americans buying these in Canada should never ask for a brand name like "222's" - pronounced "Two-Twenty-Two's". You are getting ripped off big time. Just ask for the store's house brand of generic aspirin / acetominophen with codeine.) Too much ibuprofen (Advil) can cause kidney damage. Naproxen (Aleve) is the only NSAID in Canada that requires a prescription, so I haven't had to find out what problems too much of it can cause. So what does one do? Aspirin and acetominophen have no effect on muscle pain for me, and I need to take 2 pills with codeine to have any effect on my occasional headache. That leaves me with ibuprofen for muscle pains. Since I have had a kidney transplant, I cleared my ibuprofen use with them first. I can't wait for osteoporosais to show up. ;-) Naproxen will probably turn out to be my safest bet. Dennis (Type 2) The codeine takers are YMMV people. Codeine makes me very very sick to my stomach - last time it took a couple of days to work itself through. I went into surgery with one of those bright orange "ALLERGIC TO CODEINE" bracelets. The Tylenol is recommended by my diabetes doctor who is full of cautions. As to healing, operation was Oct 7 so it's a month. Not even scabs left and I've never had much pain in the abdoman area. I can bend, walk and drive. But I still tire easily. Someone said "act your age". Dammit - I don't want to. 78 is falling asleep watching TV or reading; 78 is getting tired changing my bedding and doing three loads of wash; 78 is napping after going to the grocery. I DON'T LIKE BEING 78. How about being 58 again? I keep watching the PBS travel and history programs and wanting to see Yellowstone again, or even the redwoods. Sorry - that's some venting. Nan > > > Tylenol, 1000 mg tablets, take up to 4 a day but no more > > > - or 2 500 mg tablets, and get the store brand, acetephenol (sp?). It's [quoted text clipped - 36 lines] > > Dennis (Type 2) On 11/8/06 8:00 AM, in article 1163001649.754131.138730@i42g2000cwa.googlegroups.com, "Nan" <naneklund@aol.com> wrote: > The codeine takers are YMMV people. Codeine makes me very very sick to > my stomach - last time it took a couple of days to work itself through. [quoted text clipped - 17 lines] > > <snip> Oh, Nan, you are a person after my own heart. I am 73 and do Tai Chi 3 times a week and Nordic Walking once or twice a week. Everyone is so surprised that a little old lady can do that! Like you I am not a little old lady and I intend to keep at it as long as my physiotherapist will let me.(I have six bad disks and stenosis to boot.) Martha T2 Canada >Someone said "act your age". Dammit - I don't want to. 78 is falling >asleep watching TV or reading; 78 is getting tired changing my bedding >and doing three loads of wash; 78 is napping after going to the >grocery. I DON'T LIKE BEING 78. How about being 58 again? I keep >watching the PBS travel and history programs and wanting to see >Yellowstone again, or even the redwoods. You act any age you want Nan. This was just posted on rec.travel.usa-canada by another Aussie (we get around:-); if you follow his links there are some marvellous pictures. http://tinyurl.com/vvgt5 Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com/ http://loraltravel.blogspot.com/ latest: The Vatican My son is a Chemical Engineer and he says that Tylenol works on nerves and the other pain killers work on muscles...I can guarantee you I am not explaining it like he did..:) I can take Tylenol but I am allergic to the other over the counter pain meds. jacquie >> > Tylenol, 1000 mg tablets, take up to 4 a day but no more >> > - or 2 500 mg tablets, and get the store brand, acetephenol (sp?). It's [quoted text clipped - 39 lines] > > Dennis (Type 2) >>> Too much acetaminophen (e.g. Tylenol) can damage the liver. >>> It's *very* important not to overdo it. [quoted text clipped - 32 lines] >> >> Dennis (Type 2) Hi Jacquie, A few years ago, a friend died of the effects of too much tylenol and alcohol.... That was before anyone realized that alcohol metabolizes in the liver with acetomenaphin to produce a toxicity that kills liver cells... She normally had 3-4 drinks most days, and she frequently took tylenol for headaches. At the time, it was somewhat mystifying why she developed liver failure... Now, in light of recent research, I think we know why. Also, when I was on active duty, I learned that every year, a number of people, including children, were admitted for liver failure at Portsmouth Naval Hospital.... some died. The cause of the liver failure was often traced to excessive consumption of tylenol. Not meaning to scare anyone, the warning on the side of the bottle does mean something in the case of Tylenol. On the other hand, I also knew someone who tried to commit suicide by taking a whole bottle of asprin. They made her very sick, but she lived. Will, T2 Hi Will, I don't take allot of Tylenol..no reason to...I get very few headaches. I don't drink either...on Metformin. Tylenol doesn't seem to help my painful knees. I do take Vicodin but only take a half...it helps me sleep through the pain and three or 4 hours later when the pain awakens me then I take another half. When I take a whole one I can feel my respiratory system slow down...it scares me :) Vicodin doesn't really relieve the pain much but it helps me sleep through it. I don't always need take the amount suggested. I only need to take one Sudafed when I get stuffy. I believe Tylenol is a Big NO NO for pets:) My son took a whole bottle of aspirin once...his girlfriend broke up with him...Took him to the base emergency room...the tech told me he couldn't die from it...I said Fine and Dandy but don't you think we should find out why he wanted to die. After they pumped his stomach and made him drink that charcoal stuff....they had a Dr come in and talk to him. He never tried that again. Jacquie >>>> Too much acetaminophen (e.g. Tylenol) can damage the liver. >>>> It's *very* important not to overdo it. [quoted text clipped - 58 lines] > > Will, T2 >Hi Will, >I don't take allot of Tylenol..no reason to...I get very few headaches. I [quoted text clipped - 12 lines] >never tried that again. >Jacquie Coming in late here. What is the alternative you're looking for supposed to treat? For cardiovascular health and BP my alternative is red wine daily:-) Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com/ http://loraltravel.blogspot.com/ latest: Epidaurus >>Hi Will, >>I don't take allot of Tylenol..no reason to...I get very few [quoted text clipped - 27 lines] > http://loraltravel.blogspot.com/ > latest: Epidaurus Hey, Alan did you read the latest warning on Red Wine? Supposedly if taken below the equator it has the opposite effect. So they suggest standing on your head while imbibing. >>>Hi Will, >>>I don't take allot of Tylenol..no reason to...I get very few [quoted text clipped - 32 lines] >Supposedly if taken below the equator it has the opposite effect. So they >suggest standing on your head while imbibing. I try not to imbibe to the point where that may happen. What's below the equator? A tunnel in Quito? You have the wrong perspective to start with: http://flourish.org/upsidedownmap/diversophy-large.jpg Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com/ http://loraltravel.blogspot.com/ latest: Epidaurus > http://flourish.org/upsidedownmap/diversophy-large.jpg After that map all I can say is - pass the wine. >> http://flourish.org/upsidedownmap/diversophy-large.jpg > >After that map all I can say is - pass the wine. A pleasant De Bortoli Vat 4 (a cheapy) 2004 Petit Verdot; but I doubt that it would travel well enough to reach you - so I'll just have to finish it off...(sip)...(aah) Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com/ http://loraltravel.blogspot.com/ latest: Epidaurus >>> http://flourish.org/upsidedownmap/diversophy-large.jpg >> [quoted text clipped - 11 lines] > http://loraltravel.blogspot.com/ > latest: Epidaurus That's OK Alan. It wouldn't have gone with my late snack, tuna, pickles and peanuts. In fact I can't think of anything red that would go well with that except a slit throat:) >For cardiovascular health and BP my alternative is red wine >daily:-) Strongly recommend Roger Corder's "The Wine Diet" when it comes out your way. It's an interesting read all round - in many areas, he and Quentin sound pretty close together in reasoning. Of course, the wine bit is the sexy thing that sells the book - but the other good things he talks about are also interesting. Nicky. T2 DX 05/2004 A1c 5.5% BMI 25 D&E 100ug Thyroxine >There are two reasons for taking aspirin: to kill pain and to help >prevent heart attacks. For the latter, most doctors seem to think the [quoted text clipped - 11 lines] >one today because I was doing some cleaning and bent over a sink too >long. Just one. Maybe you should try acting your age for a while? <big grin> How are you healing up now? This would be about the time after my operation that I was forgetting I'd just been cut open and made the mistake of not only dropping my keys but trying to catch them. Major owie! Yes I was recommended to always take aspirin with food and a quantity of fluid to minimise possible digestive problems. For pain and inflammation relief I personally prefer ibruprofen, except for the price, but I don't think it has the same cardioprotective effects as aspirin. Tylenol lacks the anti-inflammatory properties, for me it does very little but YMMV. |
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