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Does combining paracetamol and ibuprofin increase the effect over one on its own?

  • 07-07-2010 2:42am
    #1
    Registered Users, Registered Users 2 Posts: 27,644 ✭✭✭✭


    In terms of analgesic and antipyretic effect does a combination of the two beat one on its own? I've heard conflicting views on this from medical people so I'm curious.


Comments

  • Registered Users, Registered Users 2 Posts: 1,576 ✭✭✭Improbable


    http://www.ncbi.nlm.nih.gov/pubmed/16464962

    As for the analgesic effect, ibuprofen is a NSAID, so its better used for muscle and bone injuries i.e. where there is inflammation while both ibuprofen and paracetemol are about as equally effective for garden variety headaches. The most common use of using them together is alternating them throughout the day to give constant coverage for fever reduction.

    In cases of pain where it is moderate or higher, the two used in combination is indeed more effective than using either on its own.


  • Moderators, Science, Health & Environment Moderators Posts: 4,754 Mod ✭✭✭✭Tree


    But putting the two into the stomach at the same time doesnt quite work out, afair the ibuprofen and hte paracetomol for complexes that arent abosrbed


  • Registered Users, Registered Users 2 Posts: 3,461 ✭✭✭DrIndy


    There is additive synergism between the two compounds - ie they are not competing with each other for the same receptors, but not multipliclative synergism where the effect of the two is many times higher than the effect of the two individually.

    Doctors do prescribe paracetamol and NSAIDs as a combination for moderate pain and it is more effective when people do take both agents. The fever suppressing effect is also more noticable too.

    NSAIDs and paracetamol bind to slightly different receptors so work together


  • Registered Users, Registered Users 2 Posts: 5,143 ✭✭✭locum-motion


    Tree wrote: »
    But putting the two into the stomach at the same time doesnt quite work out, afair the ibuprofen and hte paracetomol for complexes that arent abosrbed


    Sorry, Tree, but I'm 99% sure they don't affect each other in that way.
    I'll double check in Stockley's Drug Interactions when I'm at work.


  • Moderators, Science, Health & Environment Moderators Posts: 4,754 Mod ✭✭✭✭Tree


    That sounds like a lovely big book of interesting delights :)


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  • Registered Users, Registered Users 2 Posts: 5,848 ✭✭✭bleg


    Tree wrote: »
    That sounds like a lovely big book of interesting delights :)



    You have no idea.


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