The Sentinel: Pharmacy

Which one is right for your pain? Choosing between ibuprofen and acetaminophen

by Paul Arco
OSF Healthcare

ROCKFORD - 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.

Photo provided

Sarah Sheley

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.

Check with your pediatrician before giving your child any pain relievers.

"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.

Be aware that ibuprofen and acetaminophen can have a negative interaction with some prescription and over-the-counter drugs.

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.

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Younger generation needed for future healthcare jobs in Illinois

Photo: Akram Huseyn/Unsplash

The healthcare employee pool is shrinking. A new program for high school students has been created to help address the shortfall in skilled medical professionals.

by Terri Dee
Illinois News Connection

CHICAGO - The healthcare employee pool is shrinking - and as the medical profession faces increases in demand for mental health treatment, chronic illness management, and an aging population - a new program hopes high school students can step in.

Competition is tight between healthcare organizations and providers needing accredited and skilled talent.

Online educational provider MedCerts Vice President of Partnerships and Workforce Development, Jennifer Kolb, said the program is designed to generate students' interest in healthcare fields and get them trained.

"How do we build a pipeline of talent that is certified - a new generation of people interested in healthcare to go into these roles?" said Kolb. "And where do we get the talent from?"

Kolb said since 2019, the average hospital has spent or lost about $24 million - or about $7,000 to $9,000 a day - due to workforce turnover.

The MedCerts program has partnerships with local businesses and eLearning training providers.

Kolb said the goal is to have full-time, entry-level jobs ready for the students when they graduate from high school.

MedCerts partners with Madison County through the Medical Assistant Apprenticeships program with the Health Sisters Hospital System in Illinois.

There are more than 50 training offerings, including sterile processing technicians, surgical technologists, and pharmacy technicians.

Kolb said the certifications can be earned in three to six months, and the program offers a Pay to Career pipeline that allows the student to earn on-the-job college credit.

"Ninety-five percent of healthcare employers have a tuition reimbursement program as an employee benefit," said Kolb, "and they can use their employee benefit to go to college."

The college credit can be applied to a four-year institution for advanced medical careers, such as nursing.

State and federal dollars and employers fund the program, so the student has no financial obligations. According to the state, 13% of Illinois schools offer a health sciences and technology curriculum.

Managing your pills as you age; navigating today's polypharmacy

Photo: Ri Butov/Pixabay

by Paul Arco
OSF Healthcare

ROCKFORD - As we get older, the chances increase for many of us to develop chronic disease. That also means the likelihood of taking daily medications for conditions such as high blood pressure, diabetes, insomnia, arthritis and high cholesterol.

In medical terms, it’s called polypharmacy.

“Polypharmacy is using or taking multiple medications,” says Jessica McCuen, manager of pharmacy operations at OSF Saint Anthony Medical Center in Rockford, Illinois. “Most healthcare professionals have agreed that the number is somewhere around five or more. Generally, we say anyone who's taking five or more medications is experiencing polypharmacy.”

It's estimated that about one-third of adults between the ages of 60 and 70 are exhibiting some form of polypharmacy.

Taking multiple prescription drugs can increase the risk of multi-drug interactions, in which one medication can affect another medication. Another potential concern is drug-disease interaction, where taking medication for one health issue can make another health problem worse.

It appears to be a bigger concern for older people. It's estimated that about one-third of adults between the ages of 60 and 70 are exhibiting some form of polypharmacy.

“Once we get to that age, we tend to have chronic diseases that have been diagnosed and we take more medications to handle those chronic diseases.”

McCuen adds we don’t often think about how our age can affect how medications work.

“That’s when your body starts to change,” she explains. “You can absorb medications differently; the way that your body works changes and then the way that you hold on to medications because of your body makeup changes too. The way that you may have absorbed or had a reaction to a medication in your 30s could be different in your 60s and 70s just because of the way that your body has changed.”

People who experience polypharmacy have a bigger risk of being tired and dizzy, which increases the risk for falls. Other symptoms are weakness, loss of appetite, gastrointestinal (GI) problems and skin rashes.

And it’s not just prescription medications pharmacists worry about. Over-the-counter medications and herbal supplements can negatively interact with daily prescription drugs.

It’s also possible to be on a medication longer than is needed. For example, some people take a proton pump inhibitor – medicines that work by reducing the amount of stomach acid – for problems like heartburn.

“They'll just continue to take it even though they probably only need to take it for a couple of weeks and then see how they do off of it,” McCuen says. “That’s one of the most common ones I see that they don't necessarily need to be on.”

That’s why it’s important to talk with your care team before starting any new medication. In fact, McCuen recommends doing a medication review with your physician or pharmacist at least once a year to make sure your medications mesh.

“Your pharmacist is really your drug and medication expert,” she says. “They know a lot about the drug interactions with all your medications.”

McCuen adds that it's also a good idea to use the same pharmacy whenever possible so that your pharmacist has a record of all the drugs that you're taking. That way if anything new is added they can intervene in the event you have an interaction with one of your other medications.