Stronger Pain Control Than Tylenol #4

I've been taking tylenol #4 with codeine for over 18 years now for pain management. I would like to know what is the next step up because its not as effective anymore. I currently take 12 tablets a day.

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Hello Thoyt! Wow! I'm sorry you're in so much pain.

That's a lot of it to be taken in one day, you're exceeding the 3,000mgs daily limit issued by the FDA or Acetaminophen.

This medication is classified as a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

The next step up would probably be Tramadol or Hydrocodone, with the first being the weakest and they latter being the strongest.

Does anyone else have any suggestions?

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Codeine is not recommended for long term pain management. You should talk to your doctor about combining hydrocodone, which will contain acetamenaphine, and an anti inflammatory drug, like ibuprofen or naproxen (Aleve)

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