The drug doses mentioned in the patient chart are in normal dosage limits. However, Tylenol shall be discontinued.
Acetaminophen is an analgesic and antipyretic drug and its mechanism of action is only limited to central nervous system. Acetaminophen does not produce antiplatelet effects and does not interfere with COX 1 and COX 2 inhibition by NSAIDs i.e. Ibuprofen. Hence it is safe to use Ibuprofen with Acetaminophen or hydrocodone/ acetaminophen. However, both acetaminophen (Tylenol) and Hydrocodone/ acetaminophen cannot be used in combination because the daily acetaminophen dose becomes too high. High dose of acetaminophen may cause serious side effects such as congestion, swelling, sweating, unusual bleeding, and stomach pain. Acetaminophen lowers body temperature and increases the threshold for pain but does not affect inflammation. Hence, NSAIDs are given in combination to reduce inflammation but high doses may lead to bleeding, stroke and other cardiovascular symptoms. It is safe to take albuterol with NSAIDs and acetaminophen, as it reduces congestion and improves breathing.
The hydrocodone has acetaminophen already in it.