Advil vs. Tylenol

Advil
Tylenol

Advil and Tylenol are both medications used to relieve pain and reduce fevers. Advil also has anti-inflammatory properties, so it is used for treating arthritis or joint pain. There are differences in the mechanisms of action and side effects of the two drugs.

The active ingredient in Advil is ibuprofen, whereas in Tylenol it is acetaminophen. Children should not take Advil if they are vomiting, dehydrated, or not eating much; they should only take Advil if they have eaten something.

High or long-term doses of Advil may damage the stomach lining or kidneys. On the other hand, too much Tylenol can damage the liver.

Comparison chart

Advil

User Rating (320):

Tylenol

User Rating (115):
Dosage 200-800 mg per dose 325-650 mg per dose
Forms Advil is available in the form of tablets, chewable tablets, capsules, gelcaps, suspensions and oral drops. Tylenol is available in liquid suspension, chewable tablets, gelcaps, geltabs, and suppositories.
Side effects Nausea, dizziness, gastrointestinal bleeding Kidney, liver, organ damage, reacts if taken with alcohol
Active ingredient Ibuprofen Acetaminophen
Mechanism of action Acts by inhibiting cyclooxygenases (COX-1 and COX-2) Tylenol is considered a weak inhibitor of cyclooxygenases COX-1 and COX-2, but possibly inhibits a third variant COX-3.
Brand owned by Pfizer (formerly Wyeth) McNeil Consumer Healthcare, subsidiary of Johnson & Johnson.
FDA approval 1974 May 26, 1976
Benefits Relief from body ache (including arthritis), fever reduction, anti clotting Relief from body and muscle ache, relief from headache, fever reduction.
Available over the counter Yes Yes

Contents: Advil vs Tylenol

Active ingredient in Tylenol vs Advil

The active ingredient in Advil is ibuprofen, which is a non-steroidal anti-inflammatory drug. On the other hand, the active ingredient in Tylenol is acetaminophen (also known as paracetamol), an analgesic and an antipyretic agent.

Advil and Tylenol in a drug store.
Advil and Tylenol in a drug store.

Mechanism of action

Advil acts by inhibiting cyclooxygenases (COX-1 and COX-2), and thus prostaglandins, which are produced by the body in response to injury and inflammation. Acetaminophen (the active ingredient of Tylenol) is a weak inhibitor of the synthesis of prostaglandins.

The mechanism of action of Tylenol is different from that of Advil because Tylenol is considered to be a weaker inhibitor of COX-1 and COX-2. The possibility of it inhibiting a third variant COX-3 is being investigated by scientists.

Metabolism

Tylenol and Advil are both metabolized in the liver, broken down into non-toxic products and then excreted by the kidneys through urine.

Dosage

The adult dose for Advil is around 200mg to 800mg per dose, a maximum of four times a day. In children the dose is 5-10 mg/Kg. In case of an overdose, consult your physician.

For adults, the dose for Tylenol is 325-650 mg every 4 to 6 hours. In children, this dose is less - about 7mg per pound of body weight. Taking an overdose of Tylenol can cause side effects and should be avoided.

Side effects

The common side effects of Advil at high doses include nausea, gastrointestinal bleeding, diarrhea, constipation, headache, dizziness, salt and fluid retention and hypertension. Other rare side effects include esophageal ulcers, heart failure, renal impairment, and confusion.

Side effects due to overdose of acetaminophen (Tylenol) include risk of stomach bleeding, kidney or liver damage, stomach pain, or severe allergic reaction like swelling, dizziness, breathing and other reactions.

Recalls

Tylenol has been recalled twice. The 1982 Chicago Tylenol murders caused a huge scare in the United States and caused the company to recall 31 million bottles of tablets. This was an immense blow to the brand but it recovered and was gradually rebuilt over several years.

There was another Tylenol recall in January 2010. On January 15, 2010, 20 months after first receiving consumer complaints, Johnson & Johnson announced a voluntary recall of several hundred batches of popular medicines, including Benadryl, Motrin, Rolaids, Simply Sleep, St. Joseph Aspirin and Tylenol. The recall was due to complaints of a musty smell which is suspected to be due to contamination of the packaging with the chemical 2,4,6-tribromoanisole.

Advil has never been the subject of a recall so it certainly has a better track record than Tylenol in this respect.

Preparation/Form

Advil is available in the form of tablets, chewable tablets, capsules, suspensions and oral drops. Tylenol is available in liquid suspension, chewable tablets, gelcaps, geltabs, and suppositories.

Drug interactions

Advil taken with other drugs such as aminoglycosides or warfarin may cause side effects and should be avoided. Drugs such as carbamazepine, isoniazid, rifampin, and cholestyramine reduce the effect of Tylenol.

References

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