Pain Medication 101: What to Take and When

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Acetaminophen (Tylenol)

When to take it: Race day (if needed) or before/after workout for headache, neck pain, Achilles tendonitis or iliotibial band syndrome

Because acetaminophen is easier on the stomach than NSAIDs, doctors advise taking acetaminophen for minor pains, such as a headache. Many runners will take Tylenol along with them on race day in case they are plagued by a headache on the course.

Researchers haven't decided how acetaminophen works, but some agree that, like NSAIDs, it works by blocking an enzyme that produces pain and inflammation. Others have suggested that the drug works by altering the brain's chemistry and thus, your perception of pain.

Acetaminophen is a good choice to reduce pain from minor aches, such as those from Achilles tendonitis or iliotibial band syndrome, but it's important to remember that it's not a permanent fix for those injuries. Acetaminophen is best used as a short-term treatment.

Warnings:

  • Acetaminophen has been linked to severe liver damage in some cases.
  • Do not combine acetaminophen with alcohol.
  • Some rare, potentially fatal, skin reactions have been reported.

More: Strong Hips Relieve Knee Pain

Other Tips

Many runners will turn to NSAIDs before a race to stave off a nagging injury. However, a 2006 study on runners at the Western States 100-miler showed that there was no difference in muscle damage or soreness after the race between the runners who took ibuprofen and those who did not.

There is much debate about the best use of painkillers and their effects on the body. Proper stretching and fueling practices are the best way to prevent an ache or pain that might require painkillers. Still, most of us are still troubled by aches we can't prevent, so use painkillers with caution and only for short-term treatment.

Remember, if you're using them to mask pain while training or racing, your body is telling you it needs a break.

More: Taking a Break From Running May Do You Some Good

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