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Hello I Am A 46 Yr Old Women Since Tuesday

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Posted on Sat, 24 Nov 2018
Question: Hello I am a 46 yr old women since Tuesday I have had a one sided headache on and off I have been taken tylnol extra strength it helps but then comes back I do suffer from chronic sinusitis and I do have migraines I have recently come off mertazapine as well it had been almost 2 weeks today I do know that is one of the side effect I recently had a physical all good ecg loop echo stress all good blood pressure was ok I tool a tylnol tues 2 on wed and one yesterday is it ok to take one today or should I try Advil I don’t like Advil but I don’t want to over load my system with tylnol either any suggestions
doctor
Answered by Dr. Dr. Erion Spaho (4 hours later)
Brief Answer:
You can combine Advil and Tylenol.

Detailed Answer:
Hello and welcome to "Ask a Doctor " service.

I have read your query and here is my advice.

If you went off mirtazapine suddenly, it may cause headaches as a possible withdrawal symptom.

You refer also for migraines and sinusitis, both these conditions may exacerbate after stopping an antidepressant drug.

In all the cases, I think, a combination of Advil and Tylenol ( for example Advil followed by Tylenol after 6 to 8 hours if necessary) may result in good control of headaches without overloading your body.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (18 hours later)
Hi thank you so I know we should t take more than 3000 mg of tylnol in 24 hrs I didn’t take it yesterday would it be ok to take it today also I came off mertazapine slowly was on 1.87 mg as my final dose 2 weeks ago and I do know they say that u can experience headache and neasea as one of the withdrawal symptoms
Just want to make sure I am not over loading my system
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Follow up: Dr. Dr. Erion Spaho (0 minute later)
Sorry and make sure there is nothing more serious going on
doctor
Answered by Dr. Dr. Erion Spaho (11 hours later)
Brief Answer:
I don't think that there is something serious.

Detailed Answer:
Welcome back.

I don't think that there is a serious condition that is causing your headaches.

Headaches and nausea may be explained by mirtazapine stopping and these symptoms should regres gradually.

If you use alternatively Advil and Tylenol as discussed before, there is no overload.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (31 minutes later)
Again thank you but I do not take Advil so I take tylnol
doctor
Answered by Dr. Dr. Erion Spaho (9 hours later)
Brief Answer:
Only Tylenol is okay.

Detailed Answer:
Hello again.

Okay, if you can control headaches with Tylenol you can use it.

You may consider Advil if the pain becomes more intense.

Hope I helped you.

Take care.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Erion Spaho (3 hours later)
Thank u
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
You are welcome.

Detailed Answer:
Glad I helped.

Feel free to discuss with me about your health issues.

In good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Erion Spaho (3 hours later)
Hello again today I had a headache and I took an Advil just wondering if this can be migraine related and if this could be something serious like stroke or anurusim as I cannot get I. To see my dr till Monday
Can I safley take Advil again if need to be A’s again I don’t want to over load my system with pills
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
You can use Advil safely.

Detailed Answer:
Hello again.

Aneurysm or stroke result in other neurological symptoms besides headaches, in your case, sinusitis, migraine, anxiety, may justify headaches.

As we discussed previously, you can take Advil for example 400 mg up to 4 times a day safely.

You can also use alternatively Advil and Tylenol safely until you see your Doctor on Monday.

Hope you found the answer helpful.

Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Hello I Am A 46 Yr Old Women Since Tuesday

Brief Answer: You can combine Advil and Tylenol. Detailed Answer: Hello and welcome to "Ask a Doctor " service. I have read your query and here is my advice. If you went off mirtazapine suddenly, it may cause headaches as a possible withdrawal symptom. You refer also for migraines and sinusitis, both these conditions may exacerbate after stopping an antidepressant drug. In all the cases, I think, a combination of Advil and Tylenol ( for example Advil followed by Tylenol after 6 to 8 hours if necessary) may result in good control of headaches without overloading your body. Hope you found the answer helpful. Let me know if I can assist you further. Take care.