Brief Answer:
Celebrex is better than Tylenol

Detailed Answer:
Hi, thanks for writing to XXXXXXX

Celebrex (celecoxib) which is cox 2 inhibitor is indicated in treating several conditions that are related to pain and inflammation. The drug works by blocking the COX-2 enzyme, which plays a role in pain and inflammation in the body. Whereas tylenol is only a weak analgesic agent.

Though there are many other potent analgesic agents (pain killers), the doctor might have prescribed you celebrex because of its relative safety in elderly age group patients with preexisting comorbidities (as in your case).

The general recommendations for a pinched nerve in the neck are as follows -

Soft Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.

Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.

Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.

Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful

Epidural steroids: are useful for patients with severe radicular pains in the limbs. Cortisone is a powerful anti-inflammatory preparation and so its injections in the "epidural space" can decrease swelling as well as pain.

Hope I have addressed your query. Happy to help further.

Regards

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Brief Answer:
Dosages of a drug will be individual based.

Detailed Answer:
Hi, Nice to hear from you.

It looks like that you have misinterpreted by answer. I made it clear that celebrex is better than tylenol in terms of potency and efficacy. I didn't admitted that celebrex will not interfere with warfarin.

Infact, Using warfarin TOGETHER with celecoxib may cause you to bleed more easily. You may need a dose adjustment based on your prothrombin time or International Normalized Ratio (INR). As you are taking different other medications also, it is always wise to approach your treating doctor and discuss the issues so as to avoid drug interactions.

There is no hard and fast rule that celebrex has to be taken as 400mg starting dose. It depends upon the disease condition and the individuals general condition. Please follow your treating doctors advice.

Hope I have justified your query. Good day

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