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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Tylenol 4 Be Taken Along With Zanaflex?

Is tylenol #4 stronger than tylenol #3? I know stupid question but ive taken t#3 s off and on for the past 8 years for back pain (just been diagnosed with scoliosis) and t3s dont phase me much and zanaflex is too strong for me during the day. Can i take t4s safely with zanaflex at night?
Mon, 4 Apr 2016
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General & Family Physician,  's  Response
Hi & Welcome.
Zanaflex (Tizanidine) taken along with either Tylenol#3 or Tylenol#4 may cause side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you.
However, if you do not have such activities during night time, Tylenol#4 may be taken at night after consulting your treating doctor.
Both Tylenol#3 & Tylenol#4 contain same ingredients (Acetaminophen + Codeine) however, Tylenol #4 has twice as much codeine as Tylenol #3, namely 60 mg compared to 30 mg. So, Tylenol#4 is stronger than Tylenol#3.
Hope this answers your query.


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Can Tylenol 4 Be Taken Along With Zanaflex?

Hi & Welcome. Zanaflex (Tizanidine) taken along with either Tylenol#3 or Tylenol#4 may cause side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. However, if you do not have such activities during night time, Tylenol#4 may be taken at night after consulting your treating doctor. Both Tylenol#3 & Tylenol#4 contain same ingredients (Acetaminophen + Codeine) however, Tylenol #4 has twice as much codeine as Tylenol #3, namely 60 mg compared to 30 mg. So, Tylenol#4 is stronger than Tylenol#3. Hope this answers your query.