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Multimodal pain management

Multimodal pain management

Pain is personal. Individualize the strategy.  

Tips for multimodal pain management 

There are benefits to multimodal pain management, the combination of two or more different strategies, to help relieve pain.1 Consider speaking to your patients about non-pharmacological strategies that can be used in addition to taking non-prescription analgesics. 

Non-pharmacological strategies for pain 

back pain icon

Back pain1:

  • Ice the area for the first 48 hours, 5 to 10 minutes at a time  

  • Use a heating pad or take a hot shower after 48 hours  

  • Discuss other approaches, including yoga, physical therapy, or massage therapy 

Muscle pain aches icon

Muscle aches, strains, and sprains1:

  • RICE: rest, ice, compress (wrap the hurt muscle or joint), and elevate (raise the body part)  

  • Stretch  

Head Ache icon

Headache2:

  • Recommend a hot shower or bath; put a heating pad on the head and neck muscles  

  • Put an ice pack or cool wash cloth on the forehead  

  • Gently rub the temples, scalp, neck, and shoulders  

  • Relax: breathe deeply, meditate, or tense and release each muscle group starting at the feet and moving up to the face  

  • Take a walk 

Osteoarthritis icon

Osteoarthritis3,4:

  • Lose extra weight: losing just 1 pound takes 4 pounds of pressure off knees  

  • Stay active—encourage patients to find an exercise activity they enjoy  

  • Protect joints: take breaks from standing, avoid high heels, shift sitting position every 15 minutes, lift with the legs, stand with feet hip-width apart, and avoid sudden hard exercise 

Heart care banner section

How is pain affecting your patients in their everyday life?

It can be common for people living with pain to experience depression and anxiety.5 Talk to your patients openly about how pain has been affecting their quality of life. 

Finding a suitable TYLENOL® product for your patient6

ez tab products

eZ Tabs®

Caplets products

Caplets

Product dose + frequency

Daily limit

Medicinal ingredient

For adults and children aged 12 years and older:

  • 1 tablet/caplet every 4–6 hours If pain or fever does not improve after 1 tablet/caplet,

  • 2 tablets/caplets can be taken at next dose

No more than 4000 mg (12 tablets/caplets) should be taken in 24 hours.

(each tablet/caplet contains): Acetaminophen 325 mg

eZ Tabs® product

eZ Tabs®

Caplets Products

Caplets

Rapid Release Gelcaps Products

Rapid Release Gelcaps

Product dose + frequency

Daily limit

Medicinal ingredient

For adults and children aged 12 years and older: 

  • 1–2 tablets/caplets/gelcaps every 4–6 hours 

No more than 1000 mg (2 tablets/caplets/gelcaps) should be taken at a time. 

No more than 4000 mg (8 tablets/caplets/gelcaps) should be taken in 24 hours. 

(each tablet/capsule contains): 

Acetaminophen 500 mg 

Back Pain tylenol

Back Pain Relief Caplets

Body Pain Night Caplets

Body Pain Night Caplets

Product dose + frequency

Daily limit

Medicinal ingredient

For adults and children aged 12 years and older: 

  • 2 caplets every 4 hours, as required 

No more than 8 caplets should be taken in 24 hours. 

(each tablet/capsule contains): 

Acetaminophen 500 mg and methocarbamol 400 mg 

TYLENOL® Extra Strength Nighttime products

Caplets

Product dose + frequency

Daily limit

Medicinal ingredient

For adults (16 years and older): 

  • 2 caplets at bedtime, or as directed by a doctor 

No more than 2 caplets should be taken in 24 hours. 

(each tablet/capsule contains): 

Acetaminophen 500 mg and diphenhydramine hydrochloride 25 mg 

Arthritis Pain 8H Caplets Products

Arthritis Pain 8H Caplets

Product dose + frequency

Daily limit

Medicinal ingredient

For adults and children 12 years and older: 

  • 2 extended release caplets every 8 hours, as needed 

  • Each caplet should be swallowed whole with water on an empty stomach 

  • Caplet should not be crushed, chewed or dissolved 

No more than 4000 mg (6 caplets) should be taken in 24 hours. 

(each caplet contains): 

Acetaminophen 650 mg (325 mg immediate release, 325 mg extended release) 

Muscle & Body Pain Relief 8H Caplets Products

Muscle & Body Pain Relief 8H Caplets

Product dose + frequency

Daily limit

Medicinal ingredient

For adults and children 12 years and older: 

  • 2 extended release caplets every 8 hours, as needed 

  • Each caplet should be swallowed whole with water on an empty stomach 

  • Caplet should not be crushed, chewed or dissolved 

No more than 4000 mg (6 caplets) should be taken in 24 hours. 

(each caplet contains): 

Acetaminophen 650 mg 

TYLENOL® Ultra Relief Products

Headache and Migraine Pain eZ Tabs®

Product dose + frequency

Daily limit

Medicinal ingredient

For adults and children 12 years and older: 

  • 1 tablet every 4–6 hours 

  • If pain or fever does not improve after 1 tablet, 2 tablets can be taken at next dose 

No more than 8 tablets should be taken in 24 hours. 

(each caplet contains): 

Acetaminophen 500 mg and caffeine (65 mg) 

Refer to the TYLENOL® Prescribing Information document for complete dosing and administration instructions. 

Visitez Tylenol.ca pour en savoir plus sur nos produits. 

References 

  1. US Department of Health and Human Services. Pain Management Best Practices Inter-Agency Task Force Report. Accessed Dec 2023 at:. hhs.gov/sites/default/files/pmtf-final-report-2019-05-23.pdf. 

  2. Mayo Clinic. Tension-type headaches: self-care measures for relief. Accessed Dec 2023 at: mayoclinic.org/diseases-conditions/tension-headache/in-depth/headaches/art-20047631?pg=2. 

  3. Messier SP, Gutekunst DJ, Davis C, et al. Weight loss reduces knee-joint loads in overweight and obese older adults with knee osteoarthritis. Arthritis Rheum 2005;52(7):2026–2032. 

  4. Versus Arthritis. Fact sheet: Osteoarthritis of the hip. Accessed Dec 2023 at: versusarthritis.org/media/22306/osteoarthritis-of-the-hip-factsheet.pdf. 

  5. Shuchang H, Mingwei H, Hongxiao J, et al. Emotional and neurobehavioural status in chronic pain patients. Pain Res Manag. 2011;16(1):41–43. 

  6. TYLENOL® Prescribing Information- June 15, 2021.