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Paracetamol or ibuprofen? What each one does, who should avoid which, and when pain needs a doctor.

Paracetamol — the everyday option

Gentle on the stomach and safe for most adults and children at the correct dose, paracetamol is the usual first choice for fever and mild-to-moderate pain. Never exceed the maximum daily dose, and avoid combining multiple products that both contain paracetamol.

Ibuprofen — when inflammation is involved

Ibuprofen reduces inflammation as well as pain and fever, making it useful for muscle strains, period pain and dental pain. Take it with food, and avoid it if you have stomach ulcers, kidney problems, or are pregnant — ask a pharmacist first.

What painkillers don’t do

Painkillers relieve symptoms; they don’t cure causes. Body pain with fever may be malaria, typhoid or another infection that needs its own treatment. If fever lasts more than 2–3 days, get tested rather than taking more painkillers.

See a health worker if…

Pain is severe or unexplained, follows an injury, comes with a stiff neck or rash, or lasts more than a week. Persistent pain deserves a diagnosis, not just stronger tablets.

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