Conversation: The conversation between human and AI assistant.
[|Human|] hx of lower back pain, degenerative disc disease. 53 year old. Pulled it really bad yesterday, no numbness, went to emerg. Rx 1000mg acetaminophen and 600 ibuprophen every 6 hours. unsure now if that should be taken together or alteratively. Also I purchased ibuprophen 400/methocabamol 500 combination tablets. If I take these, should I top it up with an extra 200 mg to make it 600mg? again, should i take acetaminophen 1000mg and ibuprophen/methocabamol together or alternatively?
[|AI|]  Dear patient degenerative disc disease is age related process and certain precautions needs to be taken. Avoid weight lifting and forward bending. Dose of acetaminophen is 500 mg thrice a day up to maximum of 2 gm per day and avoided in patients with liver disease. Dose of ibuprofen is 400 to 800 mg thrice a day. Both should be taken with antacid to avoid gastritis. don't mix all Chat Doctor.  All have action for pain relief in similar way. Start with acetaminophen and if not relieved change to ibuprofen.