今天有读者问：「牙龈发炎在美国不知道买哪个消炎药？特别着急！」
Advil + Tylenol 的效果很好 — 有研究说比鸦片类药物更有效且副作用更小。
《美国常见的非处方消炎药及抗炎食谱》Advil + Tylenol 对牙疼的效果很好
WebMD 有篇文章：「Advil + Tylenol Better Than Opioids for Oral Pain」。牙齿和口腔疼痛，使用 Advil（布洛芬）和 Tylenol（对乙酰氨基酚）的效果比鸦片类镇痛药更好。它们能更好地缓解疼痛，并且副作用更小。
凯斯西储大学（Case Western Reserve University）牙科学院的 Anita Aminoshariae 团队分析了 460 篇研究之后发现，400 毫克布洛芬 + 1,000 毫克对乙酰氨基酚，在成年人中比维柯丁（Vicodin）和奥施康定（Oxycontin）等鸦片类镇痛药的效果更好。
他们还发现，在成人和儿童中，鸦片类药物引起了大量的副作用，包括嗜睡、呼吸系统问题、恶心呕吐、便秘等。而布洛芬（Advil）等非甾体抗炎药，不管是否与对乙酰氨基酚（Tylenol）同时使用，最好地平衡了效果和弊端，既降低了急性不良事件的机率、又非常有效。
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我的建议
回到这位读者的问题：如果牙龈发炎不严重的话，可以交替使用布洛芬（Advil）和泰诺（Tylenol），但要十分注意用量。严重的话，尽快看牙医。即使不严重，也建议有空时看牙医。
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