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My US doctors almost never recommended Ibuprofen over Acetaminophen for mild pain. In fact, I don't remember them ever recommending Ibuprofen for anything while I hear about Tylenol pretty often.

I've had doctors prescribing short runs of opioids (2 weeks for surgery recovery) but they always said "try Tylenol first and if the pain is too much you can fill the prescription". I liked having the option but never really used it up to this point.

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