codeine and hydrocodone can be very harsh on the stomach. and a lot of people complain that it makes their stomach upset and that they don't feel right and that it contains a lot of pain in their stomach just alone. if you have ulcers it definitely will probably be something that you would not want to use. because of the fact that you already have some type of irritation to your stomach. so that's where you have to work with your physician on figuring out what might be some other alternatives. there may be some pain medications that aren't as harsh on the stomach that could be used. in the case of using tylenol that's okay. but to be honest with you for severe back pain we might need to find out a little bit more. and as the pharmacist i might actually ask this patient what other medications are they on? are they seeing a specialist? have they had scans done of an mri or a cat scan to find out what is really causing the problems. and based on that figuring out what medications may be appropriate working with their other physicians healthcare providers coming together and figuring out what might be the best treatments for this patient is probably the best answer.
can hydrocodone worsen already developed ulcers? if so what medication can i use other than tylenol for back pain?