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Ugh, your dentist and your pharmacist sucks. Do you have any other pharmacies in the area that you could consult with? Honestly, a pharmacist should be happy to give pharmacological input, especially about dosage and any potential medicine conflicts or hazards, prescription or no. Jesus, what a tool
My personal method when I have a gout flareup, kidney stones, or other intense pain, is to stagger nsaids and acetaminophen on a two hour cycle. 600mg acetaminophen, two hours later 500mg aspirin or 400mg Advil. Each medicine reapplied at 4 hour intervals. I try to time the nsaids with meals to help ease any stomach issues the nsaids may cause. At 600mg my acetaminophen dosage over 16 hrs (assuming I can sleep) is limited to 2400mg, and 2000mg for aspirin. This allows for a small increase in dosage for breakthrough pain, or a couple additional doses if I can't sleep. Honestly, it only keeps the pain from increasing, especially with gout. Very effective for caffeine withdrawal headaches tho