No worries, if you take tramacet, youre already getty some paracetamol. Consider ibuprofen if you need to augment the tramacet. You just want to try not to overload on the acetaminophen (paracetamol) as it processes through the liver. I developed high liver enzymes AST and ALT (on the way to liver damage) from taking acetaminophen (paracetamo), occasional prednisone (short course low dose), and biologics. It went surprisingly fast too. Im otherwise in excellent health. First it was liver then rapidly to kidneys. I had to quit all meds and supplements to straighten it out. I wouldn't have known in time to rectify it had i not been keeping an eye on my bloodwork myself. Drs never say anything here until it's really bad.

Yes, you're right about learning to live with it. I do about 20 hours a week of biokinetics in my home gym set up specifically for that type of exercise. Here in the US we call it Physical Therapy . I had a superb therapist until he moved 12 hour's drive away. He was a full Doctor of Sports Injury and Rehabilitative Therapy. If not for him i would had maxillofacial and cervical reconstruction surgeries a few years ago. My stenosis and cervical degeneration was inhibiting my ability to open my mouth. It's amazing what a good guide in appropriate exercise technique can do. That and diet are, in my opinion, the most affective therapies available so far. No surgeries for me yet for arthritis. Regenerative medicine holds current promise. On the not too distant horizon is nanobio surgeries that are completely non invasive other than a supplement sized capsule you swallow. Ever forward! 😌🤙

I reply mainly on Tramacet (currently using the generic Tamoltra); it takes the edge off the pain. Of positive effect is my regular treatment by biokineticists (sophisticated physiotherapists). I suppose we just have to get used to the disability. Thank you for your interest.

Ibuprofen is an anti inflammatory and is good for pain. Paracetamol is a pain reliever. Ibuprofen sometimes upsets the gut in some people, also it's a blood thinner. If you have stomach or bleeding issues stick with paracetamol. However, if you have liver issues paracetamol can make those worse if taken regularly. (for US citizens info, paracetamol is the same drug as Tylenol, both are acetaminophen by different names). It's a good idea not to take something every day but if you must, consider one one day and the other the next time.