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Doctors may recommend prescription pain pills over Advil for patients whose pain requires stronger relief than ibuprofen can deliver. This applies mainly to severe acute pain after surgery or injury, chronic conditions such as cancer pain or neuropathic pain, and cases where ibuprofen fails to work or causes intolerable side effects. Why do doctors sometimes choose stronger pain pills over ibuprofen? Advancing pain needs stronger agents. When pain exceeds ibuprofen's ceiling effect, physicians turn to opioids, gabapentinoids, or acetaminophen combinations that can handle higher pain scores.
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