Compare fentanyl vs. Acetaminophen with codeine

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Treats severe pain.

Duragesic (fentanyl) is an excellent pain reliever, but should only be used by people who've tried other opioid pain medications and still need more relief.

4.2/ 5 average rating with 84 reviewsforfentanyl
Treats mild to moderate pain.

Acetaminophen with codeine (acetaminophen / codeine) is a good option to treat pain when over-the-counter medicines aren't enough, but don't take too much acetaminophen (Tylenol) since it can hurt your liver.

3.7/ 5 average rating with 581 reviewsforAcetaminophen with codeine
Upsides
  • Duragesic (fentanyl) is stronger than morphine, works quickly, and doesn't cause as many stomach problems.
  • It's available in many dosage forms, including a patch, injection, film, nasal spray, and lollipop.
  • The Duragesic (fentanyl) patch provides long-term pain relief and lowers the number of times you need to take pain medications each day.
  • Combination pain medicine with an opioid component (codeine) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relief in a single pill.
  • Provides quick relief for mild to moderate pain.
  • Good for as-needed pain and control.
  • Generally well tolerated, especially if taken with food to lower risk of stomach upset.
  • Lower rates of misuse compared to pure opioid medicines.
Downsides
  • Duragesic (fentanyl) isn't for everyone. It's a really strong pain medication and taking too much can be deadly.
  • The patch doesn't provide quick pain relief.
  • Often causes drowsiness and constipation. If taking long-term, use a stool softener.
  • Shouldn't be used by people with breathing problems (like asthma and COPD), a slow heart rate, or are elderly.
  • Dizziness and drowsiness is common, but your body may adjust.
  • Many people get constipated taking Acetaminophen with codeine (acetaminophen / codeine).
  • All opioid containing medicines have the risk of addiction and withdrawal when used long-term.
  • Acetaminophen (Tylenol) has a high risk of liver failure and death if you take more than the maximum daily dose. Be very careful since many over-the-counter medicines also have acetaminophen.
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Used for
Dosage forms
  • Patch
  • Dissolving tablet
  • Mouth spray
  • Lozenge
  • Buccal tablet
  • Nasal spray
  • Pill
  • Liquid
Price
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Reviews
84 reviews so far
79%
saidit'sworth it
70%
saiditworked well
14%
saidit'sa big hassle

Have you used Duragesic (fentanyl)?

Leave a review
581 reviews so far
69%
saidit'sworth it
41%
saiditworked well
9%
saidit'sa big hassle

Have you used Acetaminophen with codeine (acetaminophen / codeine)?

Leave a review
Side effects
34possible side effects
  • Vomiting
    34%
  • Nausea
    24%
  • Dizziness
    17%
  • Drowsiness
    17%
  • Headache
    16%
  • Constipation
    13%
  • Diarrhea
    13%
  • Itchy skin
    13%
  • Weakness
    9%
  • Abdominal pain
    9%
  • Difficulty sleeping
    6%
  • Rash
    6%
  • Swelling in the limbs
    5%
  • Confusion
    4%
  • Difficulty breathing
    4%
  • Upper abdominal pain
    4%
  • Loss of appetite
    4%
  • Anxiety
    4%
  • Tremor
    3%
  • Hypersensitivity
    3%
  • Urinary retention
    3%
  • Sweating
    3%
  • Accidental injury
    2%
  • Abnormal gait
    2%
  • Dry mouth
    2%
  • Nervousness
    2%
  • Dilation of blood vessels
    2%
  • Abnormal vision
    2%
  • Burning/pricking sensation
    2%
  • Confusional state
    2%
  • Fatigue
    2%
  • Muscle spasms
    2%
  • Depression
    2%
  • Hallucination
    2%
See more detailed side effects
The Acetaminophen with codeine (acetaminophen / codeine) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Slowed breathing (respiratory depression)
    • Taking other medicines that interact with Duragesic (fentanyl)
    • Age 65 or greater
    • Taking benzodiazepines, other opioids, and/or alcohol
    • Asthma or COPD
  • Death from overdose
    • Children age 18 and younger
  • Death in newborn babies from opioid withdrawal
    • Long-term use of Duragesic (fentanyl) during pregnancy
  • Tolerance, dependence, and addiction
    • Taking more than the prescribed dose
    • Long-term use
    • History of drug abuse
  • Driving impairment
    • Taking with alcohol
    • Taking other medicines that make you less alert
    • Age 65 or greater
  • Medication errors
See more detailed risks and warnings
  • Liver failure and death
    • Alcohol use
    • Taking over-the-counter medicines with acetaminophen
    • History of liver disease
  • High risk to children
  • Use with other CNS depressants
    • Use with alcohol
    • Use with benzodiazepines
    • Use with other opiates
  • Severe allergic reaction
See more detailed risks and warnings