For any that might not know, Advil and Ibuprofen are the same.

The basics are that Tylenol is very toxic to your liver ONLY ONLY ONLY if you exceed the daily dosage. For normal folks that's 4,000 mg every 24 hours. For those with struggling livers it's half that amount 2,000 mg (that's no more than 4 extra strength tablets a day and be aware of it in other o/c medications).
The reason for this is that the liver can handle and process Tylenol in normal doses with no problem but if you have too much in your system, it "spills" out of the normal processing pathway and becomes very toxic).
NSAIDs (that's all the rest, ASA, Ibuprofen, etc) any anti inflammatory has blood thinning effects AND promotes liver fibrosis, GI bleeding in any amount.
A lot of Family Dr.s are unaware of this,even mine told me to take Advil until I told him my Hepatologist had educated me otherwise. He appreciated the information from me.
See:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1496761/

For these reasons, NSAIDs should be avoided in patients with chronic liver diseases. When pain medications are required, preference should be given to acetaminophen at a dose of up to 2 g per day. Acetaminophen leads to an intrinsic, dose-dependent, and predictable toxicity to the liver. There are cases of toxicity reported even at acetaminophen doses below 4 g per day (therapeutic misadventure), usually associated with ethanol ingestion or starvation.27

Oh thank god, I can have an extra strength Tylenol once in a while.
I try to go without any medications other than Nexium for acid reflux and the occasional shot from my Ventolin inhaler but, with Costocondhritis or fibromyalgia or whatever the heck I have, it is nice to have a medication that I can take once in a while when it gets to e too much. An extra strength Tylenol and my comfy bed are a godsend sometimes.

my doc wrote me an rx for tylenol when I started tx. it has been a huge help with fevers.

my doc said to rotate my over the counter pain reliever. Alieve Advil and Tylenol. She suggested switching it up every week. Good Luck!!

I can never remember which I can take, so I threw everything out but Tylenol. My transplant doc who treated me said I could use up to 400 mg daily on treatment. I made it though with only about 3 total.
I take it sparingly.
Thanks ImKramer... I didn't know why no Advil etc.
Karen:)

Here's a study from Nov 2012 that says aspirin is beneficial for those with liver disease. According to the study, aspirin users were 41% less likely to develop liver cancer and 45% less likely to die from chronic liver disease than non-users.

http://hepatitiscnews.com/blog/2012/12/27/aspirin-and-liver-disease/

It does warn about thinning of the blood caused by aspirin. I think it's between you and your doc.

Personally, I too avoid tylenol.

HepCat

Sheesh! Too much to figure out. Damned if you do, pain if you don't.

@ Kramer, or whoever might know, this might sound like a stupid question but do you have chronic liver disease if a) you're supposedly cured of hcv b) you have (had in 2009) stage 3-4 cirrhosis, c) 'significant fibrosis' d) liver function is fine

Peace I'm not sure, you should check with your Dr. and always err on the side of caution. You "may" not be considered to be chronically diseased but you (and I ) are living with liver damage.
The thoughts on ASA being good for the liver go back many years and are now being revisited.
The clinical facts remain that ALL NSAIDs (aspirin, motrin, advil.....etc) cause upper GI bleeding and increased liver fibrosis.
Tylenol is safe unless you exceed the daily dosage.
It is your choice. Read up. Check with your Liver Dr as not all GPs are up to snuff on these specifics. GPs are responsible for so much more than just HCV in general practice.
Make your own informed decision after you have the facts.
Hepcat enjoy your Aspirin :^)

@Hepcat
The header from your link claims
A recent study suggests that aspirin "may" reduce the risk of chronic liver disease and liver cancer.
It is however 'known" to cause increased fibrosis and upper GI bleeding.
Personally I'll stick to the "knowns" and keep an eye on the "mays".
Okay I'm done here..lots of links and lots of information shared and everyone agrees "Speak with your Liver Dr." for professional advice.

Thanks Kramer.
I just checked my medicine cabinet. I have tylenol, 325mg, ibprophen 200mg & Back & Body Bufferin (that my dtr brought over). bufferin is acetaminophen250mg + buffered aspirin 250 mg. eenie meenie minee moe..... which pill will make my pain go and not hurt my wiver no no no. yes, I said wiver cause I think the word is funny.

My hep dr was an infectios disease dr & didn't have answers & didn't care. Soon I will be seeing my old gastro for another endoscopy (I have barretts esophagus) and I will check with her. I didn't have the right questions to ask up until recently, from being here on DS.

Your Gastro will know! Yes ask. I miss my Advil very much Tylenol just doesn't quell the inflammation in my joints but I stopped taking it on my Gastro's advice. My liver's health and GI tract are more important to me than my arthritis so it's no anti inflammatories for me.

What a topic! Concise info.
Please also remember that "they" also slathered us in tylenol 30 years ago...safest drug on the planet. Arsenic and cyanide wont harm you either in small staggered doses. yeah right. It's your liver...please be wise about your current health predicament. Modern science hasnt even figured out the extent of how our livers function. Be safe and try to make informed, responsible decisions about your own care. Low mild opiate doses remain the uncontested safest way to relieve acute and chronic pain. Periodic pain? Hot bath, cold bath, liniments and good old suffering will often suffice. Just my embattled opinion. I had to nearly bleed to death to get advil and aspirin taken off the "safe menu". I had to swell up and turn yellow to get Tylenol of the "safe menu".
G.I. Doctors can be as bad as general practitioners when it comes to the well being of your liver.
Hepatologists that love what they do are your best bet. But nobody is perfect. Low dose poison isnt the answer either.

yea my dr. said no tylenol,,,he said its the worst drug on the liver....not to take any drugs.../but if u have to take ibuprofen.....dx. 1997....now cured....thanks to god and abbott laboratories....

YES your Doc is right AVOID it likre a plague. JITs like what gave me my high amonia that is UNCIUREABLE. )0 mg 0mg 0mg