Yes, thank you. I take a generic tynolol each day either for a headache or arthritis pain. My gastro doctor had told me when he did a highalertia surgery on me Nov. of 2016, not to take a lot of Tylenol; and at that time, I didn't have arthritis as bad as I do now. I do take generic Duloxetine, the generic for Cymbilta. What my question is, should I consult my primary doctor, my gastro doctor or (I also have a pain mgmt. dr. for my lower back--no discs for the lower spine). Right now, the generic Tylenol is what I take for back pain...plus back pain rubs, etc.