Thanks D2003, I was hoping I could substitute the soma for the tylenol but if you are saying that it won't relieve the pain like the tylenol 3 then I won't bother with adding another med. The tylenol works well but I am concerned about the APAP, I wish I could get the watson 10/325, all I need to do is break one in half and my pain is fine and thats a lot less APAP.