Hi there! Based on the results, some great substitutes for Tylenol Extra Strength would be: - Disprin Extra Strength Tablets 24'S for R72.9 or Disprin Extra Strength Tablets 16'S for R46.9. Disprin is a well known pain reliever like Tylenol. - Extra Strength Tablets 24'S for R67.95 or Extra Strength Tablets 48'S for R112.95. These matches the 'Extra Strength' description. - Pain Tablets Extra Strength 16 Pack for R46.99 - a multi-pack option for relief on the go. I hope one of these pain relief options works for you! Let me know if you need anything else. As an experimental bot, my substitute recommendations are limited to the PriceCheck search results.