I do not use Ibruprofen at all as it really upsets my stomach alot. But on occasion when I have had a really bad headache and my pain meds didn't help, I will take an Aleve. But I do so on a rare occasion only. Ibruprofen and Aleve caused my flare that brought me out of remission after my 20 year remission. I think it is ok once in awhile, but not on a daily basis. JMHO
I do know some people take Tramadol with alot of success without all the drowsiness side effects, but I can't use this one for myself as I have a very delicate stomach and it upsets it. But some folks have alot of success with it. Good luck and gentle hugs.