Talk to your doctor, there are narcotic based medication that can contain ibuprofen. For example they make hydrocodone and oxycodone with ibuprofen in them. If its genuinely SEVERE pain, there's not a whole lot OTC medications can do. If you specify what the pain is and where it is I could possibly give you my personal opinion on what would help with it, but from your question alone all I can say is talk to a doctor about getting something to help with the pain.
- Ibuprofen Information for Consumers
- Ibuprofen Information for Healthcare Professionals (includes dosage details)
- Side Effects of Ibuprofen (detailed)
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