A Cochrane review of the analgesic efficacy of paracetamol and ibuprofen in the treatment of post-operative pain, concluded that combinations of paracetamol plus ibuprofen provided better analgesia than either medicine alone. 12 It was also concluded that the combination treatment reduced the need for additional analgesia to be administered and reduced the risk of adverse events occurring. 12 A study of approximately 900 patients using paracetamol or ibuprofen, or a combination of the two, for the treatment of osteoarthritis of the knee found significantly more patients achieved pain control at ten days and at 13 weeks with the combination treatment compared to paracetamol alone, but there was not a statistically significant difference compared to using ibuprofen alone. 15 In contrast, a small study of 90 patients randomised to one of three treatment groups in an emergency department setting found that combination treatment with paracetamol and ibuprofen did not provide more effective pain relief following musculoskeletal injury compared to either medicine alone. 16
Ibuprofen which is also known as : Advil, Advil Childrens, Advil Junior Strength, Advil Liquigel, Advil Migraine, Advil Pediatric, Childrens Ibuprofen Berry, Genpril, IBU, Midol IB, Midol Maximum Strength Cramp Formula, Dolgesic, Motrin Childrens, Motrin IB, Motrin Infant Drops, Motrin Junior Strength, Motrin Migraine Pain, Nuprin, Migraine Liqui-gels, Ibu-Tab 200, Cap-Profen, Tab-Profen, Profen, Ibuprohm, Children’s Elixsure, IB Pro, Vicoprofen, Combunox, A-G Profen, Actiprofen, Addaprin, Advil Infants Concentrated Drops, Caldolor, Haltran, Q-Profen, Ibifon 600, Ibren, Menadol, Midol Cramps & Bodyaches, Rufen, Saleto-200, Samson, Ultraprin, Uni-Pro, Wal-Profen.
Treatment of endometriosis can be with medication or surgery.