If I am not mistaken, there is no ibuprofen in vicodin, they do make it, but its tylenol in vicodin. As an alternative,if the ultram suggested above do not work(did nothing for me), but it varies from person to person, I am currently on the generic form of Roxicodone, which is Percocet without the tylenol. So that would take care of your worries, and even though hard to find sometimes, cheaper, and more effective for me.