In today's news, I've discovered 600 mg of Ibuprofen taken every 4 hours disagrees with me. It's caused me to be extremely nauseous and to vomit twice.
Guess I'm going to try being solely on the Ultram. Maybe that will work for me.
Update: Nausea was actually a delayed reaction to the Ultram. I'm on Ibuprofen now and it's working, for the most part.