Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Ibuprofen (Advil, Motrin) and hydrocodone / acetaminophen (Norco) are pain medications. Ibuprofen is an nonsteroidal anti-inflammatory drugs (NSAID) and Norco is an opioid. Ibuprofen is often a first-choice medication for mild-to-moderate pain, as most forms of it are available over the counter. Ibuprofen is usually tried before Norco, which is available only by prescription. Common Ibuprofen side effects include nausea, heartburn, and stomach pain. More seriously, it can cause kidney damage, bleeding, and heart problems, but these effects are rare. Common Norco side effects include nausea, constipation, and drowsiness. More seriously, Norco can lead to misuse, breathing problems, and overdose. It’s a controlled substance, but ibuprofen isn’t. Taking Norco and ibuprofen as prescribed can minimize these risks. Norco is a brand-name of hydrocodone / acetaminophen that’s no longer available, but we’ll use the name here because it’s well-known.
Ibuprofen
Norco (hydrocodone / acetaminophen)
Ibuprofen
Norco (hydrocodone / acetaminophen)
Summary of Ibuprofen vs. Norco
Summary for NSAID
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that's used to temporarily relieve fever, pains, and aches in adults and children. In general, ibuprofen is taken by mouth every 4 to 8 hours, though the dosage depends on your age, weight, and other medical problems. Ibuprofen side effects include nausea, heartburn, and stomach pain, but taking it with food might help prevent these side effects. Ibuprofen is available over the counter and by prescription, depending on the strength you need.
Summary for Opioid / Analgesic
Prescription only
Norco is a combination medication that contains hydrocodone (an opioid) and acetaminophen (an analgesic). It's used to manage pain for people who've tried non-opioid medications but haven't gotten enough relief. Norco (hydrocodone / acetaminophen) is a tablet that's taken by mouth. It takes about 30 minutes to start working. Side effects include constipation, nausea, and sleepiness. It's also a controlled substance because it has a high risk of misuse and dependency.
Please note: The brand name Norco is no longer available in the United States, but there are generic hydrocodone/acetaminophen tablets on the market.
Indications of Ibuprofen vs. Norco
Indications for
Over-the-counter ibuprofen:
•Short-term relief of minor aches and pains due to headache, muscle aches, minor arthritis pain, toothache, backache, the common cold, or menstrual cramps