u/quinbus51

What do you folk use for extended chronic (smoldering) pain management? I don't like NSAIDs but I'm not finding anything to work as well. I tried Naproxen (alleve) and I really don't like it's impact on gut motility, so I've been using Ibuprofen judiciously, trying to limit it to 2 or no more than 3 tablets daily. I don't have kidney or heart issues (at least not yet) but do worry about impacts on gut health. The half life of Naproxen is like 17 hours, whereas Ibuprofen is something like 3, so at two tablets a day pain control isnt perfect but hopefully minimizes known deleterious impacts on heart, kidney and bowel.

Just curious what other have done when there's a need to manage chronic pain longer term?