After my unmedicated birth with a 2nd degree lady partsl tear, I was given 800mg ibuprofen every 4 hours while in the hospital and continued every 4-6 hrs for about a week at home, and then down to once or twice a day for another week. It worked well with the addition of frozen pads (the hospital used Earth Mama Angel Baby Postpartum Herbs on theirs, while the pads I made beforehand at home had witch hazel, aloe gel, and lavender oil. The Postpartum Herbs were much better). I personally didn't feel like I needed anything else.