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Omeprzole is usually prescribed for GERD, Gastric Esophageal Reflux Disease or heartburn. Ibuprofen and other non steroidal anti inflammatory medications can cause an irritation in your gastrointestinal tract (esophagus and stomach) and sometimes ulcers in the stomach.I would think that infrequent use of ibuprofen would probably be safe but you might try tylenol before going to the ibu.est Answer: I have acid reflux and get killer headaches, too, and yes, you can take them both at the same time. I have been doing so for a while now, they are both prescribed by my doctor. Source(s): The Queen Â· 7 years ago.