What Is The Most Important Information I Should Know About Naproxen
Naproxen can increase your risk of fatal heart attack or stroke, even if you don’t have any risk factors. Do not use this medicine just before or after heart bypass surgery .
Naproxen may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using naproxen, especially in older adults.
You should not use naproxen if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.
Ask a doctor before giving naproxen to a child younger than 12 years old.
Ask a doctor or pharmacist if this medicine is safe to use if you have:
- heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;
- a heart attack, stroke, or blood clot;
- stomach ulcers or bleeding;
Guide To The Side Effects Of Naproxen
Naproxen is a nonsteroidal anti-inflammatory medication commonly utilized to alleviate swelling, inflammation, joint pain, muscle aches, and stiffness. Naproxen may be used to treat other forms of mild to moderate pain in an affected individual, such as what occurs in bursitis, menstrual cramps, acute gout, ankylosing spondylitis, and tendonitis. This nonsteroidal anti-inflammatory drug works through a mechanism that involves decreasing certain hormones responsible for pain signals and inflammatory responses by the immune system. Naproxen comes in numerous different forms, including enteric-coated tablets, liquid suspension, extended-release tablets, liquid-filled capsules, and standard tablets. Naproxen has proven to be a successful medication for the treatment of muscle, joint, and other types of acute pain. However, it can produce adverse side effects in some individuals.
Get familiar with these side effects now.
When Should I Stop The Drug And Get Immediate Medical Attention
- If signs of allergy occur, such as rapid breathing, gasping, wheezing, hives, skin rashes, puffy eyelids, and/or rapid heart beat occur.
- If you develop vision abnormalities.
- If you develop dizziness, depression, or confusion.
- If you develop yellowing of the eyes that could indicate liver injury .
- If your urine becomes cloudy or bloody, the amount of urine you pass should suddenly decrease, or you develop new ankle swelling, all of which could indicate kidney problems. This is especially important to watch for if your kidney function has been noted, on lab testing, to have been abnormal in the past.
Don’t Miss: Obesity Stomach Pain
Can I Combine Nsaids With Other Drugs
- Do not mix one NSAID with another. For example, don’t take aspirin or ibuprofen with any other nonsteroidal anti-inflammatory drugs. However, your physician may wish you to combine low-dose aspirin with an NSAID for heart attack or stroke prevention. This is an individual decision for each patient, and you should discuss this with your physician, since combining an NSAID with aspirin can increase the risk of ulcer.
- Acetaminophen, especially in low dose, appears less likely to irritate the stomach than NSAIDs, so in many cases it is reasonable to take acetaminophen along with NSAIDs.
- Always read the ingredients listed on the label of over-the-counter products. If acetylsalicylic acid or salicylate is listed, it may be better not to take this with NSAIDs, unless advised by your physician. Keep in mind that Alka-Seltzer, Anacin, some types of Excedrin, and even Pepto-Bismol contain aspirin.
- If you are taking medications for high blood pressure, have your pressure checked regularly while on the nonsteroidal anti-inflammatory drug. This is especially important within the first several weeks of starting the drug. In some patients, NSAIDs can elevate the blood pressure.
Dont Take Too Many Too Often
To avoid abdominal pain when taking painkillers, you must first make sure that you follow the recommended dosage to the letter. Do not take any more than recommended, and do not double-dose. You should never take more than one NSAID at a time as they are in the same family and side effects will be more severe.
Read Also: Pregnancy Tightness In Stomach
Naproxen For Back Pain
Naproxen for back pain is a common NSAID prescribed for a variety of acute and chronic symptomatic syndromes. Naproxen is an especially popular drug for the treatment of many musculoskeletal disorders and is a part of many back pain patients care regimens. Naproxen sodium is usually taken in pill form and is commonly used in combination with other substances as part of a complete pharmaceutical therapy program. This was one of the the drugs offered to me countless times during my own painful back journey.
This essay examines the use of naproxen in the back pain patient population.
Special Warnings And Precautions
Problems with stomach ulcers and stomach bleeding can occur with any NSAID, and naproxen is no exception. Typically, these problems are tied to long-term use of the drug, but not alwaysshort-term use of naproxen or other NSAIDs can be problematic for some people.
Stomach ulcers and bleeding can occur without warning. Signs can include burning stomach pain, black stools, or vomiting. Call your doctor if you are experiencing these symptoms.
Liver damage can occur in people taking NSAIDs like naproxen. Warning signs include nausea, vomiting, fatigue, appetite loss, itching, yellowing of the skin or eyes, and dark urine.
Naproxen can cause fluid retention and swelling in the body. NSAIDs like naproxen have also been linked to increased blood pressure.
NSAIDs, including naproxen, are associated with an increased risk of adverse cardiovascular events, including heart attack, stroke, and new onset or worsening of pre-existing hypertension . Cardiovascular risk may be increased with longer duration of use of naproxen or pre-existing cardiovascular disease.
Read Also: How To Make A Sprained Wrist Heal Faster
What Nsaid Dose Should I Take
You should take ibuprofen or naproxen on a regular basis for the first 3 to 5 days after an injury, rather than taking the medication as needed for pain.;The reason you want to take an NSAID around the clock for the first few days is that the inflammation in your back is at its greatest right after an injury and NSAID will help reduce that inflammation. You can take EITHER ibuprofen or naproxen, NOT both. The recommended dose is the same as the prescription strength so please check with your doctor first if these doses are right for you:
If you do not like taking tablets, then you can try diclofenac 1% gel , which is a gel that you can apply to your back. This gel is an NSAID that is available over-the-counter and is usually used for arthritis of the hands and knees. My back surgeon told me that diclofenac 1% gel works for some of his patients with back pain, but there is no medical evidence to back it up.
Side Effects Requiring Immediate Medical Attention
Along with its needed effects, naproxen may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking naproxen:
Also Check: Is Heat Or Ice Good For Nerve Pain
Why Does It Take That Long After Aspirin To Take Naproxen
Medicines react when they are inside your body and different medicines will have different reactions so it is best to wait for at least a few hours before you could take the next medicine. However, waiting for at least half an hour could also be beneficial for the patient.
You should talk to your doctor before you want to take medicines such as aspirin and naproxen together. If you are using these medicines together then it could decrease the effectiveness in case you are using them for your heart-related issues.
Combining or adding more medicines means that you are doubling up your pain killers and this could have serious effects on your body. You should be careful before you decide o do things on your own. However, seek help from your family members or some elders if you are experiencing severe pain or some kind of other symptoms that are not supposed to happen.
Some of the most common side effects of using aspirin are stomach upset and heartburn. In case these symptoms worsen then you should immediately consult with a doctor. The doctor in the case has prescribed you this medicine then it means that the dosage that is prescribed should just be perfect for you.
Verdict: Ibuprofen Vs Naproxen For Back Pain
So which is better for back pain: naproxen or ibuprofen? The answer is that they are equally effective and you can take either for back pain based on your preference. Not only do NSAIDs relieve pain, but they reduce any inflammation from an acute back injury. Make sure to take your NSAID with food to minimize stomach upset. You also need to take your NSAID regularly rather than as needed for the first 3-5 days after a back injury to reduce to inflammation in your back.
We do not recommend NSAIDs longer than 2 weeks without the advice of your doctor since NSAIDs can cause side effects such as stomach ulcers if taken for several months. Your doctor may recommend an antacid such as lansoprazole if you need to take an NSAID for longer. We also do not recommend NSAIDs if you have had a history of heart attack or stroke, kidney disease, or previous bleeding in your stomach or intestines.
After your back begins to feel better, you will want to try some exercises to prevent future back pain. Click on our article: 6 Best Exercises for Chronic Low Back Pain.
Recommended Reading: Is Heat Or Ice Good For Nerve Pain
What Other Information Should I Know
Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking naproxen.
If you are taking prescription naproxen, do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
What Are The Side Effects Of Nsaids
The major side effects of NSAIDs are related to their effects on the stomach and bowels . Some 10% to 50% of patients are unable to tolerate treatment with NSAIDs because of side effects, including abdominal pain, diarrhea, and upset stomach. Approximately 15% of patients on long-term treatment with NSAIDs develop a peptic ulcer . Even though many of these patients with ulcers do not have symptoms and are unaware of their ulcers, they are at risk of developing serious ulcer complications, such as bleeding or perforation of the stomach.
The annual risk of serious complications is 1% to 4% with chronic treatment with NSAIDs. The risk of ulcers is higher in the elderly and individuals with rheumatoid arthritis, and those also taking steroid-containing medications , and individuals with a prior history of bleeding ulcers. Taking blood thinning medications , such as warfarin , and heparin, does not cause NSAID-related ulcers, but rather they increase bleeding if NSAID-induced ulcers occur.
A prior history of ulcers is the most important predictor of NSAID-induced ulcers. Patients with heart disease who are taking aspirin for prevention of heart attacks also are at risk, and the risk of bleeding ulcers doubles if aspirin is combined with other NSAIDs.
Also Check: Is Stomach Pain A Sign Of Pregnancy
Rated For Acute Gout Report
Gave me diharreah!!!! I’m on the toilet now. My stomach pain woke me up out of a dead sleep. I took naproxen right before bed for my tooth ache and now I feel like complete crap. I feel so nauseous and I can’t stop pooping. My stomach is in nots omg it’s horrible! Do not take!!! I feel like I have food poisoning or something. Ughhh
How To Cope With Side Effects Of Naproxen
What to do about:
- confusion if naproxen makes you feel confused, speak to your doctor.
- headache make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Headaches should usually go away after the first week of taking naproxen. Talk to your doctor if they last longer than a week or are severe.
- ringing in the ears if this lasts for more than 1 or 2 days, speak to your doctor as they may need to change your treatment.
- changes in vision do not drive until this side effect has worn off.
- feeling sleepy, tired or dizzy as your body gets used to naproxen, these side effects should wear off.
- dizziness if naproxen makes you feel dizzy, stop what you’re doing and sit or lie down until you feel better.
- rashes it may help to take an antihistamine, which you can buy from a pharmacy. Check with the pharmacist to see what type is suitable for you.
You May Like: Can Sciatica Cause Stomach Pain
Who Can And Cannot Take Naproxen
Most adults can be prescribed naproxen.
It can also be prescribed to children to treat:
- muscle and bone disorders for babies from 1 month
- diseases of the joints for children from 2 years
- period pain for children under 15
Adults and teenagers aged 15 and over can buy it from a pharmacy for period pain.
Naproxen is not suitable for certain people. Tell your doctor or pharmacist if you:
- have had an allergic reaction to naproxen or any other medicines in the past
- have had an allergic reaction to aspirin or other non-steroidal anti-inflammatory medicines , such as ibuprofen
- have or have had stomach ulcers, bleeding in the stomach or intestines, or a hole in your stomach
- have a blood clotting disorder
- are pregnant, planning to become pregnant, or breastfeeding
Side Effects From Long
Long-term use of Aleve can make your heart work harder. Aleve makes you retain water, which increases the load on your heart. This extra work can cause pressure on your cardiovascular system and can sometimes lead to a heart attack or stroke. These risks are even greater at higher dosages, even if you dont have any heart conditions or risk of heart disease. Call 911 or local emergency services if you have:
- chest pain
- slurred speech
- weakness in your arms or legs
These are signs of a stroke or heart attack. If you take Aleve and have unexplained weight gain or swelling, especially in your legs and feet, talk to your doctor right away. These may be signs of heart failure. To lower your risk of heart problems, use the lowest dosage for the shortest amount of time.
Prostaglandins maintain the pressure in your kidneys so that these organs can filter the fluids in your body. A decrease in your level of prostaglandins from taking Aleve can cause problems with your kidney function. You may notice fluid retention or changes in how much you urinate. If you notice these changes while taking Aleve, stop taking it and contact your doctor.
People with certain medical conditions may experience more side effects from Aleve than other people. These conditions include:
- history of stomach ulcers or stomach bleeding
Recommended Reading: Is Stomach Pain A Sign Of Pregnancy
Rated For Headache Report
Got prescribed 500mg of Naproxen for my headaches and they actually did help to relieve my pain for the most part. However, I started experiencing side effects just one day after my first dose. I stopped taking them after my second dose, which was 3 days ago, and Ive still been dealing with abdominal pain , nausea, chills and vomit. So not only do I have these new problems but I still have my headaches! Avoid this drug at all costs!!
How To Use Naproxen Oral
Take this medication by mouth as directed by your doctor, usually twice daily with or without food. Swallow this medication whole. Do not break, crush, or chew the tablets. Doing so can release the drug too quickly, increasing the risk of side effects. Take this medication with a full glass of water unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this drug.
The dosage is based on your medical condition and response to treatment. To reduce your risk of stomach bleeding and other side effects, take this medication at the lowest effective dose for the shortest possible time. Do not increase your dose or take this drug more often than directed. For ongoing conditions such as arthritis, continue taking this medication as directed by your doctor.
For certain conditions , it may take up to two weeks of taking this drug regularly until you get the full benefit.
Tell your doctor if your condition does not improve or if it worsens.
Read Also: How Long Does Sciatica Last
How Should This Medicine Be Used
Prescription naproxen comes as a regular tablet, a delayed-release tablet, an extended-release tablet, and a suspension to take by mouth. The extended-release tablets are usually taken once a day. The tablets, delayed-release tablets, and suspension are usually taken twice a day for arthritis. The tablets and suspension are usually taken every 8 hours for gout, and every 6 to 8 hours as needed for pain. If you are taking naproxen on a regular basis, you should take it at the same time every day.
Nonprescription naproxen comes as tablet and a gelatin coated tablet to take by mouth. It is usually taken with a full glass of water every 8 to 12 hours as needed. Nonprescription naproxen may be taken with food or milk to prevent nausea.
Follow the directions on the package or prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take naproxen exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor or written on the package.
Shake the liquid well before each use to mix the medication evenly. Use the measuring cup provided to measure each dose of the liquid.
Swallow the delayed-release tablets and extended release tablets whole; do not split, chew, or crush them.
If you are taking naproxen to relieve the symptoms of arthritis, your symptoms may begin to improve within 1 week. It may take 2 weeks or longer for you to feel the full benefit of the medication.