Naproxen
Brand: Aleve, Naprosyn
Boxed warning
Serious cardiovascular thrombotic events (heart attack and stroke) and serious GI bleeding, ulceration, and perforation; contraindicated for pain around CABG surgery (prescription labeling).
- Caution
- GI bleeding, kidney injury, and raised blood pressure; OTC Aleve carries no box but the same risks.
- Pregnancy
- Avoid from 20 weeks on: fetal kidney problems and low amniotic fluid, and ductus arteriosus closure after 30 weeks.
Common side effects
- Stomach upset
- Heartburn
- Fluid retention
- Elevated blood pressure
Key interactions
- Adds bleeding risk with blood thinners
- May blunt blood-pressure medications
- Avoid combining with other NSAIDs
Counseling points
- Take with food or milk
- Report black or bloody stools
- Limit alcohol
- Use lowest dose for shortest time
- Stay hydrated
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