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Naproxen: Uses, Side Effects, Dosage, Interactions and more

Naproxen
Naproxen has become one of the most accessible pain relievers that ever spread across the globe. This powerful nonsteroidal anti-inflammatory drug (NSAID) helps millions of people manage their pain and inflammation from conditions of all types, including arthritis, gout, menstrual cramps, and bursitis. The medication's quick action and lasting relief make it especially effective. Most patients feel relief within an hour that lasts up to 12 hours. Naproxen blocks specific enzymes (COX-1 and COX-2) that create inflammation-causing substances in the body, making it a primary treatment choice for acute gout, osteoarthritis, and musculoskeletal pain. The medication works well, but patients should watch for side effects. These range from common symptoms like dizziness and stomach pain to serious risks such as heart problems with extended use. Doctors can prescribe various strengths, from 220 mg to 550 mg tablets, and finding the right dose depends on understanding the medication's benefits and limits.

What is Naproxen, and How Does It Work?

Naproxen treats several inflammatory conditions, such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gout, tendinitis, bursitis, and menstrual cramps. Unlike quick-fix pain solutions, Naproxen targets the actual source of discomfort.

The drug blocks cyclooxygenase (COX) enzymes in your body. These enzymes produce prostaglandins – compounds that trigger inflammation, pain and fever when tissue injury occurs. Naproxen reduces prostaglandin production by inhibiting both COX-1 and COX-2 enzymes, which leads to lower inflammation and pain relief.

The drug comes in several forms: 

  • Immediate-release tablets

  • Delayed-release tablets

  • Extended-release tablets

  • Liquid suspension

Naproxen's sodium salt version gets absorbed faster than regular Naproxen. It reaches peak concentration in about one hour, while the standard form takes two hours.


Common and Serious Side Effects of Naproxen

People often experience mild reactions like:

  • Dizziness, headache and drowsiness

  • Stomach pain, heartburn or nausea

  • Ringing in ears or hearing changes

  • Skin rashes or bruising

Some serious complications can occur. Long-term use of Naproxen might increase heart attack or stroke risk. GI bleeding poses another major concern - NSAID users face a four times higher risk of upper GI bleeding. The drug can also lead to kidney problems, severe skin reactions, and liver damage in some patients.

How to Take Naproxen Safely

Your stomach needs protection, so take Naproxen with food or a glass of milk. You will find tablets in strengths of 250mg, 375mg, and 500mg, while liquid forms contain either 25mg or 50mg per millilitre.

Your condition determines the dosage. Joint problems usually need 500mg to 1,000mg daily in one or two doses. Gout attacks require 750mg at first, then 250mg every 8 hours until symptoms improve.

Doctors prescribe lower doses to older adults and people with heart, liver or kidney issues. You should not mix Naproxen with other NSAIDs like ibuprofen. Short-term combinations with paracetamol remain safe.

The best approach uses the lowest effective dose for the shortest time needed to control symptoms. This strategy reduces side effect risks while ensuring relief.

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Conclusion

Naproxen definitely offers the most important benefits for pain management despite its risks. This medication works well for inflammatory conditions of all types, yet users must remain cautious. Quick relief versus side effects creates a balance that needs careful evaluation before treatment begins.

Mild reactions like stomach discomfort or dizziness affect most users. Serious complications such as heart problems or gastrointestinal bleeding might develop with extended use. Your health history plays a significant role in determining Naproxen's suitability for your needs.

Note that safe use depends on these key points:

  • Always take with food to protect your stomach

  • Use the lowest possible dose that relieves your symptoms

  • Avoid combining with other NSAIDs like ibuprofen

  • Discuss any concerns with your doctor

Relief versus risks need careful evaluation. Proper use helps many people manage their pain effectively. Your doctor's guidance ensures this medication works safely for your specific situation. Pain relief should enhance your overall health, not compromise it.

FAQs

  1. What is Naproxen commonly used to treat?

Doctors prescribe Naproxen to treat various inflammatory conditions. The medication helps patients with arthritis (osteoarthritis, rheumatoid arthritis, juvenile arthritis) and spine inflammation known as ankylosing spondylitis. It also works well for acute gout attacks, tendinitis, bursitis, menstrual cramps, muscle aches and backaches.

The medication targets both chronic pain and acute flare-ups by reducing inflammation right where it starts. Many doctors recommend it as their first choice for stopping or preventing migraines.

  1. Is it safe to take Naproxen every day?

Daily use of Naproxen needs careful consideration. The medication is safe when your doctor prescribes it for occasional use. However, long-term use comes with increased risks. The NHS recommends using "the lowest dose that works for the shortest possible time." You should talk to your doctor about pain management if you need Naproxen often. This becomes especially important if you have kidney problems, as NSAIDs might lead to sudden kidney failure or gradual kidney damage.

  1. What are the differences between Naproxen and Ibuprofen?

These medications belong to the NSAID class. In spite of that, they have several key differences. Naproxen's pain relief lasts longer (8-12 hours) than ibuprofen (4-6 hours). Your risk of stomach bleeding stays lower with ibuprofen. Blood thinner patients face a four-fold increase in bleeding risk with Naproxen compared to two-fold with ibuprofen. Children under 12 can take ibuprofen, but Naproxen remains approved only for older children.

  1. Can Naproxen cause stomach problems or ulcers?

In fact, Naproxen might cause ulcers in your stomach or gut, especially when you have extended use or take higher doses. This happens because the medication reduces protective prostaglandins in your stomach's lining. Most people feel a burning or gnawing pain in their stomach's centre, while others might experience indigestion, heartburn or nausea. Older adults run a higher risk of ulcers. Your doctor might add stomach-protecting medication to your naproxen prescription if you've had ulcers before.

  1. What should I avoid while taking Naproxen?

The risks of Naproxen decrease when you avoid alcohol, which raises stomach bleeding risk. You should limit caffeine to reduce side effects. Taking other NSAIDs like ibuprofen and aspirin together with Naproxen isn't recommended. Herbal supplements such as garlic, ginger, and ginseng might affect blood clotting. Your diet should have fewer processed foods, high-sodium meals, and sugary drinks. The medication might affect vision, so avoid driving if this happens.

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