What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
-Asthma
-Bleeding problems
-Dehydration
-Frequently drink alcohol
-Have had a heart attack, stroke, or mini-stroke
-Heart bypass surgery, or CABG, within the past 2 weeks
-Heart or blood vessel conditions
-Heart failure
-High blood pressure
-Kidney disease
-Liver disease
-Stomach bleeding
-Stomach ulcers, other stomach or intestine problems
-Tobacco use
-An unusual or allergic reaction to naproxen, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breastfeeding
What may interact with this medication?
Do not take this medication with any of the following:
-Cidofovir
-Ketorolac
This medication may also interact with the following:
-Alcohol
-Aspirin and aspirin-like medications
-Blood thinners
-Cyclosporine
-Digoxin
-Diuretics
-Lithium
-Medications for blood pressure
-Methotrexate
-Other NSAIDs, medications for pain and inflammation, such as ibuprofen
-Probenecid
-Some medications for depression
-Steroid medications, such as prednisone or cortisone
-Supplements, such as garlic, ginger, ginkgo, methylsulfonylmethane (MSM)
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
Do not take aspirin or other NSAIDs, such as ibuprofen or naproxen, while you are taking this medication. Side effects, such as upset stomach, nausea, and ulcers, may be more likely to occur. Many over-the-counter medications contain aspirin, ibuprofen, or naproxen. It is important to read labels carefully. Talk to your care team about all the medications you take. They can tell you what is safe to take together.
This medication can cause serious bleeding, ulcers, or tears in the stomach. These problems can occur at any time and with no warning signs. They are more common with long-term use. Talk to your care team right away if you have stomach pain, bloody or black, tar-like stools, or vomit blood that is red or looks like coffee grounds.
This medication increases the risk of blood clots, heart attack, and stroke. These events can occur at any time. They are more common with long-term use and in those who have heart disease. If you take aspirin to prevent a heart attack or stroke, talk to your care team. They can help you find an option that works for you.
This medication may cause serious skin reactions. They can happen weeks to months after starting the medication. Talk to your care team right away if you have fevers or flu-like symptoms with a rash. The rash may be red or purple and then turn into blisters or peeling of the skin. Or you might notice a red rash with swelling of the face, lips, or lymph nodes in your neck or under your arms.
Talk to your care team if you may be pregnant. Taking this medication after 20 weeks of pregnancy may cause serious birth defects. Use of this medication after 30 weeks of pregnancy is not recommended.
This medication may cause infertility. It is usually temporary. Talk to your care team if you are concerned about your fertility.
What are the most serious risks of this medication?
This medication can cause serious bleeding, ulcers, or tears in the stomach. These problems can occur at any time and with no warning signs. They are more common with long-term use. Talk to your care team right away if you have stomach pain, bloody or black, tar-like stools, or vomit blood that is red or looks like coffee grounds. Tell your care team if you take other NSAIDs, aspirin, blood thinners, steroids, or medications for depression. Some of these medications can also increase the risk of stomach problems. If you have had stomach ulcers or bleeding before, your risk of stomach problems is much higher. Tobacco, alcohol, older age, and poor health also increase the risk.
Tell your care team if you have had recent coronary artery bypass graft (CABG) surgery. Taking this medication in the first 14 days after CABG surgery increases your risk of heart attack and stroke.