Pain relief & fever · NSAID (Non-steroidal anti-inflammatory)

Naproxen

Naproxen is a longer-acting NSAID used for pain, inflammation, and fever. Typical effects last around 8 to 12 hours.

OTCPregnancy warningKidney warningLiver warningAlcohol interactionNot for young childrenSenior precaution
NaprosynAleveNaprogesic
Overview & typical uses

Naproxen is a longer-acting NSAID used for pain, inflammation, and fever. Typical effects last around 8 to 12 hours.

Primary uses

  • Muscle and joint pain
  • Menstrual cramps
  • Mild to moderate headache
  • Fever comfort
How it works

Blocks cyclo-oxygenase enzymes, reducing prostaglandins that drive pain, fever, and inflammation.

Available forms & strengths
  • Tablet — 220 mg, 250 mg, 500 mg (Oral)
General precautions & contraindications

Do not use if

  • Active stomach or duodenal ulcer
  • Severe heart, kidney, or liver disease
  • Third trimester of pregnancy

Pregnancy

Not recommended in pregnancy. Best avoided, particularly after 20 weeks. Paracetamol is usually preferred.

Breastfeeding

Use with caution — discuss with clinician. Small amounts pass into breast milk; short-term occasional use is usually acceptable.

Kidney considerations

  • Avoid in significant kidney disease.
  • Stay well hydrated during use.

Liver considerations

  • Discuss with a clinician if you have liver disease.

Paediatric use

Generally reserved for older children under clinical supervision.

Older adults

Higher risk of GI, kidney, and cardiovascular side effects — prefer paracetamol first.

Common side effects
  • Indigestion or heartburn
  • Nausea
  • Dizziness or drowsiness
Serious warnings — seek help if these appear
  • Stomach ulcers or gastrointestinal bleeding
  • Kidney injury
  • Serious allergic reactions
  • Increased risk of heart attack or stroke with prolonged high use
Drug interactions
Other NSAIDswarning

Do not combine — additive stomach and kidney risk.

Warfarin and other blood thinnerswarning

Increased bleeding risk.

Lithium, methotrexatewarning

Naproxen can raise blood levels of these medicines.

Diuretics and ACE inhibitorscaution

Reduced blood pressure control and kidney strain.

Food & alcohol precautions
Alcohol

Increases risk of stomach irritation and bleeding.

Food

Taking with food reduces stomach upset.

Alcohol

  • Alcohol raises the risk of stomach irritation and bleeding.
Storage, missed dose & overdose

Storage

Store below 25 °C in a dry place, out of reach of children.

If a dose is missed

Take a missed dose as soon as remembered unless the next scheduled time is near — do not double up.

Overdose

Overdose can cause drowsiness, stomach pain, kidney injury. Seek urgent medical help.

What to monitor

  • Watch for black stools, unusual bruising, ankle swelling.
Frequently asked questions
How long does naproxen last?

Around 8 to 12 hours per dose — typically taken twice daily.

Medical references
  • British National Formulary — NaproxenBNF (NICE)
  • FDA drug information — NSAIDsU.S. Food & Drug Administration

Content last reviewed: 2025-01-01

Medical disclaimer

This information is for educational purposes only and should not replace professional medical advice. Please consult a licensed pharmacist or clinician for advice tailored to your personal circumstances.