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Aleve PM (Generic Naproxen)

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WARNING

Nonsteroidal anti-inflammatory drug (NSAID) users may be more likely to get a heart attack or stroke than nonusers of these drugs, including those who take naproxen. These occurrences have the potential to be fatal and come about suddenly. The risk may be increased for those who take NSAIDs for a long period or at higher doses. These issues may arise at any point during the course of treatment. If you’ve just had a heart attack, avoid taking an NSAID like naproxen unless your doctor specifically instructs you to. Inform your doctor if you smoke, have high cholesterol, high blood pressure, or diabetes, or if you or anyone in your family has ever suffered from heart disease, a heart attack, or a stroke. If you suffer any of the following symptoms, seek emergency medical attention right away: chest pain, shortness of breath, weakness on one side or area of the body, or slurred speech.

You shouldn’t take naproxen shortly before or right after having coronary artery bypass graft surgery (CABG; a form of cardiac surgery).

NSAIDs, including naproxen, may result in ulcers, bleeding, or holes in the stomach, intestine, or oesophagus (tube connecting the mouth and stomach). These issues can arise at any point during therapy, without any prior symptoms, and they have the potential to be fatal. People who take NSAIDs frequently or in higher doses, are older, have poorer health, smoke, or consume substantial amounts of alcohol while taking naproxen may be at greater risk. TInform your physician if you use any of the following drugs: Aspirin, other NSAIDs like ibuprofen (Advil, Motrin), ketoprofen, oral steroids like dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos), as well as anticoagulants (‘blood thinners’) like warfarin (Coumadin, Jantoven), aspirin, and salicylate painkillers like diflunisal, salsalate, magnesium salicylate (Doan’s, others), and fluoxetine (Prozac, in Symbyax), as well as paroxetine (Brisdelle, Paxil, Pexeva), fluvoxamine (Luvox), and citalopram (Celexa), are selective serotonin reuptake inhibitors (SSRIs), or SNRIs like desvenlafaxine (Pristiq), duloxetine (Cymbalta), and venlafaxine, which prevent the reuptake of serotonin and norepinephrine (Effexor XR). Additionally, let your doctor know if you now or ever had liver illness, ulcers, stomach or intestine bleeding, or any other bleeding diseases. Stop taking naproxen and contact your doctor if you suffer any of the following symptoms: heartburn, stomach pain, bloody or coffee-ground-looking vomit, blood in the stool, or dark, tarry stools.

Keep all of your appointments with your physician and the lab. Your doctor will keep a close eye on your symptoms and possibly recommend a few tests to see how your body is responding to naproxen. Inform your physician about your feelings so that they can prescribe the ideal dosage of medication to cure your problem with the least chance of negative side effects.

The patient information sheet (Medication Guide) from the manufacturer will be sent to you by your doctor or pharmacist when you start taking prescription naproxen as well as at each refill visit. If you have any questions, carefully read the material and contact your doctor or pharmacist. The Medication Guide is also available on the manufacturer’s website or the Food and Drug Administration (FDA) website.

Why is this medication prescribed?

For the relief of pain, tenderness, swelling, and stiffness brought on by juvenile arthritis (a form of joint disease in children), ankylosing spondylitis, osteoarthritis (arthritis brought on by a breakdown of the lining of the joints), and rheumatoid arthritis (arthritis brought on by swelling of the lining of the joints), prescription naproxen is used (arthritis that mainly affects the spine). To treat shoulder pain brought on by bursitis, prescription naproxen tablets, extended-release tablets, and suspension are also employed (inflammation of a fluid-filled sac in the shoulder joint), pain from other sources, such as menstruation pain, tendinitis (inflammation of the tissue that connects muscle to bone), gouty arthritis (attacks of joint pain brought on by a buildup of certain substances in the joints), and other types of pain are also common (pain that happens before or during a menstrual period). Non-prescription naproxen is used to treat minor discomfort from toothaches, backaches, menstrual cramps, arthritis, headaches, muscular pains, and the common cold. Naproxen belongs to the group of drugs known as NSAIDs. It functions by halting the body’s production of a chemical responsible for inflammation, fever, and discomfort.

How should this medicine be used?

Regular tablets, delayed-release tablets (which release the medication in the intestine rather than the stomach to prevent stomach injury), extended-release (long-acting) tablets, and oral suspensions are all available as forms of prescription naproxen. Typically, one daily dose of the extended-release tablets is required. For arthritis, the tablets, delayed-release tablets, and suspension are typically taken twice day. For gout, the tablets and suspension are often taken every eight hours, and for pain, every six to eight hours as needed. If you regularly take naproxen, you should do so at the same time(s) each day.

To be taken orally, non-prescription naproxen is available as a tablet, a capsule, and a gel capsule. It is typically taken as needed, every 8 to 12 hours, with a full glass of water. To prevent motion sickness, non-prescription naproxen can be given with food or milk.

Ask your doctor or pharmacist to explain any instructions on the packaging or prescription label that you do not understand, and carefully follow them. Take naproxen as instructed by your doctor. Never take it in larger or less amounts or more frequently than recommended by your doctor or the label on the medication.

Before each usage, give the beverage a good shake to evenly distribute the medication. Each liquid dose should be measured using the provided measuring cup.

Do not split, chew, or crush the extended-release or delayed-release pills; instead, swallow them whole.

If you’re taking a suspension, give it a good shake before each dose to ensure that the drug is mixed in evenly. To measure the precise volume of liquid required for your dose, use the oral syringe or measuring cup provided by your pharmacist.

If your symptoms worsen, you have new or unexpected symptoms, the area of your body that was hurting turns red or swollen, your pain lasts longer than 10 days, or your fever lasts longer than three days, stop using nonprescription naproxen and contact your doctor.

Other uses for this medicine

Naproxen is also occasionally used to treat Bartter syndrome and Paget’s disease of the bones, which causes unusually thick, fragile, and deformed bones (a condition in which the body does not absorb enough potassium, causing muscle cramping and weakness and other symptoms). The dangers of using this drug for your illness should be discussed with your doctor.

Ask your doctor or pharmacist for more details if you’re interested in using this drug for any other conditions.

What special precautions should I follow?

Before taking naproxen,

  • You should let your doctor and pharmacist know if you have any allergies to naproxen, aspirin, other NSAIDs like ibuprofen (Advil, Motrin), ketoprofen, or any of the components in naproxen products. For a list of the ingredients, ask your doctor or pharmacist.
  • Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Mention the drugs in the IMPORTANT WARNING section as well as any of the following: moexipril (Univasc), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), and trandolapril (Mavik, in Tarka) are examples of angiotensin-converting enzyme (ACE) inhibitors. Other examples include benazepril (Lotensin, in Lotrel); ARBs include losartan (Cozaar, in Hyzaar), irbesartan (Avapro, in Avalide), eprosartan (Teveten), candesartan (Atacand, in Atacand HCT), and azilsartan (Edarbi, in Edarbyclor) (Benicar, in Azor, in Benicar HCT, in Tribenzor), beta blockers like atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), and propranolol (Hemangeol, Inderal, InnoPran); telmisartan (Micardis, in Micardis HCT, in Twynsta); Digoxin (Lanoxin), diuretics (‘water pills’), lithium (Lithobid), diabetes drugs, cholestyramine (Prevalite), cyclosporine (Gengraf, Neoral, Sandimimune), methotrexate (Otrexup, Rasuvo, Trexall), pemetrexed (Alimta, Pemfexy), phenytoin (Dilantin, Phenytek), probenecid (Probalan; in Col-Probenecid); sulfa drugs such sulfamethoxazole; and (in Bactrim, in Septra). Additionally, let your doctor know if you take sucralfate or antacids (Carafate). Your physician might need to adjust the dosage of your medication or keep a closer eye on you for adverse effects.
  • Non-prescription naproxen should not be taken with any other painkillers unless your doctor specifically instructs you to.
  • In particular, if you also have frequent stuffy or runny nose, nasal polyps (swelling of the inside of the nose), heart failure, swelling of the hands, arms, feet, ankles, or lower legs, anaemia (red blood cells do not bring enough oxygen to all parts of the body), kidney disease, or any of the conditions listed in the IMPORTANT WARNING section, let your doctor know.
  • Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. If naproxen is consumed beyond 20 weeks of pregnancy, it may harm the foetus and complicate delivery. When you are 20 weeks pregnant or afterward, avoid taking naproxen unless your doctor specifically instructs you to. Call your doctor if you become pregnant while taking naproxen.
  • You should be aware that this medicine may momentarily reduce female fertility. If you are worried about your fertility, discuss the dangers of taking naproxen with your doctor.
  • If you are 65 years of age or older, discuss the advantages and disadvantages of taking naproxen with your doctor. Since bigger dosages taken frequently may not be more beneficial and are more likely to have major side effects, older persons should typically only take lower doses of naproxen for brief periods of time.
  • Inform your doctor or dentist that you are taking naproxen if you are having surgery, including dental surgery.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

If you miss a dosage, take it as soon as you recall. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Naproxen could have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Constipation
  • Gas
  • Extreme thirst
  • Lightheadedness
  • Dizziness
  • Lightheadedness
  • Drowsiness
  • Having trouble falling or staying asleep
  • Tingling or burning in the legs or arms
  • Cold signs
  • An earache that ringers
  • Hearing issues

Some adverse effects can be very harmful. Call your doctor right away if you have any of the following symptoms or those listed in the IMPORTANT WARNING section. As soon as you have spoken with your doctor, stop using naproxen:

  • Alterations to vision
  • Throat pain after swallowing the medication
  • Unaccounted-for weight gain
  • Respiratory issues or shortness of breath
  • Abdomen, ankles, foot, or legs swelling
  • Infection symptoms such as a sore throat, fever, chills, and others
  • Blisters
  • Rash
  • Skin turning crimson
  • Itching
  • Hives
  • Eye, face, lip, tongue, throat, arm, or hand swelling
  • Breathing or swallowing challenges
  • Hoarseness
  • Excessive fatigue
  • Upper right stomach region discomfort
  • Nausea
  • Diarrhea
  • The skin or eyes turning yellow
  • Flu-like signs
  • Purple spots or bruises under the skin
  • Rapid heart rate
  • Urine that is cloudy, discoloured, or bloody
  • Back ache
  • Uncomfortable or challenging urinating
  • Less urinations
  • Reduced appetite
  • Confusion

Other negative effects of naproxen may occur. If you experience any strange issues while taking this medicine, contact your doctor right away.

You or your physician can contact the Food and Drug Administration (FDA) MedWatch Adverse Event Reporting programme by phone or online to report a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Store it away from excessive heat and moisture at room temperature (not in the bathroom).

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at http://goo.gl/c4Rm4p for additional information.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

  • Extreme fatigue
  • Drowsiness
  • Abdominal pain
  • Heartburn
  • Nausea
  • Vomiting
  • Slow or challenging breathing

What other information should I know?

Inform the lab staff and your doctor that you are taking naproxen prior to any laboratory test.

Do not give anyone else your prescription naproxen if you are using it. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Aleve®
  • Anaprox®
  • Anaprox® DS
  • EC-Naprosyn®
  • Flanax®
  • Naprelan®
  • Naprosyn®
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