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What is naproxen and why is it given? Note: It is okay to use acetaminophen When should I call or see my doctor? Naproxen is a non-steroidal anti-inflammatory (Tylenol®) along with naproxen. Please call your rheumatologist, pediatrician or drug (NSAID). It is commonly used to treat pain and swelling in arthritis. It may also be used to treat fever, backache, headache, and menstrual cramps. How does it work? Naproxen works by reducing inflammation, which results in less pain and swelling in arthritis. How long does it take to work? Taken regularly, naproxen may show some effect at 4 weeks. However, it can take up to 8 weeks to see the full benefit. How should naproxen be taken? your family doctor if you notice any of these side Drugs to avoid when taking naproxen: Avoid using any other NSAID medicines such as: aspirin (ASA®), ibuprofen (Advil®, Motrin®, or Midol®), celecoxib (Celebrex®), indomethacin (Indocid®), diclofenac (Voltaren®) or naproxen (Aleve®, Anaprox®, Naprelan®, or Naprosyn®). Avoid using blood thinners such as warfarin (Coumadin®). Always check with your pharmacist about other medications you may be using while on naproxen. Don’t use naproxen if you have an allergy to aspirin or any other NSAID. Tell your doctor if you have a breathing condition called asthma. Naproxen should be taken with food or milk so it doesn’t upset your stomach. Store both liquid and tablets in a cool, dry area at room temperature. Goals of therapy: • Decrease swelling and inflammation • Increase range of motion • Reduce pain and stiffness • Improve daily activities of living such as sports, gym class and hobbies Urgent: Bloody/black bowel movements or vomit appearing to contain blood or “coffee grounds” could signal bleeding from the bowel. This may be accompanied by severe/persistent abdominal pain. Seek urgent medical attention. Less urgent: 1) Persistent nausea, vomiting, stomach pain or heartburn 2) Decreased appetite 3) Continuous constipation 4) Blistering or poor healing of skin on the face 5) Puffy lower legs and feet What are the common side effects? If using the liquid form of naproxen, shake well before measuring the dose. effects: • Mild nausea • Stomach pain • Heartburn • Constipation • Easy bruising Rheumatologists: Dr. Adam Huber Dr. Bianca Lang Dr. Suzanne Ramsey Dr. Elizabeth Stringer Naproxen: Clinic Nurses: A Patient / Family Guide Monday-Friday Andrea or Lynne 902-470-8913 IWK Switchboard: Local tel. #: 902-470-8888 Toll free: 1-888-470-5888 (Ask for Rheumatologist on call) IWK Rheumatology, Halifax, N.S. PL-0793 Last Update: 04/13 Next Review: April 2016 Division of Rheumatology IWK Health Centre 5850 / 5980 University Ave Halifax, N.S.