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Naproxen: Uses, Side Effects, Dosing, and Safety

Published: July 22, 2026Updated: July 22, 2026

Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) available over the counter and by prescription. It is used to relieve pain, inflammation, fever, and stiffness from conditions such as arthritis, muscle injuries, menstrual cramps, and gout. Naproxen is not suitable for everyone, so check with a doctor or pharmacist before using it.

Quick summary

Naproxen can help control pain and inflammation, but it may increase the risk of stomach bleeding, kidney problems, heart events, and allergic reactions. Use the lowest effective dose for the shortest time and ask a doctor or pharmacist for personal advice.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 22, 2026Editorial policy

Key facts at a glance

ATC
M01AE02
Generic
Naproxen
Class
nsaid
Brands
Aleve, Naprosyn
Availability
behind_counter
Pregnancy
C
Lactation
caution
Half-life (h)
14
Onset (min)
60
Duration (h)
12
Routes
oral, topical
Forms
tablet, gel
Regions
CN, US, EU, JP
Monitoring
gastrointestinal, renal-function, cardiovascular

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose of 10 grams or more may cause serious toxicity and potentially life-threatening complications
Chronic overdose: Long-term use exceeding recommended doses can lead to cumulative toxicity affecting kidneys and liver
Immediate actions
Gastric lavage within 1-2 hours of ingestion, activated charcoal, supportive care, intravenous fluids
Antidote
No specific antidote exists(Supportive care is primary treatment; early intervention improves outcomes)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; do not use in late pregnancy

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
contraindicated
FDA Category
D
Dose Adjustment

avoid completely

Key Recommendations

do not use in third trimester due to risk of premature closure of ductus arteriosus

Monitor

fetal ultrasound monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

lactation

nursing infant
caution
FDA Category
N
Dose Adjustment

minimal adjustment needed

Key Recommendations

short-term use acceptable; monitor infant for GI symptoms

Monitor

observe infant for unusual drowsiness or GI disturbances

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly over 65
caution
FDA Category
N
Dose Adjustment

use lowest effective dose for shortest duration

Key Recommendations

start with 220mg once daily; monitor for GI bleeding, renal function, and cardiovascular events

Monitor

regular monitoring of renal function, CBC, and GI symptoms

Use with caution and monitor for adverse effects.

✓

pediatric_age

children 2 12 years
safe
FDA Category
N
Dose Adjustment

weight-based dosing required

Key Recommendations

5-7mg/kg every 8-12 hours; do not exceed 20mg/kg/day

Monitor

monitor for GI symptoms and renal function with prolonged use

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose; avoid in severe impairment

Key Recommendations

use with caution; avoid in severe renal impairment (CrCl <30ml/min)

Monitor

monitor renal function (creatinine, BUN) regularly

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid completely

Key Recommendations

do not use in patients with severe renal impairment (CrCl <30ml/min)

Monitor

avoid; monitor renal function if use is absolutely necessary

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose if needed

Key Recommendations

use with caution; may increase risk of hepatotoxicity

Monitor

regular liver function tests (ALT, AST, bilirubin)

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1990s

General prescribing information for Naproxen as both prescription and OTC formulation

drug_classWHO
2023

Drug class

Value:NSAID (Non-Steroidal Anti-Inflammatory Drug)

Drug class information for Naproxen under M01AE02

usageMedical guidelines
2023

Common uses

Value:Pain relief, inflammation, fever reduction

Common therapeutic uses including arthritis, menstrual cramps, and musculoskeletal pain

mechanismFDA
2023

Mechanism of action

Value:COX-1 and COX-2 enzyme inhibitor

Primary pharmacological mechanism of action

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 22, 2026. · Read our editorial policy