Naprotex 500 mg 10 tablets

Naproxen 500 mg tablets:

What is the use of Naproxen:

• Naproxen tablets are used to treat:
• Joint diseases such as rheumatoid arthritis (including children), osteoarthritis, ankylosing spondylitis
• Naproxen cannot cure arthritis but is used to relieve some symptoms such as swelling, stiffness, and joint pain
• Gout attacks.
• Musculoskeletal disorders.
• Menstrual pain.

How to take naproxen:

• Adults: 
• Rheumatoid arthritis, osteoarthritis and ankylosing spondylitis: 500 mg - 1 g daily in two doses, 12 hours apart.
• Gout attack: Initially 750 mg as a single dose, then 250 mg every 8 hours until the attack ends.
• Musculoskeletal disorders and menstrual pain: Initially 500 mg as a single dose, then 250 mg every 6-8 hours as necessary.
• Children and adolescents Children over 5 years of age for rheumatoid arthritis: 10 mg per kilogram of body weight per day
• Take with or after food.
• Avoid alcohol while taking naproxen.

Do not take naproxen:

• Hypersensitivity to naproxen
• You are in the last three months of pregnancy or if you are breastfeeding.
• You are allergic to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), or you have developed signs of asthma, runny nose, skin swelling, or rash when taking these drugs.
• You have or have had ulcers in the stomach or intestines, bleeding in the stomach or intestines (gastrointestinal bleeding) or have had two or more episodes of peptic ulcers or perforation.
• You have severe liver, kidney or heart failure.

Warnings and precautions:

• Talk to your doctor or pharmacist before taking naproxen tablets if:
• Uses of other nonsteroidal anti-inflammatory drugs (NSAIDs) or any drug that may cause stomach bleeding or ulcers
• You have a history of gastrointestinal disease, eg ulcerative colitis, Crohn's disease
• smoke or drink alcohol
• You have high blood pressure or any liver, kidney or heart problems
• Has bronchial asthma or other breathing problems 
• Systemic lupus erythematosus or other connective tissue disorders
• You have a blood clotting disorder.
• A woman trying to get pregnant or undergoing infertility testing

Possible side effects: 

• Headache
• Dizziness
• Fatigue

Other medications and naproxen:

• Tell your doctor or pharmacist about all the medications you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
• Tell your doctor if you are taking any of the following medications:
• Aspirin/acetylsalicylic acid to prevent blood clots
• Other NSAIDs such as COX II inhibitors
• Medicines that prevent blood clotting (such as heparin or warfarin)
• Corticosteroids (such as prednisolone), if necessary. The doctor will slowly reduce the steroid dose and monitor for side effects.
• Diuretics ("water tablets") (eg furosemide)
• Medicines used to treat high blood pressure (such as captopril, ramipril, propranolol, losartan, or candesartan)
• Cyclosporine or tacrolimus
• Mifepristone - Do not take NSAIDs after 8-12 days of taking mifepristone.
• SSRI antidepressants (paroxetine, escitalopram, fluoxetine)
• Zidovudine
• Quinolones (such as ciprofloxacin)
• probenecid
• Methotrexate
• Bisphosphonates
• Cholestyramine (take naproxen 1 hour before or 4 to 6 hours after cholestyramine to avoid interfering with absorption)
• lithium
• Hydantoins (such as phenytoin)
• Sulfonamides (eg, sulfamethoxazole)
• Sulfonylureas (such as glibenclamide or gliclazide)
• Cardiac glycosides (eg, digoxin).