Naproxen
FULL PRESCRIBING INFORMATION: CONTENTS*
- BOXED WARNING
- NAPROXEN DESCRIPTION
- CLINICAL PHARMACOLOGY
- CLINICAL STUDIES
- INDICATIONS & USAGE
- NAPROXEN CONTRAINDICATIONS
- WARNINGS
- PRECAUTIONS
- INFORMATION FOR PATIENTS
- LABORATORY TESTS
- DRUG INTERACTIONS
- DRUG & OR LABORATORY TEST INTERACTIONS
- CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY
- PREGNANCY
- LABOR & DELIVERY
- NURSING MOTHERS
- PEDIATRIC USE
- GERIATRIC USE
- NAPROXEN ADVERSE REACTIONS
- OVERDOSAGE
- DOSAGE & ADMINISTRATION
- HOW SUPPLIED
- STORAGE AND HANDLING
- SPL MEDGUIDE
- PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
FULL PRESCRIBING INFORMATION
BOXED WARNING
Cardiovascular Risk-
● NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fate. This risk may increase with duration of use. Patient with cardiovascular disease or risk factor for cardiovascular disease may be at great risk (seeWARNINGS).
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● Naproxen as Naproxen Tablets, USP is contraindicated for the treatment of peri0operative pain in the setting of coronary artery bypass graft (CABG) surgery (seeWARNINGS).
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● NSAIDs cause increased risk of serious gastrointestinal adverse event including, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients are at greater risk for serious gastrointestinal events (seeWARNINGS).
NAPROXEN DESCRIPTION
CLINICAL PHARMACOLOGY
PharmacodynamicsPharmacokinetics
Absorption
PRECAUTIONS: Nursing Mothers
WARNINGS: Renal Effects
WARNINGS: Renal Effects
CLINICAL STUDIES
General InformationGeriatric Patients
INDICATIONS & USAGE
WARNINGS-
● For the relief of the signs and symptoms of rheumatoid arthritis
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● For the relief of the signs and symptoms of osteoarthritis
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● For the relief of the signs and symptoms of ankylosing spondylitis
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● For the relief of the signs and symptoms of juvenile arthritis
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● For relief of the signs and symptoms of tendonitis
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● For relief of the signs and symptoms of bursitis
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● For relief of the signs and symptoms of acute gout
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● For the management of pain
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● For the management of primary dysmenorrhea
NAPROXEN CONTRAINDICATIONS
WARNINGS: Anaphylactoid ReactionsPRECAUTIONS: Preexisting Asthma
WARNINGS
WARNINGS
CARDIOVASCULAR EFFECTSGastrointestinal Effects - Risk of Ulceration, Bleeding, and Perforation
CONTRAINDICATIONS
Gastrointestinal Effects- Risk of Ulceration, Bleeding, and Perforation
Renal Effects
WARNINGS: Advanced Renal Disease
Advanced Renal Disease
Anaphylactoid Reactions
CONTRAINDICATIONSPRECAUTIONS: Preexisting Asthma
Skin Reactions
Pregnancy
PRECAUTIONS
GeneralNaproxen-containing products such as Naproxen Tablets, USP, and other naproxen products should not be used concomitantly since they all circulate in the plasma as the naproxen anion.
Hepatic Effects
Hematological Effects
Preexisting Asthma
INFORMATION FOR PATIENTS
Patients should be informed of the following information before initiating therapy with an NSAID and periodically during the course of ongoing therapy. Patients should also be encouraged to read the NSAID Medication Guide that accompanies each prescription dispensed.WARNINGS: Cardiovascular Effects
WARNINGS: Gastrointestinal Effects- Risk of Ulceration, Bleeding, and Perforation
WARNINGS
LABORATORY TESTS
DRUG INTERACTIONS
WARNINGS: Renal Effects
Other Information Concerning Drug Interactions
DRUG & OR LABORATORY TEST INTERACTIONS
CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY
PREGNANCY
LABOR & DELIVERY
NURSING MOTHERS
PEDIATRIC USE
GERIATRIC USE
WARNINGS
WARNINGS: Renal Effects
NAPROXEN ADVERSE REACTIONS
CLINICAL PHARMACOLOGY
Gastrointestinal (GI) Experiences, including:
Central Nervous System:
Dermatologic:
Special Senses:
Cardiovascular:
General:
Gastrointestinal (GI) Experiences, including:
General:
Body as a Whole:
Cardiovascular:
Gastrointestinal:
Hepatobiliary:
Hemic and Lymphatic:
Metabolic and Nutritional:
Nervous System:
Respiratory:
Dermatologic:
Special Senses:
Urogenital:
Reproduction (female):
Body as a Whole:
Cardiovascular:
Gastrointestinal:
Hepatobiliary:
Hemic and Lymphatic:
Metabolic and Nutritional:
Nervous System:
Respiratory:
Dermatologic:
Special Senses:
Urogenital:
OVERDOSAGE
DOSAGE & ADMINISTRATION
WARNINGSDifferent dose strengths and formulations (i.e., tablets, suspension) of the drug are not necessarily bioequivalent. This difference should be taken into consideration when changing formulation.
WARNINGSPRECAUTIONS
Geriatric Patients
Patients With Moderate to Severe Renal Impairment
WARNINGS: Renal Effects
Rheumatoid Arthritis, Osteoarthritis and Ankylosing Spondylitis
CLINICAL PHARMACOLOGY
Acute Gout
HOW SUPPLIED
STORAGE AND HANDLING
SPL MEDGUIDE
Medication Guidefor
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
What is the most important information I should know about medicines called
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?
NSAID medicines may increase the chance of a heart attack or stroke that can lead to death.
NSAID medicines should never be used right before or after a heart surgery called a
coronary artery bypass graft (CABG).
NSAID medicines can cause ulcers and bleeding in the stomach and intestines at any
time during treatment. Ulcers and bleeding:
The chance of a person getting an ulcer or bleeding increases with:
NSAID medicines should only be used:
What are Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?
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● different types of arthritis
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● menstrual cramps and other types of short-term pain
Do not take an NSAID medicine:
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● if you had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine
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● for pain right before or after heart bypass surgery
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● about all of your medical conditions.
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● about all of the medicines you take. NSAIDs and some other medicines can interact with each other and cause serious side effects.Keep a list of your medicines to show to your healthcare provider and pharmacist.
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● if you are pregnant.NSAID medicines should not be used by pregnant women late in their pregnancy.
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● if you are breastfeeding.Talk to your doctor.
Get emergency help right away if you have any of the following symptoms:
Stop your NSAID medicine and call your healthcare provider right away if you have any of the following symptoms:
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Other information about Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
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● Aspirin is an NSAID medicine but it does not increase the chance of a heart attack. Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines.
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● Some of these NSAID medicines are sold in lower doses without a prescription (overthe-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days.
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
NaproxenNaproxen TABLET
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PLEASE, BE CAREFUL!
Be sure to consult your doctor before taking any medication!