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  • Aleve
    (Naproxen Sodium) - Bayer Healthcare

    THERAPEUTIC CLASS

    NSAID

    DEA CLASS

    OTC

    INDICATIONS

    Temporary relief of minor aches and pains due to arthritis, muscular aches, backache, menstrual cramps, headache, toothache, and the common cold. Temporary reduction of fever.

    ADULT DOSAGE

    Adults: Usual: 220mg q8-12h while symptoms last. May take 440mg within the 1st hr as 1st dose. Max: 440mg in any 8-12 hr period or 660mg/24 hrs. Use smallest effective dose.

    PEDIATRIC DOSAGE

    Pediatrics: ≥12 yrs: Usual: 220mg q8-12h while symptoms last. May take 440mg within the 1st hr as 1st dose. Max: 440mg in any 8-12 hr period or 660mg/24 hrs. Use smallest effective dose.

    HOW SUPPLIED

    Cap, Tab: 220mg

    WARNINGS/PRECAUTIONS

    May cause severe allergic reactions, especially in people allergic to aspirin (ASA); d/c if allergic reactions occur. May cause severe stomach bleeding; increased risk with ≥60 yrs, history of stomach ulcer or bleeding problems, and if taking more or longer than directed. Avoid with history of allergic reaction to any other pain reliever/fever reducer, and right before or after heart surgery. Caution with risk for stomach bleeding, history of stomach problems (eg, heartburn), high BP, heart or kidney disease, liver cirrhosis, asthma, any serious conditions, problems or serious side effects with pain relievers or fever reducers, or if taking a diuretic. May increase risk of heart attack or stroke if used more or for longer than directed. D/C if signs of stomach bleeding develop, fever worsens or lasts >3 days, pain worsens or lasts >10 days, redness or swelling is present in the painful area, or if have difficulty swallowing or feeling of pill stuck in throat, or if any new symptoms appear. Each cap/tab contains 20mg of Na.

    ADVERSE REACTIONS

    Allergic reactions (eg, hives, facial swelling, asthma, shock, skin reddening, rash, blisters), stomach bleeding.

    DRUG INTERACTIONS

    Blood thinning (anticoagulant) or steroid drugs, other drugs containing NSAIDs (eg, ASA, ibuprofen, naproxen), or ≥3 alcoholic drinks/day may increase risk of stomach bleeding.

    PREGNANCY

    Safety not known in pregnancy/nursing.

    MECHANISM OF ACTION

    NSAID.

    ASSESSMENT

    Assess for hypersensitivity to drug and its components, history of allergic reaction to ASA or other pain reliever/fever reducer, risk of stomach bleeding, history of stomach problems, high BP, heart/kidney disease, liver cirrhosis, asthma, pregnancy/nursing status, and possible drug interactions. Assess for history of/plans for heart surgery.

    MONITORING

    Monitor for signs/symptoms of allergic reaction and stomach bleeding, and worsening of condition. Monitor for response to treatment.

    PATIENT COUNSELING

    Instruct to drink full glass of water with each dose and take with food or milk if stomach upset occurs. Counsel to d/c and contact physician if signs/symptoms of allergic reaction, or stomach bleeding (eg, faintness, vomit blood, bloody/black stools, stomach pain that does not get better) develop, if pain gets worse or lasts >10 days and fever gets worse or lasts >3 days, redness or swelling is present in the painful area, or if have difficulty swallowing or feeling of pill stuck in throat, or if any new symptoms appear. Instruct to ask a doctor before use if have risk for stomach bleeding, history of stomach problems, high BP, heart/kidney disease, liver cirrhosis, asthma, any serious conditions, problems or serious side effects with pain relievers or fever reducers, or if taking a diuretic or any other drug. Advise not to use during the last 3 months of pregnancy unless directed. Instruct not to take more than directed.

    ADMINISTRATION/STORAGE

    Administration: Oral route. Drink a full glass of water with each dose. Take with food or milk if stomach upset occurs. Storage: 20-25oC (68-77oF). Avoid high humidity and excessive heat >40oC (>104oF).