Naprox Gel 10 gm/100 gm

NSAID painkiller and anti-inflammatory for:

• Rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, juvenile arthritis
• Acute gout
• Musculoskeletal pain: sprains, strains, back pain, tendinitis, bursitis
• Period pain, headache, dental pain, pain after minor surgery

Adults:

• Arthritis: 500 mg–1 g daily in 2 divided doses (maximum 1.5 g/day for short periods).
• Acute pain / period pain: 500 mg first, then 250 mg every 6–8 hours; maximum 1.25 g on day 1, then 1 g/day.
• Acute gout: 750 mg first, then 250 mg every 8 hours until the attack passes.

Children (over 5 years, juvenile arthritis): 10 mg/kg/day in 2 divided doses, as prescribed.

• Take with or after food; use the lowest effective dose for the shortest time.

• Allergy to naproxen, aspirin or other NSAIDs (asthma, hives, rhinitis)
• Active or past peptic ulcer or GI bleeding
• Severe heart failure, severe kidney or liver failure
• Last 3 months of pregnancy

Common: indigestion, heartburn, nausea, stomach pain, constipation, headache, dizziness, drowsiness, fluid retention, ringing in ears.

Less common: rash, itching, high blood pressure.

Serious: stomach ulcers and bleeding, kidney damage, heart attack and stroke (risk with high doses/long use), severe allergy, liver problems, aseptic meningitis (rare).

• Elderly people and those on steroids, blood thinners or SSRIs have higher bleeding risk — a stomach protector may be needed.
• Caution in high blood pressure, heart disease, kidney or liver disease, asthma.
• Stay hydrated.

Avoid in the first 6 months unless advised; contraindicated in the last 3 months. Small amounts pass into breast milk — short-term use may be acceptable; ibuprofen is often preferred.

• Other NSAIDs, aspirin, anticoagulants, antiplatelets, SSRIs (bleeding)
• ACE inhibitors, ARBs, diuretics (kidney risk, less BP control)
• Lithium, methotrexate (toxicity)
• Corticosteroids (ulcers)
• Probenecid (raises naproxen levels)

Stomach pain, nausea, vomiting, drowsiness, heartburn; rarely bleeding, kidney failure, seizures. Seek medical help.

Store below 30°C, dry.