specific rotation sodium naproxen

What is the most important information I should know about naproxen?
• Take naproxen with food, milk, or an antacid to lessen stomach upset specific rotation sodium naproxen.
• Do not crush or chew any extended-release forms of naproxen specific rotation sodium naproxen. Swallowthem whole specific rotation sodium naproxen. They are specially formulated to release slowly in your body specific rotation sodium naproxen. Askyour pharmacist if you do not know if you have an extended-release formulation specific rotation sodium naproxen.
• Watch for bloody, black, or tarry stools or blood in your vomit specific rotation sodium naproxen. Thesesymptoms could indicate damage to your gastrointestinal tract specific rotation sodium naproxen.
• If you drink more than three alcoholic beverages a day, naproxen mayincrease the risk of stomach bleeding specific rotation sodium naproxen.
• Use caution when driving, operating machinery, or performing other hazardousactivities specific rotation sodium naproxen. Naproxen may cause dizziness specific rotation sodium naproxen. If you experience dizziness, avoidthese activities specific rotation sodium naproxen.

What is naproxen?
• Naproxen is in a class of drugs called nonsteroidal anti-inflammatorydrugs (NSAIDs) specific rotation sodium naproxen.
• Naproxen works by reducing hormones that cause inflammation and painin the body specific rotation sodium naproxen. Naproxen is used to reduce pain, inflammation, and stiffness causedby many conditions, such as osteoarthritis, rheumatoid arthritis, gout, ankylosingspondylitis, injury, abdominal cramps associated with menstruation, tendinitis,and bursitis specific rotation sodium naproxen.
• Naproxen may also be used for purposes other than those listed in thismedication guide specific rotation sodium naproxen.

Who should not take naproxen?
• Before taking this medication, tell your doctor if you
· have an allergy to aspirin or any other NSAIDs,
· have an ulcer or bleeding in your stomach,
· drink more than three alcoholic beverages a day,
· have liver disease,
· have kidney disease,
· have a coagulation (bleeding) disorder,
· have congestive heart failure,
· have fluid retention,
· have heart disease, or
· have high blood pressure specific rotation sodium naproxen.
• You may not be able to take naproxen, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove specific rotation sodium naproxen.
• Naproxen is in the FDA pregnancy category B specific rotation sodium naproxen. This means that it is unlikelyto harm an unborn baby specific rotation sodium naproxen. Naproxen should not be taken late in pregnancy (thethird trimester) because a similar drug is known to affect the baby's heart specific rotation sodium naproxen. Do not take naproxen without first talking to your doctor if you are pregnant specific rotation sodium naproxen.
• Naproxen passes into breast milk and may harm a nursing infant specific rotation sodium naproxen. Do nottake this medicine without first talking to your doctor if you are breast-feedinga baby specific rotation sodium naproxen.

How should I take naproxen?
• Take naproxen exactly as directed by your doctor specific rotation sodium naproxen. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou specific rotation sodium naproxen.
• Take each dose with a full glass of water specific rotation sodium naproxen.
• Take naproxen with milk, food, or an antacid to lessen stomach upset specific rotation sodium naproxen.
• Do not crush or chew any extended-release forms of naproxen specific rotation sodium naproxen. Swallowthem whole specific rotation sodium naproxen. These are specially formulated to release slowly in your body specific rotation sodium naproxen. Askyour pharmacist if you do not know if you have an extended release formulation specific rotation sodium naproxen.
• To ensure that you get a correct dose, measure the liquid form of naproxenwith a special dose-measuring spoon or cup, not with a regular tablespoon specific rotation sodium naproxen. Ifyou do not have a dose-measuring device, ask your pharmacist where you can getone specific rotation sodium naproxen. Shake the suspension well
• Store naproxen at room temperature away from moisture and heat specific rotation sodium naproxen.

What happens if I miss a dose?
• Take the missed dose as soon as you remember up to 2 hours late specific rotation sodium naproxen. If morethan 2 hours have passed since the missed dose, skip it and take only your nextregularly scheduled dose specific rotation sodium naproxen. Do not take a double dose specific rotation sodium naproxen.

What happens if I overdose?
• Seek emergency medical attention specific rotation sodium naproxen.
• Symptoms of a naproxen overdose include nausea, vomiting, stomach pain,dizziness, drowsiness, headache, ringing in the ears, blurred vision, seizures,sweating, numbness or tingling, little or no urine production, and slow breathing specific rotation sodium naproxen.

What should I avoid while taking naproxen?
• Avoid prolonged exposure to sunlight specific rotation sodium naproxen. Naproxen may increase the sensitivityof your skin to sunlight specific rotation sodium naproxen. Use a sunscreen and wear protective clothing whenexposure to the sun is unavoidable specific rotation sodium naproxen.
• Use caution when driving, operating machinery, or performing other hazardousactivities specific rotation sodium naproxen. Naproxen may cause dizziness specific rotation sodium naproxen. If you experience dizziness, avoidthese activities specific rotation sodium naproxen.
• If you drink more than three alcoholic beverages a day, naproxen mayincrease the risk of stomach bleeding specific rotation sodium naproxen.

What are the possible side effects of naproxen?
• If you experience any of the following serious side effects, stop takingnaproxen and seek medical treatment or call your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· muscle cramps, numbness, or tingling;
· ulcers (open sores) in the mouth;
· rapid weight gain (fluid retention);
· seizures;
· black, bloody, or tarry stools;
· blood in your urine or vomit;
· decreased hearing or ringing in the ears;
· yellowing of your skin or eyes (jaundice); or
· abdominal cramping, heartburn, or indigestion specific rotation sodium naproxen.
• Other, less serious side effects may be more likely to occur specific rotation sodium naproxen. Continueto take naproxen and talk to your doctor if you experience
· dizziness or headache;
· nausea, gaseousness, diarrhea, or constipation;
· depression;
· fatigue or weakness;
· dry mouth; or
· irregular menstrual periods specific rotation sodium naproxen.
• Side effects other than those listed here may also occur specific rotation sodium naproxen. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome specific rotation sodium naproxen.

What other drugs will affect naproxen?
• Other prescription and over-the-counter drugs may increase the effectsof naproxen and cause dangerous side effects specific rotation sodium naproxen. Tell your doctor if you are takingany of the following drugs:
· other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen(Motrin, Rufen, others), ketoprofen (Orudis, Orudis KT, Oruvail);
· other commonly used NSAIDs, including diclofenac (Voltaren, Cataflam),etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), indomethacin(Indocin), ketorolac (Toradol), nabumetone (Relafen), oxaprozin (Daypro), piroxicam(Feldene), sulindac (Clinoril), or tolmetin (Tolectin);
· aspirin and other salicylates (forms of aspirin) such as salsalate(Disalcid), choline salicylate, and magnesium salicylate (watch the aspirincontent of other over-the-counter products such as cough, cold, and allergymedicines);
· diuretics (water pills) such as hydrochlorothiazide (HCTZ, Hydrodiuril,others), chlorothiazide (Diuril, others), chlorthalidone (Thalitone), bumetanide(Bumex), ethacrynic acid (Edecrin), furosemide (Lasix), spironolactone (Aldactone),and amiloride (Midamor);
· anticoagulants such as warfarin (Coumadin);
· steroids such as prednisone (Deltasone);
· alcohol;
· oral antidiabetic drugs such as glipizide (Glucotrol) and glyburide(Micronase, Diabeta);
· lithium (Eskalith, Lithobid, others);
· cyclosporine (Sandimmune, Neoral); or
· bismuth subsalicylate in drugs such as Pepto-Bismol specific rotation sodium naproxen.
• Naproxen can also decrease the effects of other drugs, such as
· angiotensin-converting-enzyme (ACE) inhibitors, used to treat highblood pressure and other conditions, such as benazepril (Lotensin) and captopril(Capoten);
· other commonly used ACE inhibitors, including enalapril (Vasotec),fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc),quinapril (Accupril), and ramipril (Altace); and
· beta-blockers, used to treat high blood pressure and other conditions,such as acebutolol (Sectral), metoprolol (Lopressor), propranolol (Inderal),atenolol (Tenormin), and carteolol (Cartrol) specific rotation sodium naproxen.
• Talk to your doctor before taking naproxen if you are taking any of themedicines listed above specific rotation sodium naproxen.
• Drugs other than those listed here may also interact with naproxen specific rotation sodium naproxen. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines specific rotation sodium naproxen.

Where can I get more information?
• Your pharmacist has additional information about naproxen written forhealth professionals that you may read specific rotation sodium naproxen.

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