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S06153 Naproxen Tablets Leaflet.Cdr PACKAGE LEAFLET: INFORMATION FOR THE USER Naproxen Tablets BP 250 mg Naproxen Tablets BP 500 mg naproxen Read all of this leaflet carefully before you Other medicines and Naproxen Tablets start taking this medicine because it contains Tell your doctor or pharmacist if you are taking or important information for you. have recently taken any other medicines. This - Keep this leaflet. You may need to read it includes medicines that you buy without a again. prescription and herbal medicines. In particular, tell - If you have any further questions, ask your your doctor or pharmacist if you are taking: doctor or pharmacist. • other pain killers, like aspirin, ibuprofen, - This medicine has been prescribed for you diclofenac and paracetamol only. Do not pass it on to others. It may • medicines that prevent blood clotting such harm them, even if their signs of illness are as aspirin/acetylsalicylic acid, warfarin, heparin, the same as yours. clopidogrel or ticlopidine. - If you get any side effects, talk to your doctor • diuretics (water tablets) such as furosemide or pharmacist. This includes any side effects • medicines to treat high blood pressure such as not listed in this leaflet. See section 4. propranolol, enalapril, cilazapril • a ‘cardiac glycoside’ used to treat heart problems, What is in this leaflet: such as digoxin 1. What Naproxen Tablets are and what they are • a steroid used to treat swelling and inflammation, used for like hydrocortisone, prednisolone and 2. What you need to know before you take dexamethasone Naproxen Tablets • probenecid, a medicine to treat gout 3. How to take Naproxen Tablets • certain medicines used to treat mental illness, 4. Possible side effects such as lithium or 'SSRIs' like fluoxetine or 5. How to store Naproxen Tablets citalopram 6. Contents of the pack and other information • medicines used to treat epilepsy, such as phenytoin and hydantoin 1. What Naproxen Tablets are and what they • An 'ACE inhibitor' or any other medicine for high are used for blood pressure like cilazapril, enalapril or Naproxen Tablets contain a medicine called propranolol. naproxen. This is a 'Non Steroidal Anti • sulfonamide medicines, like hydrochlorothiazide, Inflammatory Drug' or NSAID. acetazolamide, indapamide and sulfonamide Naproxen Tablets can lessen pain, swelling, antibiotics used to treat infections redness and heat (inflammation) and is used to • a ‘quinolone antibiotic’ used to treat infections, treat adults for: such as ciprofloxacin or moxifloxacin • Problems with your muscles, joints and • A sulfonylurea (for diabetes), like glimepiride or tendons, like strains, gout, ankylosing glipizide spondylitis (pain and stiffness in the neck and • An angiotensin-II receptor antagonist, like back) or arthritis. candesartan, eprosartan or losartan. • Women, while having period pain. It can also • ciclosporin or tacrolimus, medicines used to be used in children over 5 years with prevent transplant rejection after surgery rheumatoid arthritis. • methotrexate, a medicine used to treat skin conditions, rheumatoid arthritis and cancer 2. What you need to know before you take • colestyramine, a medicine used to reduce Naproxen Tablets cholesterol DO NOT take Naproxen Tablets • zidovudine, a medicine used to treat AIDS and • if you are allergic (hypersensitive) to HIV infections naproxen or any of the other • mifepristone, a medicine used to end pregnancy ingredients of Naproxen Tablets (listed in or to bring on labour if the baby has died. section 6) If any of the above apply to you, or if you are not • if you are allergic to or have ever had a sure, talk to your doctor or pharmacist before you reaction to aspirin or another NSAID (non- take Naproxen Tablets. Please note that the above steroidal anti-inflammatory drug) such as medicines may be known to you by other names, ibuprofen, diclofenac or meloxicam often the brand names. In this section only the active • if you have a stomach ulcer or if you ingredient or therapeutic group of the medicine is often get stomach ulcers given, and not the brand name. Always thoroughly • if you have a duodenal ulcer (in the first part check the pack and information leaflet of the of the small intestine) or if you often get medicines you are already using for the active duodenal ulcers ingredient or therapeutic group of that medicine. • if you have serious liver or kidney disease • if you are suffering or have ever suffered from It may still be all right for you to take Naproxen bleeding in the stomach or intestines while tablets and your doctor will be able to decide what is taking NSAIDs suitable for you. • if you are more than 6 months pregnant or if you are breast-feeding (see section 2 Pregnancy, breast-feeding and fertility “Pregnancy and breast-feeding") • Do not take Naproxen if you are in the last three • if you have severe heart failure. months of pregnancy, as it can harm your baby. • If you are pregnant or breast-feeding, think you Do not take Naproxen if any of the above apply to may be pregnant or are planning to have a baby, you. If you are not sure, talk to your doctor or ask your doctor or pharmacist for advice before pharmacist before taking Naproxen. taking this medicine. Warnings and precautions: • Naproxen may make it more difficult to become Talk to your doctor or pharmacist before taking pregnant. You should tell your doctor if you are Naproxen Tablets if you: planning to become pregnant or if you have • have heart problems, have previously had a problems becoming pregnant. stroke or think that you might be at risk of Driving and using machines these conditions (for example if you have high Naproxen may make you tired, drowsy, dizzy, have blood pressure, diabetes or high cholesterol problems with your eyesight and balance, depressed or are a smoker) or have difficulty sleeping. Talk to your doctor if any • have problems with how your blood clots of these happen to you and do not drive or use any • have ever had asthma or allergies (like tools or machines. hayfever) or have had swelling of the face, lips, eyes or tongue in the past. Naproxen Tablets contain lactose • A feeling of weakness (perhaps because of an If you have been told by your doctor that you have an illness) or you are an older person. intolerance to some sugars, contact your doctor • Lumps in your nose (polyps) or you sneeze a before taking this medicinal product. lot or have a runny, blocked, or itchy nose (rhinitis). Naproxen Tablets contain sodium This medicine contains less than 1 mmol sodium • Problems with the blood vessels (arteries) (23 mg) per tablet, that is to say essentially 'sodium- anywhere in your body. suffer from localised free'. swelling, high blood pressure or heart failure • have too much fat (lipid) in your blood 3. How to take Naproxen Tablets (hyperlipidaemia) • have problems with your kidneys or liver Always take Naproxen Tablets exactly as your doctor has told you. Medicines such as Naproxen Tablets • have an autoimmune condition, such as may be linked with a small increased risk of heart ‘systemic lupus erythematosus’ that causes attack or stroke. Any risk is more likely with higher joint pain, skin rashes and fever doses and long term treatment. Do not take more • have colitis or Crohn's disease, the symptoms than the recommended dose or exceed the length are inflammation of the bowel, bowel pain, of the treatment. Check with your doctor or diarrhoea, vomiting and weight loss. pharmacist if you are not sure. If you are elderly you may have an increased risk of side effects. Tell your doctor immediately if Method of administration: you suffer with any unusual symptoms of the Naproxen Tablets should be swallowed whole with a stomach or bowel. glass of water, with or after food. Take your tablets at the same time each day. If any of the above applies to you, or if you are You should make sure that you have enough to drink not sure, talk to your doctor or pharmacist before you take Naproxen Tablets. (stay well hydrated) when you are taking Naproxen. This is particularly important for people who have problems with their kidneys. P15XXXXX Black While you are taking Naproxen Other possible side effects: Tablets your doctor will want to • heartburn, indigestion, constipation, stomach see you to check you are on ache, feeling sick or being sick, gaseous bowels the right dose for you and look • blood problems, like anaemia or changes to the for any side effects. This is numbers of white blood cells particularly important if you are • high levels of blood potassium which can cause elderly. abnormal heart rhythm • difficulty sleeping or changes in your patterns of The recommended doses are: dreaming Adults Muscle, joint or • depression tendon problems and period • confusion or seeing and possibly hearing things pain that are not there (hallucinations) The usual starting dose is • headache 500 mg, followed by one • fits or seizures, feeling dizzy, light-headed or 250 mg tablet every 6 to 8 sleepy hours as needed. • pins and needles or numbness of your hands and feet Arthritis and ankylosing spondylitis • difficulty with your memory or concentration The usual dose is between 500 mg and 1000 mg. • changes to your eyesight, eye pain The dose can be taken all at once, or half the • changes to your hearing, including ringing in the dose may be taken twice a day. ears (tinnitus) and hearing loss Gout • dizziness that causes problems with your balance The usual starting dose is 750 mg, followed by • Swelling of your hands, feet or legs (oedema), one 250 mg tablet every 8 hours as needed. this may be with chest pains, tiredness, shortness of breath (cardiac failure). Elderly and patients with liver and kidney • a fluttering feeling in your heart (palpitations), problems slow heart beat or high blood pressure The doctor will decide the right dose for you, it • Problems with the way your heart pumps blood will usually be lower than for other adults.
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