Chronic Pain Treatment Using Naproxen for Chronic Pain Management By Erica Jacques Updated on July 19, 2023 Medically reviewed by Nicholas R. Metrus, MD Fact checked by Sarah Scott Print Naproxen is the generic name for a nonsteroidal anti-inflammatory drug (NSAID) that is used to treat mild to moderate pain and inflammation. It is available for over-the-counter purchase, however, stronger prescription formulations are also available for more severe pain. Naproxen is often used to treat pain for such conditions as arthritis, bursitis, ankylosing spondylitis, tendonitis, gout, or menstrual cramps. Naproxen may also be known under the following brand names, according to RXList: Aleve Anaprox Anaprox DS Naprosyn EC Naprosyn Naprox Sodium Naproxen EC Naproxen SR Napralean Menstridol AndreyCherkasov / Getty Images How Naproxen Works Naproxen, like other NSAIDs, works to decrease swelling and to inhibit pain sensations. Naproxen reduces hormones that cause inflammation and chronic pain. The exact way it works is not completely understood. However, researchers believe it plays a role in inhibiting a substance called prostaglandin, which is associated with pain. Side Effects Like most painkillers, naproxen may cause certain side effects. Research shoes the following side effects to be common: Abdominal pain Constipation Dizziness Drowsiness Headache Heartburn Nausea Swelling Abdominal bleeding Abdominal perforation Lightheadedness Abdominal ulcers Fluid Retention Diarrhea Inflammation of the mucous membrane of the mouth Diverticulitis Difficulty Breathing Hearing Disturbances Elevation of serum alanine aminotransferase or aspartate aminotransferase Some serious side effects of naproxen use can include but are not limited to bloody or black stools, severe stomach pain, inability to pass urine, blurred vision, ringing in ears, extreme headache, fluid retention, severe rash, wheezing, chest pain and rapid heartbeat, extreme back pain. If these develop, seek immediate medical attention. Meloxicam vs. Naproxen for Pain Other Warnings Naproxen could interfere or interact with other medicines, according to RXList, reporting it has moderate interactions with 229 drugs and mild interactions with at least 80. Some of the medications include but are not limited to benazepril, enalapril, ketorolac intranasal, methotrexate, pemetrexed, quinapril, ramipril, trandolapril. Talk to your healthcare provider about using it properly and safely. Naproxen should not be taken by people with asthma or allergies to other NSAIDs, pregnant women, people with cardiac problems, people with a history of gastrointestinal bleeding or those with renal problems. However, talk to your practitioner for specific information. Overdose It is possible to overdose on naproxen. Potential signs of a naproxen overdose may include: Agitation, confusion, incoherence (the person is not understandable) Blurred vision Coma Seizures Diarrhea Dizziness, unsteadiness, movement problems Drowsiness Severe headache Heartburn, stomach pain (possible bleeding in the stomach and intestines) Nausea, vomiting Rash Ringing in the ears Slow, labored breathing, wheezing If you take naproxen and notice any of these symptoms, seek immediate medical attention. Keep a List of Your Medications Before having any blood or lab tests, tell your healthcare provider and the lab personnel that you are taking naproxen. Keep a list of all of the medicines (both prescription and nonprescription you are taking, as well as any dietary supplements, vitamins or minerals. You should keep this list with you at all times in case of an emergency. 8 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Library of Medicine. Naproxen. Gunaydin C, Bilge SS. Effects of nonsteroidal anti-inflammatory drugs at the molecular level. Eurasian J Med. 2018;50(2):116-121. doi:10.5152/eurasianjmed.2018.0010 LiverTox: Clinical and Research Information on Drug-Induced Liver Injury, National Library of Medicine. Naproxen. National Library of Medicine. Naproxen. Food and Drug Administration. NAPRELAN® (naproxen sodium). Kowalski ML, Makowska JS. Seven steps to the diagnosis of NSAIDs hypersensitivity: how to apply a new classification in real practice?. Allergy Asthma Immunol Res. 2015;7(4):312-320. doi:10.4168/aair.2015.7.4.312 Lelièvre B, Drouillard I, Thill C, et al. Severe poisoning with naproxen causing coagulopathy. Basic Clin Pharmacol Toxicol. 2020;126(5):458-463. doi:10.1111/bcpt.13365 Al-Abri SA, Anderson IB, Pedram F, Colby JM, Olson KR. Massive naproxen overdose with serial serum levels. J Med Toxicol. 2015;11(1):102-105. doi:10.1007/s13181-014-0396-1 Additional Reading Medline Plus. Naproxen. National Institutes of Health. Naproxen (naproxen) Suspension. By Erica Jacques Erica Jacques, OT, is a board-certified occupational therapist at a level one trauma center. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit