NAPROXEN- naproxen tablet 
Apotheca Inc.


Medication Guide for Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

(See the end of this Medication Guide for a list of prescription NSAID medicines.)

What is the most important information I should know about medicines called Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAID medicines may increase the chance of a heart attack or stroke that can lead to death.

This chance increases:

NSAID medicines should never be used right before or after a heart surgery called a “coronary artery bypass graft (CABG).”

NSAID medicines can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding:

The chance of a person getting an ulcer or bleeding increases with:

NSAID medicines should only be used:

What are Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAID medicines are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as:

Who should not take a Nonsteroidal Anti-Inflammatory Drug (NSAID)?

Do not take an NSAID medicine:

Tell your healthcare provider:

What are the possible side effects of Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)?

Serious side effects include:

Other side effects include:

• heart attack

• stroke

• high blood pressure

• heart failure from body swelling (fluid retention)

• kidney problems including kidney failure

• bleeding and ulcers in the stomach and intestine

• low red blood cells (anemia)

• life-threatening skin reactions

• life-threatening allergic reactions

• liver problems including liver failure

• asthma attacks in people who have asthma

• stomach pain

• constipation

• diarrhea

• gas

• heartburn

• nausea

• vomiting

• dizziness

Get emergency help right away if you have any of the following symptoms:

Stop your NSAID medicine and call your healthcare provider right away if you have any of the following symptoms:

These are not all the side effects with NSAID medicines. Talk to your healthcare provider or pharmacist for more information about NSAID medicines.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other information about Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAID medicines requiring a prescription

Generic Name


Diclofenac Zorvolex, Cataflam, Cambia,

Voltaren, Voltaren gel, Arthrotec

(combined with misoprostol),

Flector, Zipsor, Pennsaid



EtodolacLodine, Lodine XL
FenoprofenNalfon, Nalfon 200

Motrin, Tab-Profen,*Vicoprofen

(combined with hydrocodone),

Combunox (combined with

oxycodone), Duexis (combined

with famotidine)

IndomethacinTivorbex, Indocin, Indocin SR,

Indo-Lemmon, Indomethagan

KetoprofenOruvail, Nexcede
KetorolacToradol, Sprix
Mefenamic AcidPonstel
NaproxenNaprosyn, Anaprox, Anaprox DS,

EC-Naprosyn, Naprelan, Naprapac

(copackaged with lansoprazole),

Treximet (combined with

sumatriptan succinate) and

Vimovo (combined with

esomeprazole magnesium)

TolmetinTolectin, Tolectin DS, Tolectin 600

* Vicoprofen contains the same dose of ibuprofen as over-the-counter (OTC) NSAIDs, and is usually used for less than 10 days to treat pain. The OTC NSAID label warns that long term continuous use may increase the risk of heart attack or stroke.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

*All trademarks are property of their respective owners.

Manufactured by:

Amneal Pharmaceuticals Pvt. Ltd.

Ahmedabad, INDIA 382220

Repackaged and Distributed by:

Apotheca Inc.

Phoenix,AZ 85006

Revised: 6/2016
Apotheca Inc.