What is in this leaflet
This leaflet answers some common questions about Naproxen Suspension. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you being given Naproxen Suspension against the benefits they expect it will have for you.
If you have any concerns about being given this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine. You may need to read it again.
What Naproxen Suspension is used for
Naproxen Suspension contains the active ingredient naproxen.
Naproxen Suspension relieves pain and reduces inflammation (swelling, redness and soreness) that may occur in the following:
- different types of arthritis including rheumatoid arthritis, osteoarthritis and ankylosing spondylitis
- muscle and bone injuries such as sprains, strains, low back pain (lumbago), rheumatism and tendonitis, such as tennis elbow
- swelling and pain after setting broken or dislocated bones
- menstrual cramps (period pain)
- headache, including migraines
- following surgery
- dental pain.
Although Naproxen Suspension can relieve the symptoms of pain and inflammation, it will not cure your condition.
Naproxen Suspension belongs to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (or NSAIDs).
Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor’s prescription.
Use in children
Naproxen Suspension is recommended for use in children (over the age of 5) for the treatment of juvenile rheumatoid arthritis.
Naproxen Suspension is not addictive.
This medicine is available only with a doctor's prescription.
Before you are given Naproxen Suspension
When you must not be given it
Do not take Naproxen Suspension if you have an allergy to:
- Naproxen suspension or any of the ingredients listed at the end of this leaflet
- aspirin or any other NSAID medicine.
Many medicines used to treat headache, period pain and other aches and pains contain aspirin or NSAID medicines. If you are not sure if you are taking any of these medicines, ask your pharmacist.
Some of the symptoms of an allergic reaction may include:
- asthma, wheezing or shortness of breath
- swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing
- hives, itching or skin rash
If you are allergic to aspirin or NSAID medicines and take Naproxen Suspension, these symptoms may be severe.
Do not take Naproxen Suspension if:
- you are vomiting blood or material that looks like coffee grounds
- you are bleeding from the rectum (back passage), have black sticky bowel motions (stools) or bloody diarrhoea
- you have a peptic ulcer (i.e. stomach or duodenal ulcer), or have had peptic ulcers before
- you are taking other medicines which contain naproxen or naproxen sodium (e.g. Naprogesic, Inza, Anaprox)
- you have severe heart failure.
- you have recently had or are about to have heart bypass surgery
Do not give Naproxen Suspension to a child under 2 years of age. The safety and effectiveness in children under 2 years of age has not been established.
Do not take Naproxen Suspension if the package is torn or shows signs of tampering.
Do not take Naproxen Suspension if the expiry date (EXP) printed on the pack has passed. If you take this medicine after the expiry date has passed, it may not work as well.
If you are not sure if you should start taking Naproxen Suspension, talk to your doctor.
Before you are given it
Tell your doctor if:
- You have any allergies to:
- any other medicines including aspirin or other NSAID medicines
- any other substances, such as foods, preservatives or dyes.
- You are pregnant or intend to become pregnant
Naproxen Suspension may impair fertility and is not recommended in women attempting to conceive.
Naproxen Suspension may increase the risk of miscarriage when used in early pregnancy.
Naproxen Suspension may affect your developing baby if you take it during pregnancy.
If it is necessary for you to take Naproxen Suspension, your doctor will discuss the risks and benefits of taking this medicine during pregnancy.
- You are breast-feeding or intend to breast-feed
Naproxen Suspension passes into breast milk. The effect on the baby is not known.
- You have or have had any medical conditions, especially the following:
- heartburn, indigestion, stomach ulcers or other stomach problems
- vomiting blood or bleeding from the back passage
- bowel or intestinal problems such as ulcerative colitis
- a tendency to bleed or other blood problems, such as anaemia
- kidney or liver disease
- heart failure
- high blood pressure or heart problems
- swelling of the ankles or feet.
- You currently have an infection
If you take Naproxen Suspension while you have an infection, the suspension may hide some of the signs of an infection (e.g. pain, fever). This may make you think, mistakenly, that you are better or that it is not serious.
- You plan to have surgery Naproxen
Suspension can prolong bleeding.
If you have not told your doctor about any of the above, tell them before you take any Naproxen Suspension.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket, health food shop, naturopath or herbalist.
Some medicines may interfere with Naproxen Suspension. These include:
- antacids, medicines used to treat indigestion and heartburn
- aspirin, salicylates or other NSAID medicines
- cholestyramine, a medicine used to treat high cholesterol levels
- diuretics, also called fluid or water tablets
- lithium, a medicine used to treat some types of depression
- probenecid, a medicine used to treat gout
- phenytoin, a medicine used to treat epilepsy
- methotrexate, a medicine used to treat arthritis and some cancers
- sucralfate, a medicine used to treat and prevent stomach ulcers
- warfarin, a medicine used to prevent blood clots
- heparin, a medicine used to prevent blood clots
- medicines used to treat high blood pressure including ACE inhibitors, angiotensin receptor antagonists and beta-blockers
- certain antibiotics called sulfonamides/quinolones
- some medicines used to treat diabetes
- sodium bicarbonate, a medicine used to treat stomach upset or ulcers
- steroids, medicines used to treat inflammation
- serotonin reuptake inhibitors, also known as SSRIs, medicines used to treat some types of depression
- zidovudine, a medicine used to treat HIV infection.
These medicines may be affected by Naproxen Suspension or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor has more information on medicines to be careful with or avoid while being given this medicine.
Ask your doctor or pharmacist if you are not sure about this list of medicines.
Use in People Over 65 years
Older people may be at more risk of developing stomach ulcers and hence your doctor may prescribe a lower dose.
How Naproxen Suspension is given
Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.
Take Naproxen Suspension exactly as your doctor has prescribed. Your doctor will tell you how much Naproxen Suspension to take each day. If you do not understand the instructions on the bottle, ask your doctor or pharmacist for help.
Sprains, strains and period pain
The recommended dose is 500 mg, followed by 250 mg every 6 to 8 hours, as needed. Total daily dose is 1250 mg.
The recommended dose is 750 mg taken at the first sign of a migraine. An additional dose of 250 mg to 500 mg can be taken at least an hour after the initial dose, if required. The total daily dose should not exceed 1250 mg.
The recommended dose is 375 mg to 1000 mg a day in two divided doses.
Juvenile Rheumatoid Arthritis
The recommended dose for children 5 years and above is 10 mg/kg given in 2 equal divided doses (i.e. 5 mg/kg twice a day).
How to take it
Shake Naproxen Suspension gently before use.
Use a measuring cup or syringe to measure out the exact dose your doctor has prescribed.
Take Naproxen Suspension with a glass of water or milk.
When to take it
Take the suspension during or immediately after food with a full glass of water or milk. This may help reduce the possibility of an upset stomach.
How long to take it
Do not take Naproxen Suspension for longer than your doctor says. Depending on your condition, you may need to use Naproxen Suspension, only once, for a few days, a few weeks or for longer periods.
For sprains and strains, Naproxen Suspension is usually only needed for a few days.
If you are using Naproxen Suspension for arthritis, it will not cure your condition, but it should help to control the pain, swelling and stiffness.
If you have arthritis, Naproxen Suspension should be taken every day for as long as your doctor prescribes.
Ask your doctor if you are not sure how long to take Naproxen Suspension for.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember and then continue taking it as you would normally.
Do not take a double dose to make up for the dose you have missed.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you are not sure what to do, ask your doctor or pharmacist.
If you take too much (overdose)
Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26) for advice, or go to the Emergency Department at your nearest hospital, if you think that you or anyone else may have taken too much Naproxen Suspension. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
If you take too much Naproxen Suspension, you may experience drowsiness, pain or tenderness in the stomach, stomach upset including nausea (feeling sick), vomiting, heartburn, indigestion or cramps.
While you are taking Naproxen Suspension
Things you must do
If you become pregnant while taking Naproxen Suspension, tell your doctor immediately.
Tell all doctors, dentists and pharmacists who are treating you that you are taking Naproxen Suspension.
Ask your doctor or pharmacist before you start taking any new medicines.
If you are going to have surgery, tell your doctor you are taking Naproxen Suspension.
If you are going to have any laboratory tests, tell your doctor that you are taking Naproxen Suspension. Naproxen Suspension can affect the results of some of these tests.
If you get an infection while using Naproxen Suspension, tell your doctor. Naproxen Suspension may hide some of the signs of an infection and may make you think, mistakenly, that you are better or that it is not serious. Signs of an infection may include fever, pain, swelling and redness.
Tell your doctor if, for any reason, you have not taken your medicine exactly as prescribed. Otherwise, your doctor may think that it was not effective and change your treatment unnecessarily.
Tell your doctor if you feel the suspension is not helping your condition.
Things you must not do
Do not give Naproxen Suspension to anyone else, even if they have the same condition as you.
Do not use Naproxen Suspension to treat other complaints unless your doctor tells you to.
Things to be careful of
Be careful driving or operating machinery until you know how Naproxen Suspension affects you.
Naproxen Suspension contains sorbitol. Products containing sorbitol may have a laxative effect or cause diarrhoea. 50 mL of Naproxen Suspension contains 4.5g of sorbitol.
Naproxen Suspension contains 7.87 mg of elemental sodium per mL of suspension.
Naproxen Suspension may cause dizziness or light-headedness in some people. Make sure you know how you react to Naproxen Suspension before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-headed. If this occurs do not drive. If you drink alcohol, dizziness or light-headedness may be worse.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Naproxen Suspension.
Naproxen Suspension helps most people with pain due to inflammation, but it may have unwanted side effects in a few people.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have. Tell your doctor if you notice any of the following and they worry you:
- stomach upset including nausea (feeling sick), heartburn, indigestion, cramps
- constipation, diarrhoea, pain in the stomach
- loss of appetite
- dizziness, light-headedness
- drowsiness, sleepiness
- buzzing or ringing in the ears
- feeling thirsty
- aching muscles, muscle tenderness or weakness, not caused by exercise.
These are the more common side effects of Naproxen Suspension.
Tell your doctor immediately if you notice any of the following:
- bleeding or bruising more easily than normal, reddish or purplish blotches under the skin
- eye problems such as blurred vision
- severe or persistent headache
- fast or irregular heartbeats, also called palpitations
- difficulty hearing, deafness
- signs of frequent or worrying infections such as fever, severe chills, sore throat or mouth ulcers
- yellowing of the skin or eyes, also called jaundice
- unusual weight gain, swelling of ankles or legs.
These are serious side effects. You may need urgent medical attention. Serious side effects are rare.
Tell your doctor immediately, or go to the Emergency Department at your nearest hospital if you experience any of the following:
- vomiting blood or material that looks like coffee grounds
- bleeding from the back passage (rectum), black sticky bowel motions (stools) or bloody diarrhoea
- severe pain or tenderness in any part of the stomach
- swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing
- difficulty breathing, wheezing or shortness of breath
- sudden or severe itching, skin rash, hives
- fainting, seizures or fits
- pain or tightness in the chest
- severe dizziness, spinning sensation
These are very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
This is not a complete list of all possible side effects. Others may occur in some people, and there may be some side effects not yet known.
Tell your doctor if you notice anything else that is making you feel unwell, even if it is not on this list. Ask your doctor or pharmacist if you don't understand anything in this list.
Do not be alarmed by this list of possible side effects. You may not experience any of them.
After taking Naproxen Suspension
Keep your suspension in a cool dry place where the temperature stays below 25°C. Do not store Naproxen Suspension, or any other medicine, in a bathroom or near a sink. Do not leave it in the car or on window sills. Heat and dampness can destroy some medicines.
Keep Naproxen Suspension where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking Naproxen Suspension, or the suspension has passed its expiry date, ask your pharmacist what to do with any that is left over.
Naproxen Oral Suspension is available as 125 mg/5 mL strength, which is equivalent to 25 mg/mL strength, in a bottle containing 474 mL.
What it looks like
Naproxen Suspension is a light orange suspension, with a pineapple-orange flavour. Particles readily re-suspend when shaken.
- naproxen 25 mg/mL
- sorbitol 90 mg/mL
- sodium chloride (equiv. to 7.87 mg of elemental sodium per mL)
- magnesium aluminium silicate
- fumaric acid
- methyl hydroxybenzoate
- imitation orange flavour
- imitation pineapple flavour
- the colour, Sunset Yellow FCF 
- purified water.
This medicine does not contain lactose, gluten, tartrazine or alcohol.
Naproxen Suspension is supplied in Australia by:
Phebra Pty Ltd
19 Orion Road, Lane CoveWest,
NSW 2066, Australia.
Naproxen Suspension 125 mg/5 mL 474 mL bottle.
AUST R 196596
Phebra product code- SOL048
Date of most recent amendment: 06 April 2020
Phebra and the Phi symbol are trademarks of Phebra Pty Ltd, 19 Orion Road, Lane Cove West, NSW 2066, Australia.
Published by MIMS August 2020