Aleve (naproxen sodium) is a common over-the-counter nonsteroidal anti-inflammatory drug (NSAID) that relieves pain and reduces fever. It works by targeting substances that cause inflammation. Many people wonder about the correct dosage, especially if taking more than one pill is safe or effective.
Recommended Aleve Dosage
Over-the-counter Aleve typically comes in 220 milligram (mg) tablets. For adults and children 12 years and older, the standard recommendation is one tablet every 8 to 12 hours. For faster relief, an initial dose of two tablets (440 mg) is permissible within the first hour. The maximum daily dose is three tablets (660 mg) within 24 hours. Always refer to the specific dosing instructions on the product packaging, as formulations can vary.
Risks of Exceeding Dosage
Exceeding the recommended Aleve dosage can lead to various adverse effects, from common discomforts to serious health complications. As an NSAID, naproxen sodium carries risks that intensify with higher doses or prolonged use. Common side effects include stomach upset, heartburn, nausea, abdominal pain, constipation, diarrhea, headache, dizziness, and mild drowsiness.
More severe risks involve the gastrointestinal system, kidneys, and cardiovascular system. Too much Aleve can cause ulcers, gastrointestinal bleeding, or even perforation of the stomach or intestines. These serious gastrointestinal issues can occur without warning and may be life-threatening. The risk of gastrointestinal bleeding is higher for individuals over 60 or those with a history of stomach ulcers.
Naproxen can also affect kidney function, potentially leading to acute kidney failure, which is often reversible. Symptoms of kidney problems include decreased urination or swelling in the feet and ankles. NSAIDs like Aleve can elevate blood pressure or worsen existing hypertension by causing the body to retain salt and water. This can also reduce the effectiveness of blood pressure medications. Serious cardiovascular events, such as heart attack or stroke, are a concern, particularly with high doses or long-term use, and for individuals with pre-existing heart conditions. Do not use Aleve before or immediately after heart bypass surgery due to an increased risk of heart attack and stroke. All NSAIDs, including naproxen, have been linked to an increased risk of acute myocardial infarction.
When to Seek Medical Advice and Other Options
Seek immediate medical attention if you experience any signs of a serious reaction to Aleve. These symptoms include severe stomach pain, black or tarry stools, vomiting blood, severe skin rashes, blistering, or allergic reactions like hives, facial swelling, or difficulty breathing. Other concerning symptoms are swelling in the face, fingers, feet, or lower legs, sudden weight gain, yellowing of the skin or eyes, or decreased urination. If you suspect an overdose, which can manifest as agitation, confusion, or seizures, contact emergency services.
Consult a healthcare professional if your pain persists for more than 10 days or your fever lasts longer than 3 days. They can evaluate your condition and recommend alternative pain management strategies. Non-pharmacological approaches like rest, applying ice or heat, massage therapy, and physical therapy can provide relief. Mind-body techniques such as meditation, deep breathing exercises, yoga, and tai chi are also effective. For persistent or severe pain, a doctor may suggest other over-the-counter options like acetaminophen or discuss prescription pain relief.