Aleve, or naproxen sodium, is an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain. It effectively alleviates various aches, pains, and fever, including headaches, muscular aches, backaches, and menstrual cramps. Understanding its proper usage and potential considerations is important for safety and effectiveness. Adhering to recommended dosages helps individuals manage symptoms responsibly.
Understanding Aleve Dosage
For adults and adolescents 12 years and older, the standard recommended dosage for Aleve is one 220 mg caplet, tablet, gelcap, or liquid gel every 8 to 12 hours. To manage initial pain more effectively, a person may take two caplets (440 mg) as a first dose within the first hour. However, after this initial dose, subsequent doses should be limited to one caplet.
It is important not to exceed two caplets (440 mg) within any 8 to 12-hour period. The maximum total daily dose for adults should not go beyond three caplets (660 mg) within a 24-hour period. Always take Aleve with a full glass of water. This helps ensure proper absorption and can reduce the risk of gastrointestinal side effects.
Important Considerations for Safe Use
Even at recommended dosages, certain factors require consideration for safe use. Older adults, for instance, may be more susceptible to side effects like stomach or intestinal bleeding, which can occur without warning. Individuals with pre-existing health conditions should also exercise caution.
Those with kidney disease should generally avoid NSAIDs like Aleve, as these medications can reduce blood flow to the kidneys and potentially worsen kidney function. Similarly, people with liver disease should use Aleve cautiously, as the medication is processed by the liver. Individuals with heart conditions, high blood pressure, or a history of heart attack or stroke should also consult a healthcare provider before using Aleve, as NSAIDs can increase the risk of serious cardiovascular events.
Aleve is intended for short-term use, typically not exceeding 10 consecutive days for pain or 3 days for fever, unless advised by a doctor. Prolonged use, even at recommended doses, can increase the risk of side effects, including gastrointestinal issues, kidney damage, and cardiovascular concerns. If symptoms persist beyond this duration, seeking medical advice is recommended.
Potential Side Effects and When to Seek Medical Attention
Aleve can cause side effects, ranging from common and mild to serious, requiring immediate medical attention. Common side effects include indigestion, heartburn, stomach pain, nausea, headache, dizziness, and mild rashes. Taking Aleve with food or milk can help reduce stomach discomfort.
More serious side effects, though less frequent, can occur. These include gastrointestinal ulcers or bleeding, which may manifest as black, tarry stools or vomiting that resembles coffee grounds. Signs of heart problems, such as chest pain, shortness of breath, sudden weakness on one side of the body, or slurred speech, also warrant immediate medical care. Allergic reactions, characterized by hives, facial swelling, difficulty breathing, or severe skin reactions with blistering and peeling, are also medical emergencies. Any unusual swelling, rapid weight gain, or changes in urination could indicate kidney problems and should be reported to a doctor promptly.
Drug Interactions and Contraindications
Aleve can interact with various medications and is contraindicated in certain medical conditions. Reviewing your full health profile with a healthcare provider is important.
Taking Aleve with other NSAIDs, such as ibuprofen or aspirin (unless low-dose aspirin for heart protection), can increase the risk of side effects, especially stomach bleeding. Individuals taking blood thinners, such as warfarin or apixaban, should generally avoid Aleve due to a significantly increased risk of bleeding. Certain antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs), can also raise the risk of bleeding when combined with Aleve. Corticosteroids may similarly increase the risk of gastrointestinal issues.
Aleve should be avoided entirely by individuals with a history of stomach ulcers or gastrointestinal bleeding. People who have experienced an asthma attack or severe allergic reaction after taking aspirin or another NSAID should not use Aleve. Aleve is generally not recommended during late-stage pregnancy due to potential harm to the unborn baby and delivery complications. Combining Aleve with alcohol can significantly increase the risk of stomach irritation and bleeding.