Apo Naprox Ec

The use of Apo Naprox EC (Naproxen) should be limited to the lowest possible dose for the shortest length of treatment.

The recommended adult dose of Apo Naprox EC (Naproxen) tablets for osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis ranges from 250 mg to 500 mg twice daily. Take Apo Naprox EC (Naproxen) with food or milk. The suppository form of Apo Naprox EC (Naproxen) is usually used once daily to replace one of the oral doses.

If you are maintained on a dose of 750 mg or 1,000 mg daily, the long-acting (sustained-release) form of the medication may be substituted for the immediate-release form. In many cases, this will allow the medication to be taken only once daily. The sustained-release form of the medication should be swallowed whole.

The dose of Apo Naprox EC (Naproxen) for children treated for juvenile rheumatoid arthritis is based on body weight. The recommended dose is given in 2 divided doses every 12 hours. Apo Naprox EC (Naproxen) suspension is often used for young children who have difficulty swallowing tablets. Shake the suspension gently before using.

Use an oral syringe to measure each dose of the liquid, as it gives a more accurate measurement than household teaspoons. Apo Naprox EC (Naproxen) should not be given to children under the age of 2 years, as the safety and effectiveness of the medication for this age group have not been established.

When used to treat pain or muscle and skeletal injuries, the usual recommended adult dose of Apo Naprox EC (Naproxen) is 250 mg 2 or 3 times daily or 375 mg 2 times daily.

For treatment of menstrual pain and cramps, the recommended first dose is 500 mg followed by 250 mg every 6 to 8 hours as needed. No more than 1,250 mg should be taken in one day. Alternatively, one 500 mg tablet may be taken twice daily as recommended by your doctor.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to use Apo Naprox EC (Naproxen) exactly as prescribed by your doctor. If you miss a dose, use it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not use a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Apo Naprox EC (Naproxen) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause headaches; it may cause indigestion; it may cause dizziness - use caution when getting up from a lying or sitting position and use caution if driving; it may increase your blood pressure; it may make your skin more sensitive to UV rays (e.g., sunlight, tanning lamps) - avoid exposure to UV rays as much as possible and protect yourself when out in the sun. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

Enteric-coated tablets

250 mg
Each white, round, biconvex, enteric-coated tablet engraved "APO" on one side and "250" on the other contains 250 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, hydroxyethyl cellulose, polyethylene glycol, titanium dioxide, triethyl citrate, talc, and methacrylic acid copolymer.

375 mg
Each white, capsule-shaped, biconvex, enteric-coated tablet engraved "APO" on one side and "375" on the other contains 375 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, hydroxyethyl cellulose, polyethylene glycol, titanium dioxide, triethyl citrate, talc, and methacrylic acid copolymer.

500 mg
Each white, capsule- shaped, biconvex, enteric-coated tablet engraved "APO" on one side and "500" on the other contains 500 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, hydroxyethyl cellulose, polyethylene glycol, titanium dioxide, triethyl citrate, talc, and methacrylic acid copolymer.

Tablets

125 mg
Each pale green, oval, biconvex tablet engraved "APO-125" on one side contains 125 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, D&C Yellow No. 10, and FD&C Blue No. 2.

250 mg
Each yellow, oval, biconvex tablet engraved "APO-250" on one side contains 250 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, D&C Yellow No. 10, and FD&C Yellow No. 6.

375 mg
Each peach-coloured, capsule-shaped, biconvex tablet scored and engraved "APO 375" on one side contains 375 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, and FD&C Yellow No. 6.

500 mg
Each yellow, capsule-shaped, biconvex tablet scored and engraved "APO 500" on one side contains 500 mg of Apo Naprox EC (Naproxen). Nonmedicinal ingredients: methylcellulose, croscarmellose sodium, magnesium stearate, colloidal silicon dioxide, D&C Yellow No. 10 and FD&C Yellow No. 6.

Do not use Apo Naprox EC (Naproxen) if you:

• are allergic to Apo Naprox EC (Naproxen) or any ingredients of Apo Naprox EC (Naproxen)
• are allergic to Asa or other NSAIDs (e.g., Ibuprofen, Ketorolac, Diclofenac) or have had allergic symptoms (e.g., runny nose, Asthma, itchy skin rash, nasal polyps, swelling of the face, throat, or tongue) caused by these medications
• are breast-feeding
• are in the third trimester (last 3 months) of pregnancy
• have a bleeding disorder
• have an inflammatory bowel disease (e.g., Ulcerative Colitis, Crohn's Disease)
• have an ulcer or bleeding in the stomach or intestines
• have bleeding in the brain
• have had recent or are going to have heart bypass surgery
• have high blood potassium
• have liver disease or severely reduced liver function
• have severely reduced or worsening kidney function
• have uncontrolled heart failure

Do not give Apo Naprox EC (Naproxen) suspension to children less than 2 years of age.

Do not use the suppository form of Apo Naprox EC (Naproxen) if you:

• have any inflammatory lesions of the rectum or anus
• have recently had rectal or anal bleeding

Do not give the suppository or tablet form of Apo Naprox EC (Naproxen) to children under 18 years of age.

There may be an interaction between Apo Naprox EC (Naproxen) and any of the following:

• 5-ASA medications (e.g., Mesalamine, olsalzine, Sulfasalazine)
• acetylsalicylic acid (ASA)
• alcohol
• Aliskiren
• aminoglycoside antibiotics (e.g., Amikacin, gentamicin, tobramycin)
• angiotensin-converting enzyme (ACE) inhibitors (e.g., enalapril, ramipril)
• angiotensin receptor blockers (e.g., candesartan, Losartan, Telmisartan)
• Apixaban
• beta-blockers (e.g., atenolol, metoprolol)
• bisphosphonates (e.g., Alendronate, etidronate)
• Celecoxib
• Cholestyramine
• clopidogrel
• Colestipol
• corticosteroids (e.g., cortisone, prednisone)
• cyclosporine
• dabigatran
• Dasatinib
• Deferasirox
• deoxycholic acid
• Desmopressin
• Digoxin
• diuretics (water pills; e.g., Furosemide, hydrochlorothiazide, triamterene)
• heparin
• herbal products that affect blood clotting (e.g., cat's claw, chamomile, fenugreek, evening primrose, feverfew, garlic, ginger, ginseng, turmeric)
• Hydralazine
• lithium
• low-molecular-weight heparins (e.g., Dalteparin, Enoxaparin, Tinzaparin)
• Methotrexate
• other non-steroidal anti-inflammatory drugs (NSAIDs e.g., diclofenac, ibuprofen, ketorolac)
• Obinutuzumab
• omega-3 fatty acids
• Pemetrexed
• potassium supplements
• Prasugrel
• prostaglandin eye drops (e.g., Latanoprost, Bimatoprost)
• quinolone antibiotics (e.g., ciprofloxacin, Norfloxacin, Ofloxacin)
• Rivaroxaban
• selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, sertraline)
• serotonin-norepinephrine reuptake inhibitors (SNRIs; Desvenlafaxine, Duloxetine, Venlafaxine)
• sodium phosphates
• Tacrolimus
• Ticagrelor
• Ticlopidine
• tenofovir
• tricyclic antidepressants (e.g., Amitriptyline, Clomipramine, Desipramine, Trimipramine)
• vancomycin
• vitamin E
• warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Apo Naprox EC (Naproxen). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Apo Naprox EC (Naproxen).

HEALTH CANADA ADVISORY

June 8, 2021

Health Canada has issued new information concerning the use of non-steroidal anti-inflammatory drugs (NSAIDs). To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca.

Allergic reactions: If you have had a reaction to acetylsalicylic acid (ASA) or other NSAIDs (e.g., ibuprofen, Ketoprofen, ketorolac) that included a runny nose, itchy skin rash, nasal polyps, or shortness of breath and wheezing, you should not take Apo Naprox EC (Naproxen). If you experience symptoms of a severe allergic reaction (e.g., hives; difficulty breathing; wheezing; swelling of the face, tongue, or throat), get immediate medical attention.

Anemia: Apo Naprox EC (Naproxen) may cause low levels of red blood cells. If you experience symptoms of reduced red blood cell count (anemia) such as shortness of breath, feeling unusually tired or pale skin, contact your doctor as soon as possible.

Aseptic meningitis: Apo Naprox EC (Naproxen) can rarely cause symptoms of aseptic meningitis (inflammation or swelling of the membranes around the brain and spinal cord that is not caused by bacteria). If you have an autoimmune condition (e.g., systemic Lupus erythematosus, mixed connective tissue disease), you are more at risk for developing this. If you experience symptoms such as stiff neck, severe headache, nausea, vomiting, Fever, or changes in consciousness, stop taking Apo Naprox EC (Naproxen) can get immediate medical attention.

Bladder problems: Apo Naprox EC (Naproxen) may cause bladder pain, painful or difficult urination, or increased frequency of urination. If these symptoms occur without an explanation (e.g., infection), stop taking Apo Naprox EC (Naproxen) and contact your doctor.

Blood clotting: Apo Naprox EC (Naproxen) may reduce the ability of the blood to clot. If you are taking anticoagulants (e.g., Warfarin, Heparin) or have Hemophilia or other blood disorders (e.g., low platelets), discuss with your doctor how Apo Naprox EC (Naproxen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Naprox EC (Naproxen), and whether any special monitoring is needed. If you have a bleeding disorder, do not take Apo Naprox EC (Naproxen).

Drowsiness/reduced alertness: Do not drive a car or perform hazardous tasks until you determine that Apo Naprox EC (Naproxen) does not impair your ability to perform these tasks safely.

Fluid and electrolyte balance: NSAIDs such as Apo Naprox EC (Naproxen) can cause fluid retention and edema (swelling). This can lead to high blood pressure or worsening of heart failure. If you have heart failure or high blood pressure, discuss with your doctor how Apo Naprox EC (Naproxen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Naprox EC (Naproxen), and whether any special monitoring is needed. If you have severe, uncontrolled heart failure, you should not take Apo Naprox EC (Naproxen).

Apo Naprox EC (Naproxen) may also cause high blood potassium levels. If you are a senior; have Diabetes or kidney failure; or are taking beta-blockers (e.g., Metoprolol, Atenolol), angiotensin converting enzyme (ACE) inhibitors (e.g., Ramipril, Enalapril), or some diuretics (e.g., triamterene, Amiloride), you are more at risk of high blood potassium. If you have high blood potassium levels, you should not take Apo Naprox EC (Naproxen).

Heart Attack and Stroke: Apo Naprox EC (Naproxen) may be associated with an increased risk of heart attack or stroke. The risk is higher with larger total daily doses and longer treatment periods. If you have a history of heart disease (e.g., heart attack, stroke, heart failure) or have risk factors for heart disease (e.g., high blood pressure, High Cholesterol, diabetes, smoking, Kidney Disease) discuss with your doctor how Apo Naprox EC (Naproxen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Naprox EC (Naproxen), and whether any special monitoring is needed.

Kidney function: Long-term use of Apo Naprox EC (Naproxen) may lead to a higher risk of reduced kidney function. If you have kidney disease, liver disease, or heart failure; take diuretics (water pills); or are a senior, you have an increased risk for kidney problems while taking Apo Naprox EC (Naproxen). If you are taking medications such as diuretics (e.g., Hydrochlorothiazide, triamterene, Indapamide), ACE inhibitors (e.g., enalapril, ramipril), angiotensin receptor blockers (e.g., Valsartan, Candesartan), or Cyclosporine, you are also at an increased risk.

If you have these conditions or are taking these medications, discuss with your doctor how Apo Naprox EC (Naproxen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Naprox EC (Naproxen), and whether any special monitoring is needed. If you have severe kidney problems, you should not take Apo Naprox EC (Naproxen).

Liver function: Rarely, Apo Naprox EC (Naproxen) causes liver problems. If you have reduced liver function, discuss with your doctor how Apo Naprox EC (Naproxen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Naprox EC (Naproxen), and whether any special monitoring is needed.

If you experience unexplained tiredness, loss of appetite, itchy skin or yellowing of the skin or eyes while taking Apo Naprox EC (Naproxen), contact your doctor immediately. If you have liver disease or severely reduced liver function, you should not take Apo Naprox EC (Naproxen).

Skin reactions: Apo Naprox EC (Naproxen) can cause skin reactions, some of which may be severe. If you experience a skin rash, especially where the skin is blistering or peeling, stop taking Apo Naprox EC (Naproxen) and contact your doctor.

Apo Naprox EC (Naproxen) may make your skin more sensitive to sunlight (including sunlamps) and may cause Sunburn; skin blisters; and skin redness, itching, or discolouration. If you have a reaction from the sun while taking Apo Naprox EC (Naproxen), contact your doctor.

Ulcers or bleeding in the stomach or intestines: Apo Naprox EC (Naproxen) can cause stomach ulcers, perforation (holes), and bleeding from the stomach. These complications can occur at any time without warning, and are sometimes severe enough to require immediate medical attention. The risk of ulcers and bleeding increase if you are taking higher doses of Apo Naprox EC (Naproxen) for longer periods of time.

Other factors that increase the risk of these complications include drinking excessive amounts of alcohol, increased age, smoking, poor health, H. pylori infection, and taking certain medications (e.g., warfarin, ASA, Clopidogrel, Prednisone, Citalopram, Fluoxetine, Paroxetine, Sertraline).

If you currently have ulcers in the stomach or intestines that are bleeding, or have an inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis), you should not take Apo Naprox EC (Naproxen). If you have a history of these conditions, discuss with your doctor how Apo Naprox EC (Naproxen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Apo Naprox EC (Naproxen), and whether any special monitoring is needed.

Stop taking the medication and get immediate medical attention if you experience symptoms or signs of stomach ulcers or bleeding in the stomach (black, tarry stools, blood in stools, stomach pain, vomiting blood or coffee-grind material). These reactions can occur at any time during treatment without warning.

Vision changes: Occasionally, Apo Naprox EC (Naproxen) is related to changes in vision. If you experience blurred or decreased vision while taking Apo Naprox EC (Naproxen), contact your doctor.

Pregnancy: Apo Naprox EC (Naproxen) should not be used during pregnancy, especially during the third trimester. If you become pregnant while taking Apo Naprox EC (Naproxen), contact your doctor immediately.

Apo Naprox EC (Naproxen) may reduce fertility. If you are trying to get pregnant or are having difficulty getting pregnant, you should not take Apo Naprox EC (Naproxen).

Breast-feeding: Apo Naprox EC (Naproxen) is not recommended for women who are breast-feeding.

Children: The safety and effectiveness of Apo Naprox EC (Naproxen) suspension have not been established for children less than 2 years of age. Apo Naprox EC (Naproxen) tablets or suppositories should not be used by children under 18 years of age, unless recommended by your doctor.Seniors: If you are a senior, you may have a higher risk of experiencing side effects from Apo Naprox EC (Naproxen). You should use the lowest effective dose under close medical supervision.

<p>Apo Naprox EC (<a href="/drug/apo-naproxen-sr">Naproxen</a>) belongs to the group of medications called <i>nonsteroidal anti-inflammatory drugs</i> (NSAIDs). It is used to <b>treat the symptoms of Rheumatoid Arthritis, osteoarthritis, ankylosing spondylitis, and juvenile rheumatoid arthritis.</b> It is also used for the relief of minor aches and pains in muscles, bones, and joints; mild-to-moderate pain accompanied by inflammation in injuries (e.g., sprains and strains); and menstrual cramps.</p><p>It relieves pain and reduces swelling and inflammation by reducing a substance in the body that leads to inflammation and pain. If immediate relief of pain is desired, the long-acting forms of Apo Naprox EC (Naproxen) (such as the enteric-coated forms) are not recommended as they release the medication over a longer period of time.</p><p><b>Apo Naprox EC (Naproxen) may be available under multiple brand names and/or in several different forms.</b> Any specific brand name of Apo Naprox EC (Naproxen) may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Apo Naprox EC (Naproxen) may not be used for all of the conditions discussed here.</p><p><b>Your doctor may have suggested Apo Naprox EC (Naproxen) for conditions other than those listed in these drug information articles.</b> If you have not discussed this with your doctor or are not sure why you are taking Apo Naprox EC (Naproxen), speak to your doctor. <b>Do not stop taking Apo Naprox EC (Naproxen) without consulting your doctor.</b></p><p><b>Do not give Apo Naprox EC (Naproxen) to anyone else, even if they have the same symptoms as you do.</b> It can be harmful for people to take Apo Naprox EC (Naproxen) if their doctor has not prescribed it.</p>