Naproxen Tablets

For a gout attack: Who we can supply: adults 18 and over whose gout has been diagnosed by a doctor, to treat an attack now. We share every consultation with your GP, with your consent; we can't supply treatment without it.

Don't use this service; contact NHS 111, your GP or A&E the same day if:

• you have a hot, swollen joint and a high temperature, or feel shivery or unwell (it could be a joint infection, septic arthritis);

• the painful joint is a replacement joint, or has recently been injured, operated on or injected;

• several joints are hot and swollen at once;

• you have a weakened immune system;

• this is your first attack, or gout has never been diagnosed by a doctor.

Our guide to gout or septic arthritis explains why.

This service isn't suitable if you're pregnant or breastfeeding. Please speak to your GP or midwife.

If you've had 2 or more attacks in the last 12 months, we can treat this one, but please see your GP about long-term treatment to lower your uric acid, such as allopurinol (NICE NG219).

For migraine: naproxen is used off-label for migraine attacks; see our migraine treatments and naproxen for headaches guide. For period pain: see our period pain treatments and naproxen for period pain guide.

Don't take naproxen if you:

• have, or have had, a stomach ulcer or bleeding from the stomach or bowel;

• have severe heart failure, or severe kidney or liver disease;

• have had asthma, a runny nose, swelling or a rash after taking aspirin, ibuprofen or another anti-inflammatory painkiller;

• take a blood thinner (such as warfarin, apixaban, rivaroxaban or edoxaban);

• are in the last 3 months of pregnancy (and we don't supply it in pregnancy at all).

Tell the prescriber if you:

• are 65 or over: you'll need a stomach-protecting medicine such as omeprazole with it, or colchicine may suit you better;

• have high blood pressure, heart disease, or have had a stroke;

• have kidney problems, Crohn's disease or ulcerative colitis, or a bleeding disorder;

• take water tablets (diuretics), ACE inhibitors or similar blood pressure medicines, lithium, methotrexate, ciclosporin, steroid tablets, SSRI antidepressants, low-dose aspirin, or another anti-inflammatory painkiller.