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Naproxen 25 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Naproxen

Naproxen 25 mg/mL Oral Suspension is a liquid dosage form in which naproxen is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat conditions such as arthritis, bursitis, tendinitis, and other inflammatory diseases.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Naproxen
Suspension
66fd7b0bdc31c32733aec9f2
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Naproxen 25 mg/mL Oral Suspension is a liquid formulation of naproxen, a nonsteroidal anti-inflammatory drug (NSAID) known for its analgesic, anti-inflammatory, and antipyretic properties. This homogeneous liquid mixture provides an alternative to solid dosage forms, making it easier for patients who have difficulty swallowing pills, such as children or the elderly, to receive their medication.

The liquid suspension allows for precise dosing adjustments, which is particularly beneficial for individualized therapy. Healthcare providers can tailor the dosage to meet specific patient needs, ensuring optimal therapeutic outcomes while minimizing potential side effects. This flexibility is especially important in managing conditions where the severity of symptoms can vary greatly between individuals.

Naproxen works by inhibiting the enzymes cyclooxygenase-1 and cyclooxygenase-2 (COX-1 and COX-2), which play a key role in the synthesis of prostaglandins. Prostaglandins are mediators of inflammation, pain, and fever. By reducing their production, naproxen effectively decreases inflammation and alleviates pain and fever associated with various conditions.

This oral suspension is indicated for the relief of mild to moderate pain, inflammation, and fever. It is commonly used in the treatment of conditions such as arthritis (including osteoarthritis and rheumatoid arthritis), ankylosing spondylitis, tendinitis, bursitis, gout, and menstrual cramps (dysmenorrhea). Its anti-inflammatory properties help reduce swelling and improve joint mobility in arthritic conditions.

Patients should take Naproxen 25 mg/mL Oral Suspension exactly as prescribed by their healthcare provider. Before each dose, the suspension should be shaken well to ensure the active ingredient is evenly distributed throughout the liquid. Measuring the dose accurately with a proper measuring device is crucial to ensure the efficacy and safety of the treatment.

Common side effects include gastrointestinal discomfort, such as stomach pain, heartburn, nausea, and constipation or diarrhea. More serious but less common side effects can include gastrointestinal bleeding, ulcers, hypertension, kidney or liver impairment, and increased risk of cardiovascular events. Patients should contact their healthcare provider immediately if they experience symptoms such as black or bloody stools, persistent stomach pain, unexplained weight gain, or chest pain.

It is important for patients to inform their healthcare provider of their full medical history, especially any history of heart disease, hypertension, kidney or liver problems, gastrointestinal issues, bleeding disorders, or asthma. Additionally, they should mention all other medications they are taking, including over-the-counter drugs and supplements, to avoid potential drug interactions.

Naproxen may not be suitable for use during pregnancy, particularly in the later stages, or while breastfeeding. Women who are pregnant or planning to become pregnant should discuss the risks and benefits of using this medication with their healthcare provider.

Store Naproxen 25 mg/mL Oral Suspension at room temperature, away from light and moisture. Keep it out of reach of children and pets. Do not use the medication after the expiration date indicated on the packaging.

If you have any questions or need further information about Naproxen 25 mg/mL Oral Suspension, please reach out to us. We are here to assist both patients and healthcare providers in ensuring safe and appropriate use of this medication.

Drug Interactions

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Naproxen 25 mg/mL Oral Suspension is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to treat pain, inflammation, and fever associated with various conditions such as arthritis, menstrual cramps, tendinitis, bursitis, and other musculoskeletal disorders. As with any medication, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment.

Patients and prescribers should be aware that naproxen can interact with other medications, potentially altering their effects or increasing the risk of adverse reactions. One significant interaction is with anticoagulants such as warfarin, as naproxen can enhance the anticoagulant effect, increasing the risk of bleeding. It is essential to monitor coagulation parameters closely if these drugs are used concomitantly.

Naproxen may also interact with other NSAIDs or aspirin, leading to an increased risk of gastrointestinal bleeding and ulceration. Patients should avoid using multiple NSAIDs concurrently unless specifically advised by a healthcare provider. Additionally, naproxen can reduce the antihypertensive effects of certain blood pressure medications, including ACE inhibitors, angiotensin II receptor blockers (ARBs), and beta-blockers, potentially leading to suboptimal blood pressure control.

Concomitant use of naproxen with selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may increase the risk of bleeding, particularly gastrointestinal bleeding. Patients should be monitored for signs of bleeding, and prescribers should consider the risks and benefits of combined therapy.

Patients with renal impairment should use naproxen with caution, as it can further compromise renal function, especially when used with other nephrotoxic agents such as diuretics or certain antibiotics like aminoglycosides. Regular monitoring of renal function is recommended in these cases.

Furthermore, naproxen may interact with lithium, leading to increased lithium levels and potential toxicity. It is advisable to monitor lithium levels and adjust the dose as necessary when these medications are used together.

For patients taking methotrexate, naproxen can increase methotrexate levels, potentially leading to toxicity. Close monitoring of methotrexate levels and renal function is advised, and dose adjustments may be necessary.

Patients and prescribers should also be aware of potential interactions with cyclosporine, as naproxen may increase the risk of nephrotoxicity. Monitoring of renal function and cyclosporine levels is recommended when these drugs are used together.

As always, it is essential for patients to inform their healthcare providers of all medications they are taking, including over-the-counter drugs and supplements, to ensure safe and appropriate use of naproxen oral suspension. If you have any questions or concerns about drug interactions or the use of this formulation, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Naproxen 25 mg/mL Oral Suspension is a liquid dosage form designed to deliver the active ingredient, naproxen, in a uniform and easily administrable manner. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2). These enzymes are responsible for the conversion of arachidonic acid into prostaglandins, which are lipid compounds that play a key role in mediating inflammation, pain, and fever. By blocking the production of prostaglandins, naproxen effectively reduces inflammation and alleviates pain and fever associated with various conditions.

The oral suspension formulation of naproxen is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, such as pediatric or geriatric patients, or those with certain medical conditions that impair swallowing. The liquid form allows for precise dosing adjustments, which can be crucial for achieving optimal therapeutic outcomes while minimizing potential side effects. The suspension is designed to ensure that the naproxen particles are evenly distributed throughout the liquid medium, providing a consistent dose with each administration.

Naproxen 25 mg/mL Oral Suspension is commonly used to treat a variety of disease states, including but not limited to, osteoarthritis, rheumatoid arthritis, juvenile idiopathic arthritis, ankylosing spondylitis, and acute gout. By reducing inflammation and pain, naproxen helps improve the quality of life for patients suffering from these chronic and acute conditions.

For prescribers, it is important to consider the patient's overall health status, including any history of gastrointestinal issues, cardiovascular disease, or renal impairment, as these factors may influence the safety and efficacy of naproxen therapy. Monitoring for potential side effects, such as gastrointestinal bleeding, cardiovascular events, or renal dysfunction, is essential, especially in long-term use. Adjustments in dosing or the use of gastroprotective agents may be necessary to mitigate these risks.

Patients should be advised to take the suspension with food or milk to reduce gastrointestinal discomfort and to shake the bottle well before each use to ensure proper mixing of the suspension. It is also important for patients to adhere to the prescribed dosing schedule and to report any unusual symptoms or side effects to their healthcare provider promptly.

If you have any questions or need further information about Naproxen 25 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Other Uses

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Naproxen 25 mg/mL Oral Suspension is primarily used for its anti-inflammatory and analgesic properties, commonly prescribed for conditions such as arthritis, bursitis, and tendinitis. However, this formulation may have other potential uses that can be beneficial for both patients and prescribers to consider. One such use is in the management of acute gout attacks, where naproxen can help reduce the inflammation and pain associated with the condition. Additionally, naproxen may be used off-label for the treatment of dysmenorrhea, providing relief from menstrual cramps by reducing the production of prostaglandins, which are responsible for uterine contractions and pain.

In certain cases, naproxen oral suspension can be considered for the management of mild to moderate pain resulting from dental procedures or minor injuries, offering an alternative for patients who may have difficulty swallowing tablets or capsules. Furthermore, naproxen's anti-inflammatory effects can be beneficial in managing pain and inflammation associated with soft tissue injuries, such as sprains and strains, making it a versatile option in sports medicine.

For patients with chronic conditions requiring long-term pain management, the liquid formulation of naproxen provides a customizable dosing option, allowing for precise titration to achieve optimal therapeutic effects while minimizing potential side effects. This can be particularly advantageous for pediatric or geriatric patients who may require adjusted dosages based on their specific needs and tolerances.

It is important for prescribers to consider the individual patient's medical history, potential drug interactions, and any contraindications when prescribing naproxen oral suspension for off-label uses. Patients should be advised to monitor for any adverse effects, such as gastrointestinal discomfort or signs of an allergic reaction, and to report these to their healthcare provider promptly. As always, if you have any questions or need further information regarding the use of naproxen 25 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Naproxen 25 mg/mL Oral Suspension?

Naproxen 25 mg/mL Oral Suspension is a liquid dosage form of the medication Naproxen, where the active ingredient is uniformly dispersed throughout a liquid medium, providing a homogeneous mixture for easy administration.

What is Naproxen used for?

Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, inflammation, and stiffness caused by conditions such as arthritis, muscle aches, backaches, menstrual cramps, and other types of pain.

How should I take Naproxen 25 mg/mL Oral Suspension?

Shake the bottle well before each use. Measure the prescribed dose using a proper measuring device or spoon. Do not use a household spoon as it may not provide an accurate dose.

Can I take Naproxen Oral Suspension with food?

Yes, Naproxen Oral Suspension can be taken with or without food. Taking it with food or milk may help reduce stomach upset.

What should I do if I miss a dose?

If you miss a dose of Naproxen Oral Suspension, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Naproxen Oral Suspension?

Common side effects may include stomach upset, heartburn, drowsiness, or dizziness. If you experience severe side effects such as chest pain, shortness of breath, slurred speech, or severe stomach pain, seek medical attention immediately.

Can children take Naproxen 25 mg/mL Oral Suspension?

Naproxen may be prescribed to children for certain conditions, but the dosage and administration should be determined by a healthcare professional. Always follow the doctor's instructions when giving this medication to children.

How should I store Naproxen Oral Suspension?

Store Naproxen Oral Suspension at room temperature, away from light and moisture. Do not freeze. Keep the bottle tightly closed and out of reach of children and pets.

Can I take Naproxen Oral Suspension if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before taking Naproxen. It may not be recommended during certain stages of pregnancy or while breastfeeding.

What should I avoid while taking Naproxen Oral Suspension?

Avoid drinking alcohol while taking Naproxen, as it can increase the risk of stomach bleeding. Also, avoid taking other NSAIDs or aspirin unless directed by your healthcare provider.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Naproxen 25 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Twice daily