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Naproxen

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

An anti-inflammatory agent with analgesic and antipyretic properties.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (827 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Methoxypropiocin; Anaprox; Synflex; Proxen; Aleve; Naproxen Sodium; Sodium, Naproxen; Sodium Naproxenate.

Where it fits in the MeSH classification

Broader topics
Naphthaleneacetic Acids

Research landscape

PubMed indexes 4,709 records tagged with the MeSH heading “Naproxen” (counts retrieved 2026-10-31). 602 of them (12.8%) were published from 2020 onward, and the busiest period so far is through 1999 with 1,786 records.

Reviews account for 279 records (5.9%) and meta-analyses for 48. Randomized controlled trials number 757 (16.1%) as a share of all records on the topic. Randomized trials make up a comparatively large share of this literature, which means many treatment questions have been tested directly.

PubMed records by publication periodthrough 1999: 1,786 records; 2000-2009: 1,053 records; 2010-2019: 1,268 records; 2020 onward: 602 records1,786through 19991,0532000-20091,2682010-20196022020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19991,786
2000-20091,053
2010-20191,268
2020 onward602
Share of records by publication typeReviews: 5.9 percent; Meta-analyses: 1.0 percent; Randomized controlled trials: 16.1 percentReviews5.9% (279)Meta-analyses1.0% (48)Randomized controlled trials16.1% (757)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 4,709 PubMed records
TypeRecordsShare
Reviews2795.9%
Meta-analyses481.0%
Randomized controlled trials75716.1%

Method: PubMed query "Naproxen"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Naproxen in the environment: its occurrence, toxicity to nontarget organisms and biodegradation
Wojcieszyńska D, Guzik U
2020Review article
Design not recorded in structured metadata
80cc by
PMID 31925484 · DOI · PMC7007908
Improved efficacy of naproxen-loaded NLC for temporomandibular joint administration
Guilherme VA, Ribeiro LNM, Alcântara ACS, Castro SR, Rodrigues da Silva GH, da Silva CG, et al.
2019Research article
Design not recorded in structured metadata
48cc by
PMID 31371737 · DOI · PMC6673697
Graphene-Oxide-Based Electrochemical Sensors for the Sensitive Detection of Pharmaceutical Drug Naproxen
Qian L, Thiruppathi AR, Thiruppathi AR, Elmahdy R, van der Zalm J, Chen A
2020Research article
Design not recorded in structured metadata
41cc by
PMID 32106566 · DOI · PMC7085571
Prenatal Naproxen Reprograms Histopathological and Molecular Facets of the Sex-Based Lung Injury in Adult Offspring of Preeclamptic Rats
Abdelhady SA, Elhamammy RH, Noureldin MH, Shahine Y, El-Deeb NM, El-Mas MM
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42074291 · DOI · PMC13116112

Naproxen in the environment: its occurrence, toxicity to nontarget organisms and biodegradation [1]

Review article Wojcieszyńska D, Guzik U · · 2020 · cited 80 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
This article summarizes the current knowledge about the presence of naproxen in the environment, its toxicity to nontarget organisms and the microbial degradation of this drug.
Closing excerpt
•Naproxen biodegradation occurs mainly through desmethylnaproxen as a key intermediate.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (191 words)

This article summarizes the current knowledge about the presence of naproxen in the environment, its toxicity to nontarget organisms and the microbial degradation of this drug. Currently, naproxen has been detected in all types of water, including drinking water and groundwater. The concentrations that have been observed ranged from ng/L to μg/L. These concentrations, although low, may have a negative effect of long-term exposure on nontarget organisms, especially when naproxen is mixed with other drugs. The biological decomposition of naproxen is performed by fungi, algae and bacteria, but the only well-described pathway for its complete degradation is the degradation of naproxen by Bacillus thuringiensis B1(2015b). The key intermediates that appear during the degradation of naproxen by this strain are O-desmethylnaproxen and salicylate. This latter is then cleaved by 1,2-salicylate dioxygenase or is hydroxylated to gentisate or catechol. These intermediates can be cleaved by the appropriate dioxygenases, and the resulting products are incorporated into the central metabolism. KEY POINTS: •High consumption of naproxen is reflected in its presence in the environment. •Prolonged exposure of nontargeted organisms to naproxen can cause adverse effects. •Naproxen biodegradation occurs mainly through desmethylnaproxen as a key intermediate.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 31925484 · DOI · PMC7007908

Improved efficacy of naproxen-loaded NLC for temporomandibular joint administration [2]

Research article Guilherme VA, Ribeiro LNM, Alcântara ACS, Castro SR, Rodrigues da Silva GH, da Silva CG, et al. · · 2019 · cited 48 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Inflammatory conditions of the temporomandibular joint (TMJ) and peripheral tissues affect many people around the world and are commonly treated with non-steroidal anti-inflammatory drugs (NSAIDs).
Closing excerpt
These results point out the NLC-NPX formulation as a promising candidate for the safe treatment of inflammatory pain conditions of TMJ or other joints.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (188 words)

Inflammatory conditions of the temporomandibular joint (TMJ) and peripheral tissues affect many people around the world and are commonly treated with non-steroidal anti-inflammatory drugs (NSAIDs). However, in order to get desirable results, treatments with NSAIDs may take weeks, causing undesirable side effects and requiring repeated administration. In this sense, this work describes the development of an optimized nanostructured lipid carrier (NLC) formulation for intra-articular administration of naproxen (NPX). An experimental design (23) selected the best formulation in terms of its physicochemical and structural properties, elucidated by different methods (DLS, NTA, TEM, DSC, and ATR-FTIR). The chosen formulation (NLC-NPX) was tested on acute inflammatory TMJ nociception, in a rat model. The optimized excipients composition provided higher NPX encapsulation efficiency (99.8%) and the nanoparticles were found stable during 1 year of storage at 25 °C. In vivo results demonstrated that the sustained delivery of NPX directly in the TMJ significantly reduced leukocytes migration and levels of pro-inflammatory cytokines (IL-1β and TNF-α), for more than a week. These results point out the NLC-NPX formulation as a promising candidate for the safe treatment of inflammatory pain conditions of TMJ or other joints.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 31371737 · DOI · PMC6673697

Graphene-Oxide-Based Electrochemical Sensors for the Sensitive Detection of Pharmaceutical Drug Naproxen [3]

Research article Qian L, Thiruppathi AR, Thiruppathi AR, Elmahdy R, van der Zalm J, Chen A · · 2020 · cited 41 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Here we report on a selective and sensitive graphene-oxide-based electrochemical sensor for the detection of naproxen.
Closing excerpt
Moreover, this study provided insights into the participatory catalytic roles of the oxygen functional groups of the GO-based nanomaterials toward the electrochemical oxidation and sensing of naproxen.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (247 words)

Here we report on a selective and sensitive graphene-oxide-based electrochemical sensor for the detection of naproxen. The effects of doping and oxygen content of various graphene oxide (GO)-based nanomaterials on their respective electrochemical behaviors were investigated and rationalized. The synthesized GO and GO-based nanomaterials were characterized using a field-emission scanning electron microscope, while the associated amounts of the dopant heteroatoms and oxygen were quantified using x-ray photoelectron spectroscopy. The electrochemical behaviors of the GO, fluorine-doped graphene oxide (F-GO), boron-doped partially reduced graphene oxide (B-rGO), nitrogen-doped partially reduced graphene oxide (N-rGO), and thermally reduced graphene oxide (TrGO) were studied and compared via cyclic voltammetry (CV) and differential pulse voltammetry (DPV). It was found that GO exhibited the highest signal for the electrochemical detection of naproxen when compared with the other GO-based nanomaterials explored in the present study. This was primarily due to the presence of the additional oxygen content in the GO, which facilitated the catalytic oxidation of naproxen. The GO-based electrochemical sensor exhibited a wide linear range (10 mM-1 mM), a high sensitivity (0.60 µAµM-1cm-2), high selectivity and a strong anti-interference capacity over potential interfering species that may exist in a biological system for the detection of naproxen. In addition, the proposed GO-based electrochemical sensor was tested using actual pharmaceutical naproxen tablets without pretreatments, further demonstrating excellent sensitivity and selectivity. Moreover, this study provided insights into the participatory catalytic roles of the oxygen functional groups of the GO-based nanomaterials toward the electrochemical oxidation and sensing of naproxen.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32106566 · DOI · PMC7085571

Prenatal Naproxen Reprograms Histopathological and Molecular Facets of the Sex-Based Lung Injury in Adult Offspring of Preeclamptic Rats [4]

Research article Abdelhady SA, Elhamammy RH, Noureldin MH, Shahine Y, El-Deeb NM, El-Mas MM · · 2026

Abstract reading summary — source excerpts
Opening excerpt
Offspring of preeclamptic (PE) mothers are at increased risk of end-organ damage.
Closing excerpt
These findings implicate Axl/IL-1α/sFlt1 signaling in the greater lung injury in male PE offspring and suggest a protective effect of gestational naproxen therapy.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (201 words)

Offspring of preeclamptic (PE) mothers are at increased risk of end-organ damage. Given the widespread use of NSAIDs during pregnancy and their reported ability to mitigate organ damage in PE mothers, this study examined whether prenatal naproxen modifies PE-induced lung injury in male and female offspring. PE was induced by orally administered L-nitro-arginine-methyl ester (L-NAME, 50 mg/kg/day for 7 days) to mothers prior to labor, and lung tissues were excised from 3-month-old offspring. Histopathology revealed increased interstitial inflammation and fibrosis in PE versus non-PE offspring lungs. This was more prominent in male than in female PE offspring and was coupled with more pulmonary expression of Axl tyrosine kinase receptor and downstream interleukin-1α (IL-1α) and antiangiogenic Fms-Like Tyrosine Kinase-1(sFlt1) effectors. These sex-related defects disappeared in offspring of PE dams treated prenatally with naproxen (1 mg/kg/day for 7 days). Further, PE offspring exhibited elevations in other inflammatory cytokines, IL-2 and TNFα, and apoptotic markers, caspase-3 and caspase-cleaved cytokeratin 18 (M-30) and total soluble cytokeratin 18 (M-65). The latter effects were evenly seen in both sexes and similarly offset by naproxen. These findings implicate Axl/IL-1α/sFlt1 signaling in the greater lung injury in male PE offspring and suggest a protective effect of gestational naproxen therapy.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42074291 · DOI · PMC13116112

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Pharmacodynamic interaction of naproxen with low-dose aspirin in healthy subjects [5]
    Capone ML, Sciulli MG, Tacconelli S, Grana M, Ricciotti E, Renda G, et al. · J Am Coll Cardiol · 2005 · cited 191 times (Europe PMC)
  • Research article Toxicity of the Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) acetylsalicylic acid, paracetamol, diclofenac, ibuprofen and naproxen towards freshwater invertebrates: A review [6]
    Parolini M · Sci Total Environ · 2020 · cited 167 times (Europe PMC)
  • Research article Naproxen. A reappraisal of its pharmacology, and therapeutic use in rheumatic diseases and pain states [7]
    Todd PA, Clissold SP · Drugs · 1990 · cited 106 times (Europe PMC)
  • Research article Hydrogen Sulfide-Releasing Therapeutics: Translation to the Clinic [8]
    Wallace JL, Vaughan D, Dicay M, MacNaughton WK, de Nucci G · Antioxid Redox Signal · 2018 · cited 101 times (Europe PMC)
  • Research article Clinical pharmacokinetics of naproxen [9]
    Davies NM, Anderson KE · Clin Pharmacokinet · 1997 · cited 94 times (Europe PMC)
  • Research article Naproxen up to date: a review of its pharmacological properties and therapeutic efficacy and use in rheumatic diseases and pain states [10]
    Brogden RN, Heel RC, Speight TM, Avery GS · Drugs · 1979 · cited 72 times (Europe PMC)

References

  1. Wojcieszyńska D, Guzik U. Naproxen in the environment: its occurrence, toxicity to nontarget organisms and biodegradation. . 2020. PMID 31925484 · DOI · PMC7007908
  2. Guilherme VA, Ribeiro LNM, Alcântara ACS, Castro SR, Rodrigues da Silva GH, da Silva CG, et al.. Improved efficacy of naproxen-loaded NLC for temporomandibular joint administration. . 2019. PMID 31371737 · DOI · PMC6673697
  3. Qian L, Thiruppathi AR, Thiruppathi AR, Elmahdy R, van der Zalm J, Chen A. Graphene-Oxide-Based Electrochemical Sensors for the Sensitive Detection of Pharmaceutical Drug Naproxen. . 2020. PMID 32106566 · DOI · PMC7085571
  4. Abdelhady SA, Elhamammy RH, Noureldin MH, Shahine Y, El-Deeb NM, El-Mas MM. Prenatal Naproxen Reprograms Histopathological and Molecular Facets of the Sex-Based Lung Injury in Adult Offspring of Preeclamptic Rats. . 2026. PMID 42074291 · DOI · PMC13116112
  5. Capone ML, Sciulli MG, Tacconelli S, Grana M, Ricciotti E, Renda G, et al.. Pharmacodynamic interaction of naproxen with low-dose aspirin in healthy subjects. J Am Coll Cardiol. 2005. PMID 15837265 · DOI
  6. Parolini M. Toxicity of the Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) acetylsalicylic acid, paracetamol, diclofenac, ibuprofen and naproxen towards freshwater invertebrates: A review. Sci Total Environ. 2020. PMID 32559537 · DOI
  7. Todd PA, Clissold SP. Naproxen. A reappraisal of its pharmacology, and therapeutic use in rheumatic diseases and pain states. Drugs. 1990. PMID 2202585 · DOI
  8. Wallace JL, Vaughan D, Dicay M, MacNaughton WK, de Nucci G. Hydrogen Sulfide-Releasing Therapeutics: Translation to the Clinic. Antioxid Redox Signal. 2018. PMID 28388861 · DOI
  9. Davies NM, Anderson KE. Clinical pharmacokinetics of naproxen. Clin Pharmacokinet. 1997. PMID 9113437 · DOI
  10. Brogden RN, Heel RC, Speight TM, Avery GS. Naproxen up to date: a review of its pharmacological properties and therapeutic efficacy and use in rheumatic diseases and pain states. Drugs. 1979. PMID 387372 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

4,709
PubMed records on this heading
13%
published since 2020
279
review articles
757
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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