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Naproxen: A Review of its Pharmacological Properties and Therapeutic Efficacy and Use

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Summary

Synopsis: Naproxen 2, (+)-6-methoxy-α-methyl-2-naphthalene acetic acid, is a new non-steroidal anti-inflammatory agent advocated for use in rheumatoid arthritis, degenerative joint disease and ankylosing spondylitis.

Published data suggest that in rheumatoid arthritis, naproxen 500mg daily is comparable in efficacy with moderate doses of aspirin (3.6 to 4g daily) or 150mg daily of indomethacin, but generally causes fewer and milder side-effects than these drugs at the dosages used and can be given less frequently (12-hourly). Encouraging initial results have been reported from its use in other inflammatory joint disorders, including acute gout and juvenile rheumatoid arthritis. It has compared favourably with indomemacin in osteoarthrosis of the hip or knee. Its exact place in the management of ankylosing spondylitis remains to be determined.

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See subject index in each issue for further indexing terms.

‘Naprosyn’; ‘Naprosine’; ‘Naxen’; ‘Proxen’; ‘Synaxsyn’ (Syntex).

Manuscript reviewed by: B.M. Ansell, MRC, Rheumatism Unit, Canadian Red Cross Memorial Hospital, Maidenhead, England; F.D. Hart, Rheumatism Clinic, Westminster Hospital, London, England; H.F.H. Hill, Oxford Regional Rheumatic Diseases Research Centre, Stoke Mandeville Hospital, Aylesbury, England; R.G. Robinson, North Shore Medical Centre, Sydney, Australia; B.S. Rose, Rheumatologist, Waikato Hospital, Hamilton, New Zealand; J. Ruedy, Division of Clinical Pharmacology, Montreal General Hospital, Montreal, Canada; J.B. Stetson, Department of Anaesthesiology, School of Medicine and Dentistry, University of Rochester, New York, USA

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Brogden, R.N., Finder, R.M., Sawyer, P.R. et al. Naproxen: A Review of its Pharmacological Properties and Therapeutic Efficacy and Use. Drugs 9, 326–363 (1975). https://doi.org/10.2165/00003495-197509050-00002

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