Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C14H13O3.Na |
| Molecular Weight | 252.241 |
| Optical Activity | ( + ) |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
[Na+].COC1=CC2=CC=C(C=C2C=C1)[C@H](C)C([O-])=O
InChI
InChIKey=CDBRNDSHEYLDJV-FVGYRXGTSA-M
InChI=1S/C14H14O3.Na/c1-9(14(15)16)10-3-4-12-8-13(17-2)6-5-11(12)7-10;/h3-9H,1-2H3,(H,15,16);/q;+1/p-1/t9-;/m0./s1
| Molecular Formula | Na |
| Molecular Weight | 22.98976928 |
| Charge | 1 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C14H13O3 |
| Molecular Weight | 229.2512 |
| Charge | -1 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + ) |
DescriptionSources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/017581s112,018164s062,020067s019lbl.pdfCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/mesh/68009288
Sources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/017581s112,018164s062,020067s019lbl.pdf
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/mesh/68009288
Naproxen (naproxen sodium, NAPROSYN®) is a propionic acid derivative related to the arylacetic acid group of nonsteroidal anti-inflammatory drugs (NSAIDs). It is 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. The mechanism of action of the naproxen (naproxen sodium, NAPROSYN®), like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and COX-2).
CNS Activity
Sources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/017581s112,018164s062,020067s019lbl.pdf
Curator's Comment: Naproxen is a potent inhibitor of prostaglandin synthesis in vitro. Naproxen concentrations reached during therapy have produced in vivo effects. Prostaglandins sensitize afferent nerves and potentiate the action of bradykinin in inducing pain in animal models.
Originator
Sources: http://pubs.acs.org/doi/abs/10.1021/op960009e
Curator's Comment: Syntex was integrated into the Roche group in 1994.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL221 |
0.11 µM [IC50] | ||
Target ID: CHEMBL230 |
0.19 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | NAPROSYN Approved UseNAPROSYN is indicated:
For the relief of the signs and symptoms of rheumatoid arthritis.
For the relief of the signs and symptoms of osteoarthritis.
For the relief of the signs and symptoms of ankylosing spondylitis.
For the relief of the signs and symptoms of juvenile arthritis.
NAPROSYN is also indicated:
For relief of the signs and symptoms of tendonitis.
For relief of the signs and symptoms of bursitis.
For relief of the signs and symptoms of acute gout.
For the management of pain.
For the management of primary dysmenorrhea. Launch Date1976 |
|||
| Primary | NAPROSYN Approved UseNAPROSYN is indicated:
For the relief of the signs and symptoms of rheumatoid arthritis.
For the relief of the signs and symptoms of osteoarthritis.
For the relief of the signs and symptoms of ankylosing spondylitis.
For the relief of the signs and symptoms of juvenile arthritis.
NAPROSYN is also indicated:
For relief of the signs and symptoms of tendonitis.
For relief of the signs and symptoms of bursitis.
For relief of the signs and symptoms of acute gout.
For the management of pain.
For the management of primary dysmenorrhea. Launch Date1976 |
|||
| Primary | NAPROSYN Approved UseNAPROSYN is indicated:
For the relief of the signs and symptoms of rheumatoid arthritis.
For the relief of the signs and symptoms of osteoarthritis.
For the relief of the signs and symptoms of ankylosing spondylitis.
For the relief of the signs and symptoms of juvenile arthritis.
NAPROSYN is also indicated:
For relief of the signs and symptoms of tendonitis.
For relief of the signs and symptoms of bursitis.
For relief of the signs and symptoms of acute gout.
For the management of pain.
For the management of primary dysmenorrhea. Launch Date1976 |
|||
| Primary | NAPROSYN Approved UseNAPROSYN is indicated:
For the relief of the signs and symptoms of rheumatoid arthritis.
For the relief of the signs and symptoms of osteoarthritis.
For the relief of the signs and symptoms of ankylosing spondylitis.
For the relief of the signs and symptoms of juvenile arthritis.
NAPROSYN is also indicated:
For relief of the signs and symptoms of tendonitis.
For relief of the signs and symptoms of bursitis.
For relief of the signs and symptoms of acute gout.
For the management of pain.
For the management of primary dysmenorrhea. Launch Date1976 |
|||
| Primary | NAPROSYN Approved UseNAPROSYN is indicated:
For the relief of the signs and symptoms of rheumatoid arthritis.
For the relief of the signs and symptoms of osteoarthritis.
For the relief of the signs and symptoms of ankylosing spondylitis.
For the relief of the signs and symptoms of juvenile arthritis.
NAPROSYN is also indicated:
For relief of the signs and symptoms of tendonitis.
For relief of the signs and symptoms of bursitis.
For relief of the signs and symptoms of acute gout.
For the management of pain.
For the management of primary dysmenorrhea. Launch Date1976 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
95 μg/L |
500 mg 2 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NAPROXEN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
94 μg/mL |
1000 mg 1 times / day steady-state, oral dose: 1000 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NAPROXEN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1446 μg × h/mL |
500 mg 2 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NAPROXEN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1448 μg × h/mL |
1000 mg 1 times / day steady-state, oral dose: 1000 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NAPROXEN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
15 h |
500 mg 2 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NAPROXEN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1% |
500 mg 2 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NAPROXEN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
12.5 g single, oral Overdose |
healthy, 15 |
Disc. AE: Abdominal pain, Nausea... AEs leading to discontinuation/dose reduction: Abdominal pain Sources: Nausea Dizziness Seizures Metabolic acidosis (severe) |
4 g single, oral Highest studied dose |
healthy, 20 |
|
70.4 g single, oral Overdose |
healthy, 28 |
Disc. AE: Sinus tachycardia, Drowsiness... AEs leading to discontinuation/dose reduction: Sinus tachycardia Sources: Drowsiness Metabolic acidosis Seizures |
26 g single, oral Overdose |
unhealthy, 58 |
Disc. AE: Thrombopenia... AEs leading to discontinuation/dose reduction: Thrombopenia Sources: |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Cardiac thrombosis, Myocardial infarction... AEs leading to discontinuation/dose reduction: Cardiac thrombosis (grade 3-5) Sources: Myocardial infarction (grade 3-5) Stroke (grade 3-5) Gastrointestinal disorder NOS (grade 3-5) Gastrointestinal bleeding (grade 3-5) Gastrointestinal ulcer (grade 3-5) Perforation stomach (grade 3-5) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Abdominal pain | Disc. AE | 12.5 g single, oral Overdose |
healthy, 15 |
| Dizziness | Disc. AE | 12.5 g single, oral Overdose |
healthy, 15 |
| Nausea | Disc. AE | 12.5 g single, oral Overdose |
healthy, 15 |
| Seizures | Disc. AE | 12.5 g single, oral Overdose |
healthy, 15 |
| Metabolic acidosis | severe Disc. AE |
12.5 g single, oral Overdose |
healthy, 15 |
| Drowsiness | Disc. AE | 70.4 g single, oral Overdose |
healthy, 28 |
| Metabolic acidosis | Disc. AE | 70.4 g single, oral Overdose |
healthy, 28 |
| Seizures | Disc. AE | 70.4 g single, oral Overdose |
healthy, 28 |
| Sinus tachycardia | Disc. AE | 70.4 g single, oral Overdose |
healthy, 28 |
| Thrombopenia | Disc. AE | 26 g single, oral Overdose |
unhealthy, 58 |
| Cardiac thrombosis | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Gastrointestinal bleeding | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Gastrointestinal disorder NOS | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Gastrointestinal ulcer | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Myocardial infarction | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Perforation stomach | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Stroke | grade 3-5 Disc. AE |
550 mg 2 times / day multiple, oral Recommended Dose: 550 mg, 2 times / day Route: oral Route: multiple Dose: 550 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| yes [IC50 4.67 uM] | ||||
| yes [IC50 486 uM] | ||||
| yes [IC50 5.67 uM] | ||||
| yes [IC50 85.4 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| major | ||||
| minor | ||||
| minor | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Localization of cyclooxygenase isozymes in cardiovascular tissues of dogs treated with naproxen. | 2001-08-10 |
|
| I'm taking over-the-counter ibuprofen every day for neck pain. Recently, my doctor gave me a prescription for naproxen for my arthritis. Should I be concerned about taking these two together? | 2001-08 |
|
| A possible mechanism of naproxen-induced lipid peroxidation in rat liver microsomes. | 2001-07 |
|
| New issues about nitric oxide and its effects on the gastrointestinal tract. | 2001-07 |
|
| Effects of non-steroidal antiinflammatory drugs and dexamethasone on the activity and expression of matrix metalloproteinase-1, matrix metalloproteinase-3 and tissue inhibitor of metalloproteinases-1 by bovine articular chondrocytes. | 2001-07 |
|
| Dapsone activation of CYP2C9-mediated metabolism: evidence for activation of multiple substrates and a two-site model. | 2001-07 |
|
| Addition of hydrogen bond donating excipients to oil solution: effect on in vitro drug release rate and viscosity. | 2001-07 |
|
| Enantioselective inhibition of the binding of rac-profens to human serum albumin induced by lithocholate. | 2001-07 |
|
| Determination of ibuprofen and naproxen in tablets. | 2001-07 |
|
| In vitro evaluation and intra-articular administration of biodegradable microspheres containing naproxen sodium. | 2001-06-29 |
|
| Immune thrombocytopenia resulting from sensitivity to metabolites of naproxen and acetaminophen. | 2001-06-15 |
|
| Screening procedure for detection of non-steroidal anti-inflammatory drugs and their metabolites in urine as part of a systematic toxicological analysis procedure for acidic drugs and poisons by gas chromatography-mass spectrometry after extractive methylation. | 2001-06-02 |
|
| In vitro effects of NSAIDS and paracetamol on oxidative stress-related parameters of human erythrocytes. | 2001-06 |
|
| Determination of naproxen in pharmaceutical preparations by room-temperature phosphorescence. A comparative study of several organized media. | 2001-06 |
|
| By the way, doctor. Which drugs cause problems in the sun? | 2001-06 |
|
| [Treatment of pain due to unwanted lactation with a homeopathic preparation given in the immediate post-partum period]. | 2001-06 |
|
| Fixed drug eruption due to naproxen; lack of cross-reactivity with other propionic acid derivatives. | 2001-06 |
|
| [The lack of awareness of the Israeli population regarding gastrointestinal complications from non-steroidal anti-inflammatory drugs]. | 2001-06 |
|
| Treatment of de Quervain's disease:role of conservative management. | 2001-06 |
|
| Inhibition of tendon cell proliferation and matrix glycosaminoglycan synthesis by non-steroidal anti-inflammatory drugs in vitro. | 2001-06 |
|
| Stereoselective synthesis of (S)-(+)-Naproxen catalyzed by carboxyl esterase in a multicompartment electrolyzer. | 2001-05-28 |
|
| Isotachophoretic determination of naproxen in the presence of its metabolite in human serum. | 2001-05-04 |
|
| Upper gastrointestinal toxicity of rofecoxib and naproxen. | 2001-05-03 |
|
| Upper gastrointestinal toxicity of rofecoxib and naproxen. | 2001-05-03 |
|
| Effect of cyclodextrin charge on complexation of neutral and charged substrates: comparison of (SBE)7M-beta-CD to HP-beta-CD. | 2001-05 |
|
| Synthesis, in vitro skin permeation studies, and PLS-analysis of new naproxen derivatives. | 2001-05 |
|
| [The selective Cox-2 inhibition by rofecoxib reduces risk of severe gastrointestinal complications of anti-inflammatory therapy by more than 50%]. | 2001-05 |
|
| Nimesulide reduces interleukin-1beta-induced cyclooxygenase-2 gene expression in human synovial fibroblasts. | 2001-05 |
|
| Severe reversible renal failure due to naproxen-associated acute interstitial nephritis. | 2001-05 |
|
| Effect of nonsteroidal anti-inflammatory drug use on the rate of gastrointestinal hospitalizations among people living in long-term care. | 2001-05 |
|
| The influence of polyvinylpyrrolidone on naproxen complexation with hydroxypropyl-beta-cyclodextrin. | 2001-05 |
|
| [Liver damage and nonsteroidal anti-inflammatory drugs: case non-case study in the French Pharmacovigilance Database]. | 2001-04-27 |
|
| [Acupuncture contra antiphlogistics in acute lumbago]. | 2001-04-20 |
|
| Uniformly sized molecularly imprinted polymer for (S)-naproxen retention and molecular recognition properties in aqueous mobile phase. | 2001-04-13 |
|
| Naproxen particle design using porous starch. | 2001-04 |
|
| Naproxen-Eudragit microspheres: screening of process and formulation variables for the preparation of extended release tablets. | 2001-04 |
|
| Reduced incidence of gastroduodenal ulcers with celecoxib, a novel cyclooxygenase-2 inhibitor, compared to naproxen in patients with arthritis. | 2001-04 |
|
| Endogenous prostaglandin E2 and insulin-like growth factor 1 can modulate the levels of parathyroid hormone receptor in human osteoarthritic osteoblasts. | 2001-04 |
|
| Celecoxib and rofecoxib. The role of COX-2 inhibitors in dental practice. | 2001-04 |
|
| Rhein, an active metabolite of diacerein, down-regulates the production of pro-matrix metalloproteinases-1, -3, -9 and -13 and up-regulates the production of tissue inhibitor of metalloproteinase-1 in cultured rabbit articular chondrocytes. | 2001-04 |
|
| [Nitric oxide and gastroduodenal damage caused by NSAIDs. Recent findings and clinical implications]. | 2001-03 |
|
| Synthesis and cyclooxygenase inhibitory properties of novel (+) 2-(6-methoxy-2-naphthyl)propanoic acid (naproxene) derivatives. | 2001-03 |
|
| Peroxisomal proliferator-activated ligand therapy for HIV lipodystrophy. | 2001-03 |
|
| Interleukin-6 (IL-6) producing phaeochromocytoma: direct IL-6 suppression by non-steroidal anti-inflammatory drugs. | 2001-03 |
|
| Synthesis of some new 1-acylthiosemicarbazides, 1,3,4-oxadiazoles, 1,3,4-thiadiazoles and 1,2,4-triazole-3-thiones and their anti-inflammatory activities. | 2001 |
|
| [Two complex suicidal poisonings with drugs and their medicolegal aspects]. | 2001 |
|
| Rofecoxib: a review of its use in the management of osteoarthritis, acute pain and rheumatoid arthritis. | 2001 |
|
| Differential regulation of interleukin-1 beta-induced cyclooxygenase-2 gene expression by nimesulide in human synovial fibroblasts. | 2001 |
|
| Nimesulide, a balanced drug for the treatment of osteoarthritis. | 2001 |
|
| Absence of pharmacokinetic interaction between orally co-administered naproxen sodium and diphenhydramine hydrochloride. | 2000-09 |
Patents
Sample Use Guides
Rheumatoid Arthritis, Osteoarthritis and Ankylosing Spondylitis:
1 tablet of NAPROSYN® (250 mg or 375 mg or 500 mg) twice daily.
Acute Gout:
The recommended starting dose is 750 mg of NAPROSYN® followed by 250 mg every 8
hours until the attack has subsided.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24120370
There are data on the N-(3-methylpyridin-2-yl)amide derivatives of flurbiprofen and naproxen (Flu-AM1 and Nap-AM1, respectively) with respect to their properties towards fatty acid amide hydrolase (FAAH). Flu-AM1 and Nap-AM1 inhibited FAAH-catalysed hydrolysis of [(3)H]anandamide by rat brain homogenates with IC50 values of 0.44 and 0.74 uM. The corresponding values for flurbiprofen and naproxen were 29 and >100 uM, respectively.
| Substance Class |
Chemical
Created
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| Record UNII |
9TN87S3A3C
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Validated (UNII)
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NCI_THESAURUS |
C1323
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142442
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m7769
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247-486-2
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SUB166156
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
USP
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PARENT -> SALT/SOLVATE | |||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
EP
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| Related Record | Type | Details | ||
|---|---|---|---|---|
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |