Can You Take Aleve and Tylenol Together?

In our latest question and answer, the pharmacist discusses whether or not Aleve (naproxen) can be taken with Tylenol (acetaminophen).

3 min read Updated Jun 2026 5,385 views
Can You Take Aleve and Tylenol Together?
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Grandpa Gary asked

Can Tylenol be taken between doses of naproxen?

Nov 30, 2022
The quick answer
  • You can safely take Tylenol and Aleve together since they are different types of pain relievers with no known interaction between them. Tylenol and Aleve work differently, as Aleve has anti-inflammatory effects that Tylenol does not have. Make sure to follow the dosing instructions for each medication separately, as they have different recommended doses and how long they last in your body.
A quick summary of Dr. Brian Staiger, PharmD's full answer below, condensed by AI from that answer only (not from any outside source). The pharmacist's answer is the source of record.

Answer

Yes, you can take Tylenol (acetaminophen) and Aleve (naproxen) together. There is no known interaction between the drugs.

As you mentioned in your question to us, you can also take Tylenol in-between doses of Aleve. However, make sure you are following the instructions for each drug since each has a different duration of action, and are dosed differently.

Tylenol With NSAIDs

Even though Tylenol (acetaminophen) and Aleve (naproxen) are pain-relievers, and both are classified as analgesics, they are in different drug classes. They do work similarly, but Tylenol lacks the anti-inflammatory effects that Aleve (naproxen) has.

Tylenol is a 'para-aminophenol' analgesic, the only one of its kind available over the counter.

Naproxen, on the other hand, is an NSAID (non-steroidal anti-inflammatory drug), of which there are many available both over the counter and prescription (e.g., ibuprofen, meloxicam, diclofenac, etodolac, sulindac, etc...).

Both Tylenol and NSAIDs (such as naproxen) can be taken together, or you can alternate them to help you decrease your total daily dose of each in order to reduce the risk of side effects.

In fact, there is a product on the market that contains both Tylenol and an NSAID (ibuprofen in this case) in a single pill, Advil Dual Action:

Advil Dual Action image

There is no product that contains both Tylenol and naproxen in a single pill, but this is just an example to show you that NSAIDs and Tylenol are safe to take together.

There May Be A Benefit To Alternating Tylenol And NSAIDs

Several studies have shown that alternating doses of Tylenol and ibuprofen can be more effective at treating symptoms of a fever when compared to either alone.

This is likely because NSAIDs and Tylenol have similar pain-relieving and fever-reducing effects, and alternating them every few hours allows these actions to be somewhat continuous.

I couldn't find any studies regarding alternating Tylenol and naproxen, but this is likely due to the long duration of action of naproxen (which is around 8-12 hours) making it not as suitable to alternate with Tylenol when compared to ibuprofen (both of which last four to six hours).

Nevertheless, as long as you don't exceed the recommended dosages of naproxen and Tylenol per day, they are safe to use together or alternate. These recommended dosages are:

  • Acetaminophen (Adults): 325 to 650 mg by mouth every 4 to 6 hours, as needed. Maximum daily dose: 4,000 mg per day
  • Naproxen (Adults; Over-The-Counter Use): 220 mg every 8 to 12 hours. For the first dose, you may take 2 tablets within the first hour. Maximum daily dose: 660mg per day

It should be noted naproxen is also available as a prescription, and the recommended dosages are different if you are taking that drug under the supervision of your doctor. The above dosing is for over-the-counter use.

Final Words

I hope this answer was helpful to you. Thanks for reaching out!

References & sources
  1. Acetaminophen Monograph — PubChem
  2. Naproxen Monograph — PubChem
  3. Alternating ibuprofen and acetaminophen in the treatment of febrile children: a pilot study [ISRCTN30487061] — PubMed
  4. Alternating Acetaminophen and Ibuprofen versus Monotherapies in Improvements of Distress and Reducing Refractory Fever in Febrile Children: A Randomized Controlled Trial — PubMed
  5. Alternating acetaminophen and ibuprofen for pain in children — PubMed
Glossary — Terms in This Answer
Acetaminophen
A common pain reliever and fever reducer sold under the brand name Tylenol.
Naproxen
A pain reliever and anti-inflammatory medication sold under the brand name Aleve.
Analgesics
Medications that relieve pain.
Anti-inflammatory
Capable of reducing swelling and inflammation in the body.
NSAID
Non-steroidal anti-inflammatory drug, a class of pain relievers that also reduce inflammation.
Ibuprofen
A common over-the-counter NSAID pain reliever and fever reducer.
Duration of action
The length of time a medication remains effective in the body.
Dosages
The specific amounts and frequencies at which a medication should be taken.
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Dr. Brian Staiger, PharmD
About the pharmacist

Dr. Brian Staiger, PharmD

Clinical Pharmacy

Doctor of Pharmacy, board certified clinical pharmacist (BCPS), American Herbalist Guild, Medication Therapy Management certified

Brian Staiger, PharmD, BCPS, is a licensed pharmacist with more than 13 years of experience across retail pharmacy, clinical pharmacy, medication safety, pharmacy program development, and healthcare administration. He is the founder of HelloPharmacist.com, where he helps patients...

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