Can You Take Aleve With Prednisone?

In our latest question and answer, the pharmacist discusses whether or not you can take Aleve (naproxen) with prednisone.

Question

Can I take Aleve in between my dosages of prednisone?

Asked by Wallace On Sep 01, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Sep 01, 2022
Last updated Apr 26, 2024

Key points

  • There is an interaction between Aleve (naproxen) and prednisone.
  • Taking both together increases the risk of gastrointestinal side effects.
  • This risk is more pronounced with the long-term use of both drugs. Intermittent use may be recommended by your doctor.

Answer

Thanks so much for reaching out! It's not uncommon for people to take NSAIDs (e.g Ibuprofen, Advil, Aleve) with prednisone for short periods of time. There is, however, one possible problem you want to be aware of.

Taking both an NSAID, like Aleve, and prednisone increases the risk of gastrointestinal (GI) side effects. Some of these side effects are relatively minor (e.g. nausea, upset stomach), but long-term use increases the risk of more serious ones, such as:

  • Ulceration
  • Bleeding

Although some individuals may be prescribed corticosteroids (e.g. prednisone) and NSAIDs at the same time, which can be done successfully for short periods of time without problems, prolonged concomitant administration should be avoided.

Why Does This Interaction Occur?

There are thought to be multiple reasons why the combination of steroids like prednisone and NSAIDs can lead to stomach problems, which include an overall increase in stomach acidity, a reduction in the protective mucus in the stomach, and the reduction in prostaglandins, which also protect the stomach.

Final Words

Thanks for your question! If you feel like you'll need to take Aleve with prednisone for a long period of time, you should reach out to your doctor before doing so to see if there are better/safer options for you.

References

  • Mechanisms involved in the side effects of glucocorticoids, PubMed
  • Naproxen Monograph, PubChem
  • Prednisone Monograph, PubChem

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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