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Naproxen vs. Tylenol

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Naproxen (Naprosyn) and acetaminophen (Tylenol) are both used to relieve pain, but they work differently and have different uses. Naproxen is a non-steroidal anti-inflammatory drug (NSAID) that helps with pain and inflammation by blocking proteins called COX. It's often used for conditions like arthritis, gout, and menstrual cramps. Acetaminophen, on the other hand, is an analgesic that reduces pain and fever but doesn't help with inflammation. It's not fully understood how acetaminophen works, but it's thought to affect chemicals in the brain and nervous system. Naprosyn is available by prescription (although other naproxen products are available over-the-counter, or OTC), while acetaminophen can be bought OTC. Naproxen can cause side effects like stomach pain and heartburn, and it may raise blood pressure. Acetaminophen generally has fewer side effects but can cause serious liver damage if taken in high doses or with alcohol. Both medications come in various forms, but naproxen is typically taken 2 times a day, while acetaminophen is taken every 4 to 6 hours.

Naproxen

(Naprosyn)

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Acetaminophen

(Tylenol)

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Summary for Naproxen

Prescription only

Prescription-strength naproxen (Naprosyn) is a non-steroidal anti-inflammatory drug (NSAID). It can be taken by adults and children to relieve pain and symptoms of certain conditions that cause inflammation, such as rheumatoid arthritis, osteoarthritis, or gout. Naproxen (Naprosyn) works by blocking specific proteins that cause inflammation and pain. Naproxen (Naprosyn) comes as tablet and liquid suspension that are taken by mouth, typically 2 to 3 times per day. Some common side effects include heartburn, stomach pain, and nausea.

Indications for Naproxen

Pros and Cons for Naproxen

Pros

  • Works well for treating pain and inflammation
  • Effects last longer than other NSAIDs, such as ibuprofen (Advil)
  • Available as a liquid for people who have a hard time swallowing pills

Cons

  • Can cause stomach bleeding or stomach ulcers
  • Not safe to take after 20 weeks of pregnancy
  • Might not be the best option if you're 65 years or older, or have kidney, heart, liver, or bleeding problems

Common Side Effects for Naproxen

The following side effects were reported in 3-9% of people in clinical studies:

  • Heartburn
  • Stomach pain
  • Constipation
  • Nausea
  • Dizziness
  • Drowsiness
  • Headache
  • Itchy skin
  • Bruising
  • Ringing in the ears
  • Swelling
  • Shortness of breath

Warnings for Naproxen

  • Stomach bleeding
  • Heart attack and stroke
  • High blood pressure and heart failure
  • Kidney damage
  • Liver problems
  • Severe allergic reactions
  • Not for use in pregnant or breastfeeding females

Summary for Tylenol

Over-the-counter

Acetaminophen (Tylenol) is an over-the-counter (OTC) medication used to lower fever and relieve mild pain in adults and children. It's available in many strengths and formulations, such as tablets, chewable tablets, and liquid. In general, acetaminophen (Tylenol) works within 45 minutes when it's taken by mouth. This medication typically doesn't have many side effects. It's recommended to limit or avoid alcohol while taking acetaminophen (Tylenol) to lower your risk for liver problems.

Indications for Tylenol

  • Mild pain
  • Fever

Pros and Cons for Tylenol

Pros

  • Works well to relieve mild aches or pain and lower fever
  • Can use in adults and children
  • Available in a lower-cost generic and is available over the counter
  • Comes in many different strengths and forms (e.g., tablet, capsule, chewable tablet, liquid, powder, suppository)

Cons

  • Doesn't help with inflammation and swelling
  • Might not work as well to treat moderate-to-severe pain
  • Not the best option for people who drink alcohol often because of the risk of liver damage

Common Side Effects for Tylenol

Side effects typically aren't common with this medication.

Warnings for Tylenol

  • Liver damage
  • Accidental overdose
  • Allergic skin reactions

Prices with our coupons for Naproxen vs. Tylenol

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Naproxen30 tablets / 500mg
$11.42$18.10
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Acetaminophen30 tablets / 325mg
$3.82$6.13
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