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Would There Be Interaction Between Naproxen Sodium, Aspirin And Metoprolol?

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Posted on Fri, 25 Sep 2020
Question: I have taken naproxen sodium about 6 pm and noticed very swollen ankles about Midnite? and took aspirin about 12:30 and wasn't thinking about the conflict. I also took metoprolol about midnight. Just concerned might have bad interaction.
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Answered by Dr. Vaishalee Punj (46 minutes later)
Brief Answer:
There is mild interaction

Detailed Answer:
Hi

I am a Clinical Pharmacologist and I will try to help you as best as I can.

I have reviewed your query and I will like to re-assure you that single dose does not lead to bad interaction.

Now coming to the detail:
Aspirin interacts with both Naproxen and Metoprolol.

Naproxen can lower the cardioprotective effect of aspirin. Interaction between Aspirin and Naproxen is evident atleast after 10 days of continuous use of both medicines at almost same time. It should not affect your case clinically.

Aspirin can also interact with Metoprolol. It can lower the anti-hypertensive effect of metoprolol. It also happens after prolonged use. A combination of aspirin and metoprolol has been in use for long time. How this interaction affects a patient clinically is not certain. Therefore I don't find any reason to take this interaction seriously.

Hope it helps. Let me know if I can assist you further.
Dr Vaishalee
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3262 Questions

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Would There Be Interaction Between Naproxen Sodium, Aspirin And Metoprolol?

Brief Answer: There is mild interaction Detailed Answer: Hi I am a Clinical Pharmacologist and I will try to help you as best as I can. I have reviewed your query and I will like to re-assure you that single dose does not lead to bad interaction. Now coming to the detail: Aspirin interacts with both Naproxen and Metoprolol. Naproxen can lower the cardioprotective effect of aspirin. Interaction between Aspirin and Naproxen is evident atleast after 10 days of continuous use of both medicines at almost same time. It should not affect your case clinically. Aspirin can also interact with Metoprolol. It can lower the anti-hypertensive effect of metoprolol. It also happens after prolonged use. A combination of aspirin and metoprolol has been in use for long time. How this interaction affects a patient clinically is not certain. Therefore I don't find any reason to take this interaction seriously. Hope it helps. Let me know if I can assist you further. Dr Vaishalee