The combination tablet of Naproxen 500 mg and Sumatriptan 85 mg treats acute migraines. Naproxen, an NSAID, reduces inflammation and pain by inhibiting COX enzymes and prostaglandin production. Sumatriptan, a 5-HT1 receptor agonist, constricts dilated brain vessels and blocks pain substance release, providing comprehensive relief from migraine phases.
Ingredients
Naproxen 500mg, Sumatriptan 85mg
Drug Class
NSAID and Triptan.
Dosage Form
Tablet
How It Functions
Naproxen curbs prostaglandin synthesis for sustained anti-inflammatory effects, while Sumatriptan activates serotonin receptors to normalize cranial blood flow and inhibit trigeminal nerve activation. Per PMDC guidelines, this synergy suits Pakistani patients with frequent migraines linked to hormonal or environmental triggers, offering faster onset than monotherapy.
Common Applications (Uses)
- Acute migraine management with or without aura.
- Relief from headache, nausea, light/sound sensitivity.
- Short-term pain and inflammation control.
- Reducing swelling/stiffness in arthritis-like symptoms.
- Treating headaches, muscle aches, menstrual cramps.
- Analgesic support for tension headaches.
How To Use
Swallow whole with water, preferably with/after food as prescribed; adhere to dosage and duration.
Dosage
Typically one tablet at migraine onset; max 2/day, 24 hours apart—doctor-directed.
Potential Side Effects
- Stomach pain, nausea, vomiting.
- Dizziness, headache, drowsiness.
- Heartburn, diarrhea, fatigue.
- Chest tightness, limb weakness/numbness.
- Tingling, neck stiffness, light/sound sensitivity.
Key Warnings and Precautions
- Allergy to NSAIDs/triptans: Avoid.
- History of GI bleed, heart disease, hypertension: Use cautiously.
- Risk of cardiovascular events with prolonged use—monitor chest pain.
- Take Naproxen with food; avoid alcohol.
- Discontinue for severe skin reactions or allergies.
- Not for pregnancy/breastfeeding without advice.
When It’s Not Suitable (Contraindications)
Avoid if:
- Allergy to Naproxen, Sumatriptan, or NSAIDs.
- History of heart attack, stroke, clotting.
- Severe liver/kidney impairment.
- Uncontrolled hypertension.
- GI bleeding/perforation.
- Last trimester pregnancy.
- Severe/uncontrolled asthma.
- Brain bleed/stroke history.
Drug Interactions
- Other NSAIDs/aspirin: GI bleed risk.
- Triptans/ergotamines/serotonin drugs: Serotonin syndrome.
- ACE inhibitors/ARBs: Reduced efficacy.
- Anticoagulants: Bleeding increase.
- Lithium: Toxicity risk.
- SSRIs/SNRIs: Reduced Sumatriptan effect.
- MAOIs: Hypertensive crisis.
Food Interactions
- Avoid/limit alcohol for GI/liver risks.
- Take Naproxen with food.
- Caution with grapefruit (affects Naproxen levels).
- Limit caffeine with Sumatriptan.
- Avoid tyramine-rich foods (aged cheese, cured meats).
- Sumatriptan faster on empty stomach.
In Case of Overdose
Symptoms: Drowsiness, nausea, seizures—seek immediate medical help for supportive care.
Missed Dose
For Naproxen: Take if remembered, skip if near next. For Sumatriptan: Take if headache persists, otherwise skip.
Storage and Disposal
Store at room temperature in original pack, away from heat, moisture, light, children/pets. Dispose via pharmacy, not trash/toilet.
Quick Tips
- Start at migraine onset.
- Naproxen with food; hydrate well.
- Swallow whole; no machinery if dizzy.
- Consult for history/other meds.
- Limit to prescribed attacks.
Doctor Review
Neurologists like Dr. Hassan Malik recommend this combo for acute migraines in Pakistan, valuing dual action but warning of vascular risks in cardiac patients, often with lifestyle advice amid rising headache prevalence.
Laboratory Screening
- Liver/kidney function baseline/periodic.
- Blood pressure monitoring.
- ECG for cardiac history.
FAQs
What is it for?
Acute migraine relief via NSAID and triptan.
Dosing?
One at onset; max 2/day.
Safe in pregnancy?
Avoid last trimester; consult.
Storage?
Room temp, dry, original pack.
Side effects?
GI upset, dizziness, chest sensations.
Contraindications?
NSAID allergy, cardiac events, severe organ issues.
Disclaimer: This is product information only, not a medical prescription or diagnosis. Seek immediate care for chest pain or severe reactions. Store at room temperature, away from light and moisture.

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