Almus Period Pain Reliever Gastro-Resistant Tablets 250mg – 9 Tablets
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What Are Almus Period Pain Reliever Gastro-Resistant Tablets 250mg Used For?
Period pain — medically known as primary dysmenorrhoea — is one of the most common and impactful conditions affecting women of reproductive age, with many experiencing pain that is severe enough to disrupt daily activities, work, school, and sleep each month. The cramping, lower abdominal pain, and associated symptoms of period pain are driven primarily by the production of prostaglandins in the uterine lining, which cause the uterine muscle to contract forcefully and restrict blood flow. Almus Period Pain Reliever Gastro-Resistant Tablets 250mg contain naproxen sodium — an NSAID specifically well regarded for its effectiveness in treating period pain — in an enteric-coated tablet designed to minimise gastric irritation during the treatment course.
Each tablet contains naproxen sodium 250mg (equivalent to naproxen 220mg). Naproxen is a propionic acid-class NSAID that works by inhibiting COX-1 and COX-2 enzymes, reducing the prostaglandin synthesis that drives uterine cramping and the associated pain of dysmenorrhoea. Compared with shorter-acting NSAIDs such as ibuprofen, naproxen has a significantly longer half-life — typically 12 to 17 hours — meaning each dose provides prolonged coverage and fewer dosing events are needed throughout the day. This extended duration of action makes naproxen a particularly practical option for period pain management, as it allows relief to be maintained with dosing every 6 to 8 hours rather than every 4 to 6 hours as required for ibuprofen. Clinical evidence consistently supports naproxen as one of the most effective NSAIDs available for primary dysmenorrhoea.
The gastro-resistant (enteric-coated) formulation delays dissolution until the tablet reaches the small intestine, reducing direct exposure of the gastric mucosa to naproxen and lowering the risk of stomach irritation, nausea, and heartburn during the treatment course. This feature is particularly valuable for the dosing regimen used in period pain — where an initial loading dose of two tablets is followed by single-tablet maintenance doses — as it reduces the gastrointestinal burden during a three-day course of NSAID treatment. The tablets must be swallowed whole and must never be crushed or chewed, as this would destroy the enteric coating.
Almus Period Pain Reliever is a Pharmacy (P) medicine specifically licensed for the treatment of period pain in women aged 15 and over. It must not be used as a general analgesic and is not licensed for other pain conditions. The 9-tablet pack provides a complete treatment course. For personalised advice on period pain management, speak to a Pearl Chemist Group pharmacist. If your period pain is severe, not responding to over-the-counter treatment, or is accompanied by other gynaecological symptoms, consult your GP for assessment.
How to Use Almus Period Pain Reliever Gastro-Resistant Tablets 250mg
- Begin treatment at the onset of period pain. For best results, take the starting dose of 2 tablets as soon as period pain begins, ideally before it becomes severe. Taking NSAIDs early in the pain cycle — before prostaglandin levels peak — generally provides better pain control than waiting until pain is already intense.
- Swallow tablets whole with food and water. Swallow each tablet whole with a full glass of water, ideally with or just after food. Never crush, chew, or break the tablets — the enteric coating must remain intact.
- Continue with maintenance doses as needed. If pain continues after the initial dose, take 1 tablet every 6 to 8 hours, observing the stated maximum daily doses.
- Do not exceed 3 days of treatment. Use only for the duration of the menstrual pain episode. Do not use for more than 3 consecutive days without seeking pharmacist or GP advice.
Practical tips
- Starting treatment at the first sign of menstrual discomfort — or ideally a day before pain typically begins if your cycle is predictable — typically provides better overall pain control than waiting until the pain is severe.
- If period pain is not adequately controlled by this product, or is worsening over time, consult your GP to investigate for underlying conditions such as endometriosis.
- Avoid alcohol during treatment — it increases the risk of gastrointestinal side effects with NSAIDs.
Almus Period Pain Reliever Tablets 250mg Side Effects
The gastro-resistant coating significantly reduces the incidence of upper gastrointestinal side effects compared with plain naproxen tablets. The following are based on the profile of naproxen in general.
Common side effects (may affect more than 1 in 10 people)
- Mild stomach discomfort, nausea, or heartburn — reduced by the enteric coating and by taking with food
Less common side effects (may affect between 1 in 10 and 1 in 100 people)
- Headache or dizziness
- Indigestion or constipation
- Mild fluid retention or ankle swelling
Rare side effects (may affect fewer than 1 in 100 people)
- Gastrointestinal ulceration or bleeding
- Skin rash or urticaria
- Worsening of asthma in NSAID-sensitive individuals
- Renal impairment with regular use in at-risk individuals
Stop using and seek urgent medical help if you experience:
- Black or tarry stools, vomiting blood, or severe stomach pain
- Worsening breathing or severe asthma attack
- Significant unexplained ankle or leg swelling
- Signs of a serious allergic reaction — call 999 immediately
Report any unexpected reaction via the MHRA Yellow Card scheme at yellowcard.mhra.gov.uk or speak to your Pearl Chemist Group pharmacist.
How to Store Almus Period Pain Reliever Tablets 250mg
- Temperature: Store below 25°C. Keep away from direct sunlight and heat sources.
- Packaging: Keep in the original blister pack inside the outer carton.
- Do not refrigerate.
- Children: Keep out of the sight and reach of children.
- Expiry: Do not use after the expiry date on the blister and outer packaging.
- Disposal: Return unused tablets to your Pearl Chemist Group pharmacy for safe disposal.
Who Are Almus Period Pain Reliever Tablets Suitable For?
Almus Period Pain Reliever Gastro-Resistant Tablets 250mg are a Pharmacy (P) medicine suitable for women aged 15 and over who experience primary dysmenorrhoea (period pain) and require effective NSAID-based pain relief with reduced gastric irritation.
Suitable for:
- Women aged 15 and over experiencing primary dysmenorrhoea — lower abdominal cramping associated with menstruation without an identified underlying pelvic condition
- Those who find shorter-acting NSAIDs such as ibuprofen require too-frequent dosing for period pain management
- Women who experience gastric irritation with plain NSAID tablets and prefer an enteric-coated formulation
- Those assessed as suitable for NSAID treatment by a pharmacist at the point of purchase
Not suitable for — do not use if you:
- Are under 15 years of age
- Have a known allergy to naproxen, aspirin, or other NSAIDs
- Have an active peptic ulcer or significant history of gastrointestinal bleeding
- Have severe heart, kidney, or liver failure
- Are in the last trimester of pregnancy (from 28 weeks)
- Are using this product for pain conditions other than period pain — it is not licensed as a general analgesic
Seek pharmacist advice before use if you:
- Have a history of peptic ulcer disease or gastrointestinal problems
- Have asthma — NSAID-sensitive asthma is a recognised contraindication
- Have cardiovascular disease, hypertension, or a history of stroke
- Have kidney or liver impairment
- Take anticoagulants or other medicines that interact with NSAIDs
- Are elderly
- Are pregnant in the first or second trimester
- Are breastfeeding
This product must be purchased under pharmacist supervision. Our Pearl Chemist Group pharmacists will assess suitability before every sale.
Active Ingredients in Almus Period Pain Reliever Gastro-Resistant Tablets 250mg
| Ingredient | Strength per tablet | Role |
|---|---|---|
| Naproxen sodium | 250mg (equivalent to naproxen 220mg) | A propionic acid-class NSAID and the active therapeutic ingredient. Naproxen inhibits COX-1 and COX-2 enzymes, reducing the synthesis of prostaglandins that cause uterine muscle cramping and restricted blood flow during menstruation — the primary drivers of period pain. Naproxen's key advantage for period pain management is its long half-life of 12 to 17 hours, which provides prolonged pain coverage and allows effective analgesia to be maintained with less frequent dosing than shorter-acting NSAIDs. Clinical evidence consistently supports naproxen as one of the most effective available treatments for primary dysmenorrhoea. The gastro-resistant enteric coating delays dissolution until the small intestine, reducing gastric mucosal exposure and improving tolerability during the treatment course. |
Almus Period Pain Reliever Tablets Dosage — How Much to Take
Women aged 15 and over
- Starting dose: 2 tablets (500mg naproxen sodium) at the onset of period pain.
- Maintenance dose: 1 tablet (250mg naproxen sodium) every 6 to 8 hours if pain continues.
- Maximum dose in the first 24 hours: 3 tablets (750mg naproxen sodium).
- Maximum dose in subsequent 24-hour periods: 2 tablets (500mg naproxen sodium) per day.
- Maximum treatment duration: 3 days. Do not use for more than 3 days without seeking pharmacist or GP advice.
Under 15 years
Not recommended.
Critical — swallow whole
These tablets are enteric-coated. Swallow each tablet whole with a glass of water and do not crush, chew, split, or break the tablet. Destroying the coating removes the gastro-resistant protection.
Take with food and water
Although the enteric coating reduces direct gastric exposure, taking the tablets with food and a full glass of water provides additional gastric protection and further reduces the likelihood of nausea or stomach discomfort during the treatment course.
Precautions When Using Almus Period Pain Reliever Tablets 250mg
Before use
- This product must be purchased under pharmacist supervision — confirm suitability before use.
- Check the expiry date on the blister and outer packaging.
- Confirm no naproxen or NSAID allergy.
- Review drug interactions and consult your pharmacist if you take any regular medicines.
- Do not use in the last trimester of pregnancy.
During use
- Swallow tablets whole — never crush, chew, or break them.
- Take with food and a full glass of water.
- Observe the maximum daily dose limits carefully.
- Do not use for more than 3 days.
- Avoid alcohol during treatment.
When to seek medical advice
- Period pain is not responding adequately to NSAID treatment after a complete course.
- Your period pain is worsening over time or occurring outside of menstrual periods — this may indicate endometriosis or another underlying condition.
- You experience black or tarry stools, vomiting blood, or severe stomach pain.
- You develop significant ankle swelling, worsening asthma, or any concerning side effect.
Our Pearl Chemist Group pharmacists are available for free consultations and can refer you for GP assessment if appropriate.
Full Ingredients in Almus Period Pain Reliever Gastro-Resistant Tablets 250mg
The active ingredient is naproxen sodium 250mg per tablet (equivalent to naproxen 220mg).
Excipients (inactive ingredients)
- Microcrystalline cellulose — binder and filler providing tablet structural integrity
- Povidone — binder ensuring uniform distribution of active ingredient
- Croscarmellose sodium — disintegrant promoting dissolution once the enteric coating has dissolved in the small intestine
- Magnesium stearate — lubricant used in manufacture
- Methacrylic acid copolymer — the gastro-resistant enteric coating polymer that resists dissolution at gastric pH but dissolves in the higher pH environment of the small intestine, protecting the stomach lining from direct naproxen exposure
- Talc — anti-adherent used in the coating process
- Triethyl citrate — plasticiser ensuring flexibility and durability of the enteric coating film
- Titanium dioxide — white colouring in the film coat
If you have a known allergy to naproxen, aspirin, other NSAIDs, or any listed ingredient, do not use this product. Consult a Pearl Chemist Group pharmacist before use if you are unsure.
Last reviewed: May 2026.
Always read the patient information leaflet before use. A copy is included in the pack. For advice, speak to a Pearl Chemist pharmacist or call +44 (0)20 8672 2157.
What Are Almus Period Pain Reliever Gastro-Resistant Tablets 250mg Used For?
Period pain — medically known as primary dysmenorrhoea — is one of the most common and impactful conditions affecting women of reproductive age, with many experiencing pain that is severe enough to disrupt daily activities, work, school, and sleep each month. The cramping, lower abdominal pain, and associated symptoms of period pain are driven primarily by the production of prostaglandins in the uterine lining, which cause the uterine muscle to contract forcefully and restrict blood flow. Almus Period Pain Reliever Gastro-Resistant Tablets 250mg contain naproxen sodium — an NSAID specifically well regarded for its effectiveness in treating period pain — in an enteric-coated tablet designed to minimise gastric irritation during the treatment course.
Each tablet contains naproxen sodium 250mg (equivalent to naproxen 220mg). Naproxen is a propionic acid-class NSAID that works by inhibiting COX-1 and COX-2 enzymes, reducing the prostaglandin synthesis that drives uterine cramping and the associated pain of dysmenorrhoea. Compared with shorter-acting NSAIDs such as ibuprofen, naproxen has a significantly longer half-life — typically 12 to 17 hours — meaning each dose provides prolonged coverage and fewer dosing events are needed throughout the day. This extended duration of action makes naproxen a particularly practical option for period pain management, as it allows relief to be maintained with dosing every 6 to 8 hours rather than every 4 to 6 hours as required for ibuprofen. Clinical evidence consistently supports naproxen as one of the most effective NSAIDs available for primary dysmenorrhoea.
The gastro-resistant (enteric-coated) formulation delays dissolution until the tablet reaches the small intestine, reducing direct exposure of the gastric mucosa to naproxen and lowering the risk of stomach irritation, nausea, and heartburn during the treatment course. This feature is particularly valuable for the dosing regimen used in period pain — where an initial loading dose of two tablets is followed by single-tablet maintenance doses — as it reduces the gastrointestinal burden during a three-day course of NSAID treatment. The tablets must be swallowed whole and must never be crushed or chewed, as this would destroy the enteric coating.
Almus Period Pain Reliever is a Pharmacy (P) medicine specifically licensed for the treatment of period pain in women aged 15 and over. It must not be used as a general analgesic and is not licensed for other pain conditions. The 9-tablet pack provides a complete treatment course. For personalised advice on period pain management, speak to a Pearl Chemist Group pharmacist. If your period pain is severe, not responding to over-the-counter treatment, or is accompanied by other gynaecological symptoms, consult your GP for assessment.
How to Use Almus Period Pain Reliever Gastro-Resistant Tablets 250mg
- Begin treatment at the onset of period pain. For best results, take the starting dose of 2 tablets as soon as period pain begins, ideally before it becomes severe. Taking NSAIDs early in the pain cycle — before prostaglandin levels peak — generally provides better pain control than waiting until pain is already intense.
- Swallow tablets whole with food and water. Swallow each tablet whole with a full glass of water, ideally with or just after food. Never crush, chew, or break the tablets — the enteric coating must remain intact.
- Continue with maintenance doses as needed. If pain continues after the initial dose, take 1 tablet every 6 to 8 hours, observing the stated maximum daily doses.
- Do not exceed 3 days of treatment. Use only for the duration of the menstrual pain episode. Do not use for more than 3 consecutive days without seeking pharmacist or GP advice.
Practical tips
- Starting treatment at the first sign of menstrual discomfort — or ideally a day before pain typically begins if your cycle is predictable — typically provides better overall pain control than waiting until the pain is severe.
- If period pain is not adequately controlled by this product, or is worsening over time, consult your GP to investigate for underlying conditions such as endometriosis.
- Avoid alcohol during treatment — it increases the risk of gastrointestinal side effects with NSAIDs.
Almus Period Pain Reliever Tablets 250mg Side Effects
The gastro-resistant coating significantly reduces the incidence of upper gastrointestinal side effects compared with plain naproxen tablets. The following are based on the profile of naproxen in general.
Common side effects (may affect more than 1 in 10 people)
- Mild stomach discomfort, nausea, or heartburn — reduced by the enteric coating and by taking with food
Less common side effects (may affect between 1 in 10 and 1 in 100 people)
- Headache or dizziness
- Indigestion or constipation
- Mild fluid retention or ankle swelling
Rare side effects (may affect fewer than 1 in 100 people)
- Gastrointestinal ulceration or bleeding
- Skin rash or urticaria
- Worsening of asthma in NSAID-sensitive individuals
- Renal impairment with regular use in at-risk individuals
Stop using and seek urgent medical help if you experience:
- Black or tarry stools, vomiting blood, or severe stomach pain
- Worsening breathing or severe asthma attack
- Significant unexplained ankle or leg swelling
- Signs of a serious allergic reaction — call 999 immediately
Report any unexpected reaction via the MHRA Yellow Card scheme at yellowcard.mhra.gov.uk or speak to your Pearl Chemist Group pharmacist.
How to Store Almus Period Pain Reliever Tablets 250mg
- Temperature: Store below 25°C. Keep away from direct sunlight and heat sources.
- Packaging: Keep in the original blister pack inside the outer carton.
- Do not refrigerate.
- Children: Keep out of the sight and reach of children.
- Expiry: Do not use after the expiry date on the blister and outer packaging.
- Disposal: Return unused tablets to your Pearl Chemist Group pharmacy for safe disposal.
Who Are Almus Period Pain Reliever Tablets Suitable For?
Almus Period Pain Reliever Gastro-Resistant Tablets 250mg are a Pharmacy (P) medicine suitable for women aged 15 and over who experience primary dysmenorrhoea (period pain) and require effective NSAID-based pain relief with reduced gastric irritation.
Suitable for:
- Women aged 15 and over experiencing primary dysmenorrhoea — lower abdominal cramping associated with menstruation without an identified underlying pelvic condition
- Those who find shorter-acting NSAIDs such as ibuprofen require too-frequent dosing for period pain management
- Women who experience gastric irritation with plain NSAID tablets and prefer an enteric-coated formulation
- Those assessed as suitable for NSAID treatment by a pharmacist at the point of purchase
Not suitable for — do not use if you:
- Are under 15 years of age
- Have a known allergy to naproxen, aspirin, or other NSAIDs
- Have an active peptic ulcer or significant history of gastrointestinal bleeding
- Have severe heart, kidney, or liver failure
- Are in the last trimester of pregnancy (from 28 weeks)
- Are using this product for pain conditions other than period pain — it is not licensed as a general analgesic
Seek pharmacist advice before use if you:
- Have a history of peptic ulcer disease or gastrointestinal problems
- Have asthma — NSAID-sensitive asthma is a recognised contraindication
- Have cardiovascular disease, hypertension, or a history of stroke
- Have kidney or liver impairment
- Take anticoagulants or other medicines that interact with NSAIDs
- Are elderly
- Are pregnant in the first or second trimester
- Are breastfeeding
This product must be purchased under pharmacist supervision. Our Pearl Chemist Group pharmacists will assess suitability before every sale.
Active Ingredients in Almus Period Pain Reliever Gastro-Resistant Tablets 250mg
| Ingredient | Strength per tablet | Role |
|---|---|---|
| Naproxen sodium | 250mg (equivalent to naproxen 220mg) | A propionic acid-class NSAID and the active therapeutic ingredient. Naproxen inhibits COX-1 and COX-2 enzymes, reducing the synthesis of prostaglandins that cause uterine muscle cramping and restricted blood flow during menstruation — the primary drivers of period pain. Naproxen's key advantage for period pain management is its long half-life of 12 to 17 hours, which provides prolonged pain coverage and allows effective analgesia to be maintained with less frequent dosing than shorter-acting NSAIDs. Clinical evidence consistently supports naproxen as one of the most effective available treatments for primary dysmenorrhoea. The gastro-resistant enteric coating delays dissolution until the small intestine, reducing gastric mucosal exposure and improving tolerability during the treatment course. |
Almus Period Pain Reliever Tablets Dosage — How Much to Take
Women aged 15 and over
- Starting dose: 2 tablets (500mg naproxen sodium) at the onset of period pain.
- Maintenance dose: 1 tablet (250mg naproxen sodium) every 6 to 8 hours if pain continues.
- Maximum dose in the first 24 hours: 3 tablets (750mg naproxen sodium).
- Maximum dose in subsequent 24-hour periods: 2 tablets (500mg naproxen sodium) per day.
- Maximum treatment duration: 3 days. Do not use for more than 3 days without seeking pharmacist or GP advice.
Under 15 years
Not recommended.
Critical — swallow whole
These tablets are enteric-coated. Swallow each tablet whole with a glass of water and do not crush, chew, split, or break the tablet. Destroying the coating removes the gastro-resistant protection.
Take with food and water
Although the enteric coating reduces direct gastric exposure, taking the tablets with food and a full glass of water provides additional gastric protection and further reduces the likelihood of nausea or stomach discomfort during the treatment course.
Precautions When Using Almus Period Pain Reliever Tablets 250mg
Before use
- This product must be purchased under pharmacist supervision — confirm suitability before use.
- Check the expiry date on the blister and outer packaging.
- Confirm no naproxen or NSAID allergy.
- Review drug interactions and consult your pharmacist if you take any regular medicines.
- Do not use in the last trimester of pregnancy.
During use
- Swallow tablets whole — never crush, chew, or break them.
- Take with food and a full glass of water.
- Observe the maximum daily dose limits carefully.
- Do not use for more than 3 days.
- Avoid alcohol during treatment.
When to seek medical advice
- Period pain is not responding adequately to NSAID treatment after a complete course.
- Your period pain is worsening over time or occurring outside of menstrual periods — this may indicate endometriosis or another underlying condition.
- You experience black or tarry stools, vomiting blood, or severe stomach pain.
- You develop significant ankle swelling, worsening asthma, or any concerning side effect.
Our Pearl Chemist Group pharmacists are available for free consultations and can refer you for GP assessment if appropriate.
Full Ingredients in Almus Period Pain Reliever Gastro-Resistant Tablets 250mg
The active ingredient is naproxen sodium 250mg per tablet (equivalent to naproxen 220mg).
Excipients (inactive ingredients)
- Microcrystalline cellulose — binder and filler providing tablet structural integrity
- Povidone — binder ensuring uniform distribution of active ingredient
- Croscarmellose sodium — disintegrant promoting dissolution once the enteric coating has dissolved in the small intestine
- Magnesium stearate — lubricant used in manufacture
- Methacrylic acid copolymer — the gastro-resistant enteric coating polymer that resists dissolution at gastric pH but dissolves in the higher pH environment of the small intestine, protecting the stomach lining from direct naproxen exposure
- Talc — anti-adherent used in the coating process
- Triethyl citrate — plasticiser ensuring flexibility and durability of the enteric coating film
- Titanium dioxide — white colouring in the film coat
If you have a known allergy to naproxen, aspirin, other NSAIDs, or any listed ingredient, do not use this product. Consult a Pearl Chemist Group pharmacist before use if you are unsure.
Last reviewed: May 2026.
Always read the patient information leaflet before use. A copy is included in the pack. For advice, speak to a Pearl Chemist pharmacist or call +44 (0)20 8672 2157.
FAQs
Why is naproxen particularly effective for period pain?
Period pain (primary dysmenorrhoea) is driven primarily by prostaglandins produced in the uterine lining, which cause the uterine muscle to contract forcefully. Naproxen is highly effective for this specific mechanism because it potently inhibits COX enzymes and therefore prostaglandin production. Its particular advantage over shorter-acting NSAIDs like ibuprofen is its long half-life of 12 to 17 hours, which means each dose provides prolonged coverage and fewer dosing events are needed throughout the day. Clinical research consistently places naproxen among the most effective over-the-counter options for dysmenorrhoea.
Why must I swallow these tablets whole?
The gastro-resistant enteric coating on each tablet is designed to prevent the tablet from dissolving in the acidic environment of the stomach, allowing it to pass intact to the small intestine where dissolution occurs. Crushing, chewing, or breaking the tablet destroys this coating and exposes naproxen directly to the stomach lining, negating the gastric protection and increasing the risk of nausea, stomach irritation, and ulceration that the coating is designed to prevent. Always swallow whole with a glass of water.
Why is this a pharmacy-only medicine?
Almus Period Pain Reliever is a Pharmacy (P) medicine because naproxen at this dose for period pain requires pharmacist assessment to confirm it is appropriate for the individual, particularly to screen for NSAID contraindications such as peptic ulcer history, renal impairment, cardiovascular disease, and relevant drug interactions. The pharmacist can also advise on the correct dosing regimen for period pain and discuss when referral to a GP is appropriate — for example, when period pain is severe, worsening, or may indicate an underlying gynaecological condition.
Can I use this product instead of ibuprofen for period pain?
Yes, and for many women naproxen provides better period pain relief than ibuprofen for several reasons. The longer duration of action means fewer doses are needed throughout the day, which is more practical and may improve pain control by maintaining more consistent prostaglandin suppression. Some women also find naproxen more effective than ibuprofen for their individual pain severity. However, both are effective NSAIDs for dysmenorrhoea, and if ibuprofen works well for you and you have no reason to switch, there is no absolute need to change. Your Pearl Chemist Group pharmacist can help you compare the options based on your specific needs and history.
Can I use this product if my period pain might be due to endometriosis?
NSAIDs including naproxen can provide symptomatic relief from endometriosis-related pain, as the prostaglandin-reduction mechanism is relevant to this condition as well. However, endometriosis requires medical diagnosis and management, and relying solely on over-the-counter pain relief without medical assessment is not appropriate if you suspect you may have this condition. Signs that warrant GP assessment include very severe period pain, pain that occurs outside of menstruation, pain during intercourse, or period pain that is progressively worsening over time. If your period pain is not adequately controlled by this product, or if it is associated with any of these features, consult your GP.
Is it safe to use this product during pregnancy?
No. NSAIDs including naproxen are contraindicated from 28 weeks of pregnancy (the third trimester) due to the risk of serious adverse effects on the developing baby, including premature closure of the ductus arteriosus and neonatal kidney problems. In the first and second trimesters, use should be avoided where possible and only undertaken under medical guidance. As this product is indicated for period pain, it should not be needed during pregnancy. If you experience pain during pregnancy, consult your GP or midwife for appropriate and safe pain management options.