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naproxen sodium and pseudoephedrine hydrochloride

Pharmaranks rates Naproxen Sodium and Pseudoephedrine Hydrochloride 3.2/5 for recall safety — an independent score from its FDA recall history and its manufacturer's record. Naproxen Sodium and Pseudoephedrine Hydrochloride is a combination medicine containing Naproxen Sodium and Pseudoephedrine Hydrochloride.

Generic · by Perrigo

Generic of Aleve-D Sinus & Cold

64/100Limited · 1 source

Based on 1 source · Recall-safety score from FDA recall history — this product's own recalls and its manufacturer's record. Not an efficacy or quality rating. methodology →

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass
$0.06 /mL
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Key facts

Active ingredient
Naproxen Sodium and Pseudoephedrine Hydrochloride
Form
Tablet, Tablet, extended release, Multilayer, extended release
Strength
Naproxen Sodium 220MG; Pseudoephedrine Hydrochloride 120MG
Type
Over-the-counter (OTC)
Brand or generic
Generic
Manufacturer
Perrigo
Half-life
roughly 3 to 16 hours — the label does not give one number, because the elimination half-life depends on urine pH: about 3 to 6 hours when urine pH is 5 (acidic), and about 9 to 16 hours when urine pH is 8 (alkaline) (how long it stays in your system)
What the pharmacy pays
~$0.06 per ml — not your price
FDA application
ANDA076518

What is Naproxen Sodium and Pseudoephedrine Hydrochloride?

From the FDA label:Uses temporarily relieves these cold, sinus, and flu symptoms: sinus pressure minor body aches and pains headache nasal and sinus congestion (promotes sinus drainage and restores freer breathing through the nose) fever

How to use

Naproxen Sodium and Pseudoephedrine Hydrochloride is sold in more than one form (Tablet, Tablet, extended release and Multilayer, extended release), and each is dosed differently. The instructions below come from the FDA label for application ANDA076518 — follow the label that came with the product you were actually prescribed.

Directions do not take more than directed the smallest effective dose should be used swallow whole; do not crush or chew drink a full glass of water with each dose adults and children 12 years and older 1 caplet every 12 hours do not take more than 2 caplets in 24 hours children under 12 years do not use

Warnings

Important safety information

Allergy alert Naproxen sodium may cause a severe allergic reaction, especially in people allergic to aspirin. Symptoms may include: hives facial swelling asthma (wheezing) shock skin reddening rash blisters If an allergic reaction occurs, stop use and seek medical help right away. Stomach bleeding warning This product contains an NSAID, which may cause severe stomach bleeding. The chance is higher if you: are age 60 or older have had stomach ulcers or bleeding problems take a blood thinning (anticoagulant) or steroid drug take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others) have 3 or more alcoholic drinks every day while using this product take more or for a longer time than directed Heart attack and stroke warning NSAIDs, except aspirin, increase the risk of heart attack, heart failure, and stroke. These can be fatal. The risk is higher if you use more than directed or for longer than directed. Do not use if you have ever had an allergic reaction to any other pain reliever/fever reducer right before or after heart surgery if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product. in children under 12 years of age Ask a doctor before use if the stomach bleeding warning applies to you you have a history of stomach problems, such as heartburn you have high blood pressure, heart disease, liver cirrhosis, kidney disease, asthma, thyroid disease, diabetes, have trouble urinating due to an enlarged prostate gland, or had a stroke you are taking a diuretic you have problems or serious side effects from taking pain relievers or fever reducers Ask a doctor or pharmacist before use if you are under a doctor's care for any serious condition taking aspirin for heart attack or stroke, because naproxen may decrease this benefit of aspirin taking any other drug When using this product take with food or milk if stomach upset occurs Stop use and ask a doctor if you experience any of the following signs of stomach bleeding: feel faint vomit blood have bloody or black stools have stomach pain that does not get better you have symptoms of heart problems or stroke: chest pain trouble breathing weakness in one part or side of body slurred speech leg swelling redness or swelling is present in the painful area any new symptoms appear fever gets worse or lasts more than 3 days you have difficulty swallowing or the caplet feels stuck in your throat you get nervous, dizzy, or sleepless nasal congestion lasts more than 7 days If pregnant or breast-feeding, ask a health professional before use. It is especially important not to use naproxen sodium at 20 weeks or later in pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

How long does Naproxen Sodium and Pseudoephedrine Hydrochloride stay in your body?

The elimination half-life of naproxen sodium and pseudoephedrine hydrochloride is roughly 3 to 16 hours — the label does not give one number, because the elimination half-life depends on urine pH: about 3 to 6 hours when urine pH is 5 (acidic), and about 9 to 16 hours when urine pH is 8 (alkaline) — the time it takes the body to clear about half of it. As a rule of thumb, a medicine is mostly gone after roughly 4 to 5 half-lives, though this varies from person to person with age and kidney or liver function. This is a genuinely variable half-life, not a fixed one. Pseudoephedrine is cleared mostly unchanged by the kidneys (55% to 96% of a dose appears unchanged in urine), and because it is a base, acidic urine traps and flushes it out faster while alkaline urine lets it be reabsorbed — hence the 3-6 h vs 9-16 h spread the label reports. No active metabolite to worry about: the label says less than 1% is metabolized in the liver, by N-demethylation, to an INACTIVE metabolite. It is not a prodrug. Kidney impairment: because clearance is renal, the label states pseudoephedrine "may accumulate in patients with renal impairment," and the product is to be generally avoided in these patients — expect a longer half-life, though the label does not quantify it. Liver impairment: no studies of pseudoephedrine were conducted in hepatic impairment, so the label gives no number; the product is likewise to be generally avoided. Older adults: this label gives no separate pseudoephedrine half-life for people 65+ (its geriatric pharmacokinetic data covers the antihistamine component only), but it warns that older adults are more likely to have adverse reactions to sympathomimetic amines. The half-life above is from the Clarinex-D 12 Hour label, which is where FDA-approved pseudoephedrine pharmacokinetics are published; standalone OTC pseudoephedrine products carry monograph "Drug Facts" labels that contain no pharmacokinetics section at all.

This is general information, not medical advice. It doesn’t tell you when a drug test would read negative (tests detect substances for different, often longer, windows) or when it’s safe to take another dose — ask your pharmacist or prescriber. Source: CLARINEX-D 12 HOUR (desloratadine and pseudoephedrine sulfate) extended release tablets — Section 12.3 Pharmacokinetics, DailyMed.

Dosage forms

Tablet, Tablet, extended release and Multilayer, extended release

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

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Frequently asked questions

How is Naproxen Sodium and Pseudoephedrine Hydrochloride rated?
pharmaranks gives Naproxen Sodium and Pseudoephedrine Hydrochloride a composite score of 3.2 out of 5, currently based on 1 weighted source (FDA regulatory recall-safety data weighted highest). See our methodology at /how-we-rate.
How much does Naproxen Sodium and Pseudoephedrine Hydrochloride cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.06 per ml, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins. Pharmacies pay less for a same-class option, Advil Pm — about $0.04 on the same basis.
Is there a coupon or discount for Naproxen Sodium and Pseudoephedrine Hydrochloride?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Naproxen Sodium and Pseudoephedrine Hydrochloride. To pay less, Naproxen Sodium and Pseudoephedrine Hydrochloride is already a generic — usually the lowest-cost version — so the main levers are comparing cash prices between pharmacies and using a pharmacy discount-card service. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Naproxen Sodium and Pseudoephedrine Hydrochloride?
Naproxen Sodium and Pseudoephedrine Hydrochloride is marketed by Perrigo. You can see Perrigo's full profile, rating, and other products on pharmaranks.
Is Naproxen Sodium and Pseudoephedrine Hydrochloride a brand-name or generic drug?
Naproxen Sodium and Pseudoephedrine Hydrochloride is a generic medication; its active ingredient is Naproxen Sodium and Pseudoephedrine Hydrochloride. Generics contain the same active ingredient as the brand-name original and are usually lower cost.
Is Naproxen Sodium and Pseudoephedrine Hydrochloride available over the counter?
Yes. Naproxen Sodium and Pseudoephedrine Hydrochloride is an over-the-counter (OTC) product — you can buy it without a prescription. Follow the label directions and ask a pharmacist if you're unsure whether it's right for you.
What forms does Naproxen Sodium and Pseudoephedrine Hydrochloride come in?
Naproxen Sodium and Pseudoephedrine Hydrochloride is currently marketed as tablet, tablet, extended release and multilayer, extended release, per the FDA's National Drug Code Directory.
Is Naproxen Sodium and Pseudoephedrine Hydrochloride FDA-registered?
Naproxen Sodium and Pseudoephedrine Hydrochloride is on record with the U.S. FDA under application number ANDA076518. You can verify this on its official FDA label.
Has Naproxen Sodium and Pseudoephedrine Hydrochloride been recalled by the FDA?
Naproxen Sodium and Pseudoephedrine Hydrochloride has no FDA recalls recorded under its own application in the openFDA enforcement database. Its recall-safety score reflects its manufacturer's overall recall record. This is general reference, not medical advice — check the FDA recall database for the latest alerts.
Is Naproxen Sodium and Pseudoephedrine Hydrochloride safe?
There's no single safe-or-not verdict. pharmaranks gives Naproxen Sodium and Pseudoephedrine Hydrochloride a recall-safety score of 64/100, based on its FDA recall history (no recalls under its own FDA application) — not an efficacy or side-effect rating. Review its FDA-label side effects and warnings before use, and always consult a licensed professional.

Clinical content sourced from the FDA label via openFDA (U.S. FDA). View the FDA label on DailyMed → Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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naproxen sodium and pseudoephedrine hydrochloride

64/100