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Vol 280 No 7496 p387
5 April 2008

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Naproxen for period pain now OTC medicine

Naproxen is now available over the counter to treat period pain following approval of its switch from prescription-only status by the Medicines and Healthcare products Regulatory Agency.

Naproxen tablets 250mg will be available under the brand name Feminax Ultra for the treatment of primary dysmenorrhoea for women aged 15 to 50 years. Following a consultation on the switch last year (PJ, 21 April 2007, p447), the MHRA’s Commission on Human Medicines concluded that in these women the benefits outweigh the risks. The MHRA suggests that pharmacists check customers’ age and symptoms to make sure it is safe to supply the medicine.

The recommended dose is two tablets initially followed by one tablet after six to eight hours if needed. Thereafter, the dose is one tablet every six to eight hours. The maximum daily dose is three tablets and the maximum duration of treatment is three days per cycle.

Bayer Healthcare, manufacturer of Feminax Ultra, is supporting the medicine’s launch with educational material, which will be distributed this month.

June Raine, director of vigilance and risk management of medicines at the MHRA, said: “Period pain is a condition which can be successfully managed by women themselves. OTC naproxen will expand the choice of treatments available for this common condition from pharmacies.”

Sadia Khan, the Royal Pharmaceutical Society’s lead pharmacist for self care, said: “This switch will provide women with more choice, convenience and better access to medicines for relief from period pain.”

Colette McCreedy, the National Pharmacy Association’s director of pharmacy and chief pharmacist, added: “This is a welcome switch for pharmacy. There is a clinical need for naproxen for women with primary dysmenorrhoea whose symptoms are not controlled by ibuprofen.

“Currently, their only option for this treatment is to see a doctor. ‘P’ naproxen will increase availability … and enable pharmacists to play a wider role in the treatment of this common but sometimes debilitating problem.”

The approval is part of a wider MHRA initiative to improve access to medicines for women’s health. The MHRA is currently seeking views on reclassifying nitrofurantoin for the treatment of acute urinary tract infections in women (PJ, 8 March 2008, p266).

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