Can I take Naproxen and Tramadol together?
Drug interaction guide
Originally published 25 Jan 2026
Meets Patient’s editorial guidelines
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Taking naproxen and tramadol together can increase the risk of serious side effects, particularly affecting your stomach and kidneys. There is also a small but important risk of seizures (fits) and a rare condition called serotonin syndrome. However, these two medicines are often prescribed together for short-term pain relief under medical supervision.
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Why this happens
Naproxen is an anti-inflammatory (NSAID) and tramadol is an opioid-like painkiller. Both can irritate the stomach lining, increasing the risk of ulcers or bleeding. Both drugs also affect how the kidneys filter blood. Additionally, tramadol can lower the 'seizure threshold' (making a fit more likely), and while naproxen doesn't directly cause this, the combination of pain and multiple medications can increase overall physical stress.
What you should do
Back to contentsYou can take these together if your doctor has specifically prescribed both, but you should use the lowest dose for the shortest time possible. Always take them with food to protect your stomach. Seek medical help immediately if you experience severe stomach pain, black/tarry stools, or if you feel unusually dizzy or confused. If you have a history of epilepsy, kidney problems, or stomach ulcers, talk to your pharmacist or doctor before combining them.
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Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
25 Jan 2026 | Originally published

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