NHS Warning Issued to Anyone Taking Naproxen and Aspirin Alongside Ibuprofen

Ibuprofen tablets

The NHS has issued an important warning for people who use common painkillers, advising the public not to mix ibuprofen with other nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen or aspirin. Taking these medications together could increase the risk of serious side effects.

Over-the-counter painkillers like ibuprofen are widely used across the UK to relieve headaches, period pain, backache, cold and flu symptoms, joint pain and general inflammation. Ibuprofen, sold under brand names such as Nurofen, Calprofen and Ibuleve, is one of the most commonly purchased medicines that does not require a prescription.

While ibuprofen is considered safe when used correctly, the NHS emphasises that some medication combinations can be harmful — and certain painkillers should never be taken together.

Why You Shouldn’t Mix Ibuprofen with Naproxen or Aspirin

According to NHS guidance, ibuprofen “does not mix well with some medicines,” especially other NSAIDs.This includes:

  • Aspirin
  • Naproxen (commonly used for arthritis, muscle pain and menstrual cramps)
  • Any other NSAID-based medication

Taking two NSAIDs at the same time can significantly increase the risk of adverse effects such as:

Common Side Effects

  • Stomach discomfort
  • Heartburn or indigestion
  • Nausea or vomiting
  • Headaches
  • Dizziness
  • Diarrhoea or constipation

More Serious Side Effects

Mixing NSAIDs greatly increases the chance of complications, including:

  • Stomach ulcers or internal bleeding: Symptoms may include abdominal pain, pale skin, vomiting blood or black, tar-like stools
  • Kidney problems: Signs include swelling of the feet or hands, blood in urine or breathlessness
  • Severe allergic reactions (anaphylaxis): Symptoms may involve swelling of the throat, wheezing or a widespread rash

The NHS also states that the risk is higher if someone is taking high doses of ibuprofen or using it for a long period of time.

Be Careful With Cold & Flu Remedies Too

Many cold and flu products contain hidden NSAIDs, meaning someone could accidentally double-dose without realising.

Checking medication labels is essential — especially if you already take ibuprofen regularly or are on long-term treatment.

For personalised advice, you can book a same-day private GP appointment to ensure your medication combinations are safe.

Who Should Be Extra Cautious?

You should speak to a doctor or pharmacist before taking ibuprofen if you:

  • Already take aspirin or naproxen
  • Are on medication for heart conditions
  • Have kidney issues
  • Have stomach ulcers
  • Are pregnant
  • Use any long-term prescription medicines

Mixing medications without professional guidance increases the risk of complications. A private prescription consultation is recommended if you take multiple medicines regularly.

What to Use Instead of Combining Painkillers

If additional pain relief is needed, the NHS usually advises considering paracetamol instead of another NSAID. However, you should always confirm this with a healthcare professional to ensure it is safe for your individual situation.

If you’re unsure which painkiller is right for you, you can speak with one of our clinicians during a GP Consultation.

How Private Medical Clinic Can Help

If you are unsure about which painkillers are safe to combine — or if you are experiencing stomach pain, dizziness, nausea, swelling or any unusual symptoms after taking ibuprofen, naproxen or aspirin — our clinicians can help.

At Private Medical Clinic, we offer:

  • Same-day private GP appointments
  • Safe medication reviews
  • Guidance on mixing medicines
  • Urgent assessments for stomach pain, kidney concerns or possible side effects
  • Follow-up blood tests if needed

Our doctors provide clear, personalised advice to ensure you are taking your medication safely.

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Dr Kishan Dattani

Dr. Kishan Dattani (MBBS, MRes) is a dedicated doctor with experience across multiple specialties and a research background in osteoarthritis. Practicing at Private Medical Clinic, he is passionate about delivering high-quality, patient-centred care to the local community.

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