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Two medicines, side by side

Acetaminophen vs naproxen

Acetaminophen and naproxen are both labeled for pain, cough and cold and fever. Drugs@FDA records approvals of acetaminophen since 1968 and of naproxen since 1976. Pharmacies paid $0.0339 per unit (Acetaminophen 500 mg caplet) and $0.0565 per naproxen 500 mg tablet (NADAC, October 7, 2026).

Check it at the source: the acetaminophen FDA label on DailyMed (effective November 13, 2024); the naproxen FDA label on DailyMed (effective March 12, 2026).

Highlights of the acetaminophen record

Acetaminophen (Tylenol) · label of November 13, 2024

Used for

From the label: indications

temporarily relieves minor aches and pains due to: minor pain of arthritis muscular aches backache premenstrual and menstrual cramps the common cold headache toothache temporarily reduces fever

On the market

Earliest approval on file
November 7, 1968
Generic labelers
89 labelers
Pharmacy cost
$0.0339 per unit

Supply and safety

Shortage
No current entry
Recalls
19

Highlights of the naproxen record

Naproxen (Aleve) · label of March 12, 2026

Used for

From the label: indications

temporarily relieves minor aches and pains due to: minor pain of arthritis muscular aches backache menstrual cramps headache toothache the common cold temporarily reduces fever

On the market

Earliest approval on file
March 11, 1976
Generic labelers
139 labelers
Pharmacy cost
$0.0565 per tablet

Supply and safety

Shortage
No current entry
Recalls
8

Source: FDA drug labels via openFDA (Acetaminophen label of November 13, 2024, Naproxen label of March 12, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do acetaminophen and naproxen differ on the record?

Both labels carry a boxed warning; the records quote them.

Generics: acetaminophen since 1986; naproxen since 1992 (Drugs@FDA).

AcetaminophenNaproxen
Labeled forFever, Cough and cold, PainFever, Rheumatoid arthritis, Osteoarthritis, Gout, Pain, Cough and cold
Pharmacologic classn/aNonsteroidal Anti-inflammatory Drug
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)November 7, 1968March 11, 1976
First generic approvedDecember 1, 1986October 30, 1992
Generic labelers (NDC)89 labelers139 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0339 per unit (Acetaminophen 500 mg caplet)$0.0565 per tablet (Naproxen 500 mg tablet)
12-month price change+5%-9%
Boxed warningYesYes
Shortage nowNo current entryNo current entry
Recalls recorded198
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)445,075142,225
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Naproxen label, drug interactions (prescription label)

Concomitant use of naproxen with other NSAIDs or salicylates (e.g., diflunisal, salsalate) increases the risk of GI toxicity, with little or no increase in efficacy [ see Warnings and Precautions ( 5.2 ) ].

Source: FDA drug labels via openFDA

What next?

Alternatives to acetaminophen
every medicine labeled for the same conditions