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Two medicines, side by side

Diclofenac vs naproxen

Diclofenac and naproxen are both labeled for pain, osteoarthritis and rheumatoid arthritis. Drugs@FDA records approvals of diclofenac since 1988 and of naproxen since 1976. Pharmacies paid $0.0619 per diclofenac sod DR 75 mg tablet and $0.0565 per naproxen 500 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the diclofenac FDA label on DailyMed (effective February 11, 2025); the naproxen FDA label on DailyMed (effective March 12, 2026).

Highlights of the diclofenac record

Diclofenac (Voltaren) · label of February 11, 2025

Used for

From the label: indications

• for the temporary relief of arthritis pain ONLY in the following areas: o hand, wrist, elbow (upper body areas) o foot, ankle, knee (lower body areas) • this product may take up to 7 days to work for arthritis pain; it is not for immediate relief. If no pain relief in 7 days, stop use.

On the market

Earliest approval on file
July 28, 1988
Generic labelers
149 labelers
Pharmacy cost
$0.0619 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
6

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 (Diclofenac label of February 11, 2025, Naproxen label of March 12, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do diclofenac and naproxen differ on the record?

Both are in FDA's class nonsteroidal anti-inflammatory drugs.

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

Generics: diclofenac since 1995; naproxen since 1992 (Drugs@FDA).

DiclofenacNaproxen
Labeled forPain, Osteoarthritis, Rheumatoid arthritis, MigraineFever, Rheumatoid arthritis, Osteoarthritis, Gout, Pain, Cough and cold
Pharmacologic classNonsteroidal Anti-inflammatory DrugNonsteroidal Anti-inflammatory Drug
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)July 28, 1988March 11, 1976
First generic approvedJune 29, 1995October 30, 1992
Generic labelers (NDC)149 labelers139 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0619 per tablet (Diclofenac sod DR 75 mg tablet)$0.0565 per tablet (Naproxen 500 mg tablet)
12-month price change-25%-9%
Boxed warningYesYes
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded68
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)158,675142,225
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?

Diclofenac label, drug interactions (prescription label)

The clinical significance of this interaction is not known; however, as with other NSAIDs, concomitant administration of diclofenac and aspirin is not generally recommended because of the potential of increased adverse effects.

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 diclofenac
every medicine labeled for the same conditions