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Two medicines, side by side

Methylprednisolone vs naproxen

Methylprednisolone and naproxen are both labeled for osteoarthritis. Drugs@FDA records approvals of methylprednisolone since 1957 and of naproxen since 1976. Pharmacies paid $0.121 per methylprednisolone 4 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. Methylprednisolone's other strengths are brand-only: $6.28 per Solu-medrol 40 mg vial. In FDA's classes, methylprednisolone is a corticosteroid and naproxen a nonsteroidal anti-inflammatory drug.

Check it at the source: the methylprednisolone FDA label on DailyMed (effective June 22, 2026); the naproxen FDA label on DailyMed (effective March 12, 2026).

Highlights of the methylprednisolone record

Methylprednisolone (Solu-Medrol) · label of June 22, 2026

Used for

From the label: indications

Methylprednisolone tablets are indicated in the following conditions: 1. Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice; synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy, mineralocorticoid supplementation is of particular importance). […]

On the market

Earliest approval on file
October 24, 1957
Generic labelers
35 labelers
Pharmacy cost
$0.121 per tablet

Supply and safety

Shortage
In shortage
Recalls
46

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 (Methylprednisolone label of June 22, 2026, Naproxen label of March 12, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do methylprednisolone and naproxen differ on the record?

In FDA's classes, methylprednisolone is a corticosteroid and naproxen a nonsteroidal anti-inflammatory drug.

Only the naproxen label carries a boxed warning.

Generics: methylprednisolone since 1978; naproxen since 1992 (Drugs@FDA).

MethylprednisoloneNaproxen
Labeled forOsteoarthritis, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Multiple sclerosis, Asthma, Eczema (atopic dermatitis), AnemiaFever, Rheumatoid arthritis, Osteoarthritis, Gout, Pain, Cough and cold
Pharmacologic classCorticosteroidNonsteroidal Anti-inflammatory Drug
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)October 24, 1957March 11, 1976
First generic approvedMarch 28, 1978October 30, 1992
Generic labelers (NDC)35 labelers139 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.121 per tablet (Methylprednisolone 4 mg tablet)$0.0565 per tablet (Naproxen 500 mg tablet)
12-month price change-22%-9%
Boxed warningNoYes
Shortage nowIn shortageNo current entry
Recalls recorded468
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)170,232142,225
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 methylprednisolone
every medicine labeled for the same conditions