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Two medicines, side by side

Nabumetone vs naproxen

Nabumetone and naproxen are both labeled for osteoarthritis and rheumatoid arthritis. Drugs@FDA records approvals of nabumetone since 1991 and of naproxen since 1976. Pharmacies paid $0.128 per nabumetone 500 mg tablet and $0.0565 per naproxen 500 mg tablet (NADAC, October 7, 2026). Nabumetone's other strengths are brand-only: $31.67 per Relafen ds 1,000 mg tablet.

Check it at the source: the nabumetone FDA label on DailyMed (effective January 13, 2025); the naproxen FDA label on DailyMed (effective March 12, 2026).

Highlights of the nabumetone record

Nabumetone (Relafen) · label of January 13, 2025

Boxed warning

Cardiovascular Thrombotic Events Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in treatment and may increase with duration of use [see Warnings and Precautions ]. Nabumetone tablets are contraindicated in the setting of coronary artery bypass graft (CABG) surgery [see Contraindications and Warnings ].

Used for

From the label: indications

Carefully consider the potential benefits and risks of nabumetone tablets, USP and other treatment options before deciding to use nabumetone tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS ). Nabumetone tablets, USP are indicated for relief of signs and symptoms of osteoarthritis and rheumatoid arthritis.

On the market

Earliest approval on file
December 24, 1991
Generic labelers
28 labelers
Pharmacy cost
$0.128 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

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 (Nabumetone label of January 13, 2025, Naproxen label of March 12, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do nabumetone 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: nabumetone since 2000; naproxen since 1992 (Drugs@FDA).

NabumetoneNaproxen
Labeled forOsteoarthritis, Rheumatoid arthritisFever, 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)7% –unidentified minor metabolites 34% Total % Dose: 73% Following oral administration of dosages of 1,000 mg to 2,000 mg to steady state, the mean plasma clearance of 6MNA is 20 to 30 mL/min and the elimination …n/a
Earliest approval on file (Drugs@FDA)December 24, 1991March 11, 1976
First generic approvedMay 26, 2000October 30, 1992
Generic labelers (NDC)28 labelers139 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.128 per tablet (Nabumetone 500 mg tablet)$0.0565 per tablet (Naproxen 500 mg tablet)
12-month price change+5%-9%
Boxed warningYesYes
Shortage nowNo current entryNo current entry
Recalls recorded18
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)6,395142,225
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?

Nabumetone label, drug interactions

The clinical significance of this interaction is not known; however, as with other NSAIDs, concomitant administration of nabumetone tablets 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 nabumetone
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