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OTC and prescription Analgesic combinations oral tablet (acetaminophen 325 mg, naproxen sodium 110 mg)

Tylenol with Naproxen

Generic name: acetaminophen with naproxen sodium

Last updated July 26, 2026 0 views Reviewed by Carmen Pope, Senior Medical Editor, B. Pharm
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What is Tylenol with Naproxen?

Tylenol with Naproxen is an over-the-counter, long-lasting tablet that combines two pain relievers in one product: acetaminophen 325 mg (an analgesic) and naproxen sodium 110 mg (a nonsteroidal anti-inflammatory drug [NSAID]). Tylenol with Naproxen lasts for 12 hours and is taken twice a day and is used for the temporary relief of minor aches and pains due to:

  • headache
  • backache
  • muscular aches
  • toothache
  • menstrual cramps
  • minor pain of arthritis.

The FDA approved Tylenol with Naproxen on July 24, 2026. It is the first product to bring acetaminophen and naproxen sodium together in a single nonprescription tablet. Other fixed-dose combinations of acetaminophen with an NSAID were already on the US market before this approval, so the point of difference is the pairing with naproxen sodium rather than the combination approach itself.

The FDA has granted the manufacturer Kenvue three years of exclusivity for the new formulation.

The two ingredients in Tylenol with Naproxen relieve pain in different ways and over different timeframes. Acetaminophen acts on how the body registers pain signals and works quickly. Naproxen sodium is an NSAID and eases pain linked to inflammation, with a longer duration of effect. Taken together, the combination is intended to provide an early onset of relief within 30 minutes and keep working across a 12-hour dosing interval. Neither ingredient is an opioid.

How do I take Tylenol with Naproxen? Directions

  • Do not take more than directed (see overdose warning)
  • Do not use for more than 10 days unless directed by a doctor
  • drink a full glass of water with each dose
AgeDose
Adults and children 12 years and overTake 2 tablets every 12 hours while symptoms last
Children under 12 yearsAsk a doctor before use.
  • Do not take more than 2 tablets in 12 hours unless directed by a doctor
  • Do not take more than 4 tablets in 24 hours unless directed by a doctor

When using this product

  • Take with food or milk if stomach upset occurs.

Stop use and ask a doctor if:

  • you experience any of the following signs of stomach bleeding: feel faint, vomit blood, have bloody or black stools, have stomach pain that does not get better
  • you have symptoms of heart problems or stroke: chest pain, trouble breathing, weakness in one part or side of body, slurred speech, leg swelling
  • pain gets worse or lasts more than 10 days
  • you have difficulty swallowing
  • it feels like the pill is stuck in your throat
  • redness or swelling is present in the painful area
  • any new symptoms occur

These could be signs of a serious condition.

Kenvue reports that the approval was supported by a program of eight clinical studies across a range of pain models. According to the manufacturer, the fixed-dose combination gave greater pain relief than either acetaminophen alone or naproxen sodium 220 mg alone, with relief beginning within 30 minutes and lasting 12 hours after a single dose. The FDA has said the approval rested on evidence of safety and effectiveness for the combination, together with evidence that each ingredient contributes to the overall effect.

Detailed results have not yet been published. The company has said data will be presented at medical meetings later in 2026, including PAINWeek.

  • Each tablet contains sodium 10 mg
  • Read all warnings and directions before use, and keep the carton
  • Store between 20 and 25 degrees C (68 and 77 degrees F)
  • Do not use if the foil inner seal imprinted with "Sealed For Your Safety" is broken or missing.

Warnings

Liver damage warning

This product contains acetaminophen. Severe liver damage may occur if you take:

  • with other drugs containing acetaminophen. Do not use with other medicines containing acetaminophen
  • more than 4,000 mg of acetaminophen in 24 hours
  • 3 or more alcoholic drinks every day while using this product

Acetaminophen allergy alert

Acetaminophen may cause severe skin reactions. Symptoms may include skin reddening, blisters, and rash. If a skin reaction occurs, stop use and seek medical help right away.

NSAID allergy alert

Naproxen sodium may cause a severe allergic reaction, especially in people allergic to aspirin. Symptoms may include hives, facial swelling, asthma (wheezing), shock, skin reddening, rash, and blisters. If an allergic reaction occurs, stop use and seek medical help right away.

Stomach bleeding warning

This product contains an NSAID, which may cause severe stomach bleeding. The chance is higher if you:

  • are age 60 or older
  • have had stomach ulcers or bleeding problems
  • take a blood-thinning (anticoagulant) or steroid drug
  • take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others)
  • have 3 or more alcoholic drinks every day while using this product
  • take more or for a longer time than directed.

Heart attack and stroke warning

NSAIDs, except aspirin, increase the risk of heart attack, heart failure, and stroke. These can be fatal. The risk is higher if you use more than directed or for longer than directed.

Before taking

Do not use Tylenol with Naproxen:

  • with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist
  • if you are allergic to acetaminophen, naproxen sodium, or any other pain reliever, or any of the inactive ingredients in this product
  • right before or after heart surgery.

Before taking Tylenol with Naproxen, talk to a doctor before taking if:

  • you have liver disease
  • the stomach bleeding warning applies to you
  • you have problems or serious side effects from taking pain relievers
  • you have a history of stomach problems, such as heartburn
  • you have high blood pressure, heart disease, liver cirrhosis, kidney disease, asthma, or had a stroke
  • you are taking a diuretic

Talk to a doctor or pharmacist before using if you are:

  • under a doctor's care for any serious condition
  • taking aspirin for heart attack or stroke, because naproxen sodium may decrease this benefit of aspirin
  • taking the blood-thinning drug warfarin
  • taking any other drug.

Pregnancy and breastfeeding

If pregnant or breast-feeding, ask a health professional before use. It is especially important not to use naproxen sodium at 20 weeks or later in pregnancy unless definitely directed to do so by a doctor, because it may cause problems in the unborn child or complications during delivery.

Keep out of reach of children

Overdose warning: in case of overdose, get medical help or contact a Poison Control Center right away at 1-800-222-1222. Quick medical attention is critical for adults as well as for children, even if you do not notice any signs or symptoms.

Ingredients

Active ingredients: acetaminophen 325 mg and naproxen sodium 110 mg

Inactive ingredients: Colloidal silicon dioxide, crospovidone, hypromellose, lactose monohydrate, magnesium stearate, medium chain triglycerides, microcrystalline cellulose, pregelatinized starch, titanium dioxide.

Tablets are supplied in bottles with a push-and-turn cap and a peel-back label, packed in a carton.

Package size
20 tablets
20 tablets, for hospital and government use only
40 tablets
80 tablets
90 tablets
140 tablets
200 tablets
220 tablets

Tylenol with Naproxen is distributed by Kenvue Brands LLC. Call 1-800-343-7805 (toll-free) or 215-273-8755 (collect).

Frequently asked questions

How does Tylenol with Naproxen compare with Tylenol and Aleve?
Standard Tylenol products contain acetaminophen on its own. Aleve contains naproxen sodium on its own. Tylenol with Naproxen puts both into one tablet, which removes the need to take two separate products or stagger their dosing times. Anyone using it should still avoid taking any other acetaminophen-containing medicine or any other NSAID at the same time.
Does Tylenol with Naproxen contain an opioid?
No. Neither of its ingredients is an opioid. Acetaminophen is a pain reliever, and naproxen sodium is a nonsteroidal anti-inflammatory drug (NSAID). Both have been available without a prescription for many years.
Where can I buy Tylenol with Naproxen?
The product was approved in July 2026, and the manufacturer says it will be sold at major US retailers. It has not reached shelves everywhere yet, so availability will vary by store for now.
Who should not take Tylenol with Naproxen?
Do not take it if you are already taking another medicine that contains acetaminophen, if you are allergic to acetaminophen, naproxen sodium, any other pain reliever, or any inactive ingredient in the product, or if you are just before or just after heart surgery. Check with your doctor or pharmacist first if you have liver disease, kidney disease, high blood pressure, heart disease, asthma, liver cirrhosis, a history of stroke, or a history of stomach problems such as heartburn. The same applies if you take a diuretic, a blood thinner such as warfarin, a steroid, or low-dose aspirin for your heart. If you are pregnant or breastfeeding, ask a health professional before use. It is especially important not to use naproxen sodium from 20 weeks of pregnancy onwards unless your doctor has specifically told you to, because it can harm the unborn baby or cause problems during delivery.
Can you take Tylenol with Naproxen and ibuprofen together?
No. Ibuprofen and naproxen sodium are both NSAIDs, and taking two NSAIDs at the same time raises your risk of stomach bleeding without improving pain relief. The same applies to aspirin and to any other product that contains an NSAID, including some cold and flu remedies. You also need to avoid taking any other medicine that contains acetaminophen alongside it. Doubling up on acetaminophen can cause severe liver damage. If you are not sure whether something you take contains acetaminophen or an NSAID, ask your pharmacist to check the label with you. If you take low-dose aspirin for your heart, speak to your doctor or pharmacist before using this product, because naproxen sodium may reduce the protective effect of aspirin.
How long does Tylenol with Naproxen last?
A single dose is designed to relieve pain for up to 12 hours. The manufacturer reports that relief begins within 30 minutes, although published data supporting this is not yet available. The adult dose is 2 tablets every 12 hours while you still have symptoms, taken with a full glass of water. Do not take more than 2 tablets in 12 hours or more than 4 tablets in 24 hours unless a doctor tells you to, and do not use the product for longer than 10 days unless a doctor advises it. If your pain gets worse or lasts more than 10 days, stop taking it and see a doctor.

Related medicines

Before you take this medicine: the information on this page is general and may not cover your personal circumstances. Read the label supplied with your medicine and ask a pharmacist or doctor if you are unsure, especially if you are pregnant, breastfeeding, taking other medicines or managing a long-term condition.
General medicine information Consumer-friendly language Source: Drugs.com

Content is provided for education and is not medical advice. See our medical disclaimer. Source page medically reviewed by Carmen Pope, Senior Medical Editor, B. Pharm on July 26, 2026.