The relative risk of a serious cardiovascular event in patients taking diclofenac versus non-use of NSAIDs ranged from 1.4–1.6. This means those using diclofenac were approximately 1.5 times more likely to have cardiovascular complications than someone not using diclofenac. Naproxen’s relative risk ranged from 0.92–1.2. A 14-day double-blind clinical study was conducted on 16 patients with clinically active rheumatoid arthritis to compare the effects of etodolac (600 mg daily) and diclofenac (150 mg daily). Admission criteria were: functional impairment between Steinbrocker's classes I to III, Ritchie's index great … Gastroduodenal ulcers were detected endoscopically in 33 (15%) patients treated with diclofenac and in eight (4%) in the celecoxib group (p<0.001). The rate of withdrawal for any gastrointestinal-related adverse event, most commonly abdominal pain, diarrhoea, and dyspepsia, was nearly three times higher in the diclofenac-treated group than in Diclofenac sodium is a type of phenylacetic acid. It has fast and strong anti-inflammatory, antirheumatic, analgesic, and antipyretic effects. These effects include inhibition of prostaglandin synthesis, and it has been shown that the medication is effective for primary dysmenorrhea treatment . Nonsteroidal anti-inflammatory drugs (NSAIDs) pain management algorithm. Proceed down the algorithm on the basis of pain control and risk factors. Ibuprofen and naproxen are recommended on the basis of extensive evidence supporting efficacy and safety. For management of chronic/persistent pain, administration of NSAIDs with long half-lives has Gastrointestinal side effects that may occur include bloating, diarrhea, constipation, irritation of the lining of the stomach, nausea or vomiting. NSAIDs may also affect kidney function and reduce how quickly blood flows through the kidneys. They may cause retention of sodium and water which can lead to edema and high potassium levels. Diclofenac (150 mg/day) was likely to be more effective in alleviating pain than celecoxib (200 mg/day), naproxen (1000 mg/day), and ibuprofen (2400 mg/day), and similar to etoricoxib (60 mg/day); a lower dose of diclofenac (100 mg/day) was comparable to all other treatments in alleviating pain. Prescription Naproxen. As over the counter naproxen contains 220mg and prescription naproxen contains 375mg, they are not interchangeable, due to the differing strengths. They are however, the same drug (naproxen). You can definitely try taking the over the counter 220mg as directed on the label. If you find it is not relieving your symptoms, I g0SjW.

diclofenac or naproxen which is stronger