A patient visits her primary care provider for follow-up of bilateral knee osteoarthritis.She takes naproxen 250 mg 2 times a day with good relief of knee pain.She states that after the second dose she experiences "heartburn." Upon further questioning,she states that she takes the second dose just before bedtime with only a sip of water,stating that "Otherwise I have to get up during the night to urinate!" What patient education is most appropriate to potentially alleviate her presenting complaint?

Question

Quizplus · Accepted Answer

Taking the naproxen with a full glass of water and remaining upright for 30 minutes following ingestion will help to prevent the stomach contents from backing up into the throat, reducing heartburn. Crushing the tablets may alter the release mechanism and affect the efficacy of the medication, and taking it with juice may actually increase the risk of heartburn. Taking the medication four times a day is not necessary if the patient is getting adequate relief with the current dosing schedule.

A Patient Visits Her Primary Care Provider for Follow-Up of Bilateral