# Tendinitis (tendinopathy) - Category: chronic - Review status: reviewed (every claim checked against a document named on this page) - Sources: MSF Essential Drugs 2024 (ibuprofen oral monograph) · NICE Guideline NG59 · Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639) · Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) · Ibuprofen 400 mg film-coated tablets (POM) SmPC section 4.2 (eMC product 7020) · StatPearls: Ibuprofen (NCBI Bookshelf NBK542299) - Verified date: 2026-08 ## Verified against - MSF Essential Drugs 2024 (ibuprofen oral monograph) - Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639) - Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) - Ibuprofen 400 mg film-coated tablets (POM) SmPC section 4.2 (eMC product 7020) ## Treatment metadata - Naproxen — 500 mg — oral.solid - Ibuprofen — 400 mg — oral.solid ## Complete treatment card ```text TENDINITIS (TENDINOPATHY) Sources: MSF Essential Drugs 2024 (ibuprofen oral monograph) · NICE Guideline NG59 · Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639) · Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) · Ibuprofen 400 mg film-coated tablets (POM) SmPC section 4.2 (eMC product 7020) · StatPearls: Ibuprofen (NCBI Bookshelf NBK542299) Review status: REVIEWED against 4 sources listed above (2026-08) 1. NAPROXEN [1st line] Adult 500 mg initially followed by 250 mg every 6-8 hours (max 1250 mg/day after first day) x 7-14 days Peds Not recommended under 16 years for this indication - the product label restricts paediatric naproxen to juvenile idiopathic arthritis (10 mg/kg/day in two divided doses, child over 5 years). Use paracetamol or ibuprofen instead. Source Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639) Why NSAID that relieves the pain and inflammation of tendinopathy via COX inhibition; intended for short-term symptom control only, since NSAIDs may impair long-term tendon healing with continued use. Caution Take with food or co-prescribe PPI in high-risk GI patients. Contraindicated in active peptic ulcer disease, severe heart failure, or severe renal impairment. Avoid prolonged use (>2 weeks) as NSAIDs may delay long-term tendon tissue healing. Egypt ORGOPROXEN 500 MG 20 TAB. ORGANOPHARMA ... 16.00 EGP (0.80/unit) NAPROSYN 500 MG 10 TAB. MISR > F.HOFF... 8.05 EGP (0.81/unit) NAPROFEN 500MG 10 TAB. EL NILE. 12.00 EGP (1.20/unit) NAPROFEN 500MG 20 TAB. EL NILE. 24.00 EGP (1.20/unit) 2. IBUPROFEN [1st line] Adult 400 mg 3 times daily with food (max 2400 mg daily) x 7-14 days Peds 5-10 mg/kg/dose [child max 400 mg] (Contraindicated below 20 kg body weight or under 6 years of age for this 400 mg film-coated tablet formulation.) 3kg -> 15-30 mg/dose 4kg -> 20-40 mg/dose 5kg -> 25-50 mg/dose 6kg -> 30-60 mg/dose 7kg -> 35-70 mg/dose 8kg -> 40-80 mg/dose 9kg -> 45-90 mg/dose 10kg -> 50-100 mg/dose 11kg -> 55-110 mg/dose 12kg -> 60-120 mg/dose 13kg -> 65-130 mg/dose 14kg -> 70-140 mg/dose 15kg -> 75-150 mg/dose 16kg -> 80-160 mg/dose 17kg -> 85-170 mg/dose 18kg -> 90-180 mg/dose 19kg -> 95-190 mg/dose 20kg -> 100-200 mg/dose 21kg -> 105-210 mg/dose 22kg -> 110-220 mg/dose 23kg -> 115-230 mg/dose 24kg -> 120-240 mg/dose 25kg -> 125-250 mg/dose 26kg -> 130-260 mg/dose 27kg -> 135-270 mg/dose 28kg -> 140-280 mg/dose 29kg -> 145-290 mg/dose 30kg -> 150-300 mg/dose 31kg -> 155-310 mg/dose 32kg -> 160-320 mg/dose 33kg -> 165-330 mg/dose 34kg -> 170-340 mg/dose 35kg -> 175-350 mg/dose 36kg -> 180-360 mg/dose 37kg -> 185-370 mg/dose 38kg -> 190-380 mg/dose 39kg -> 195-390 mg/dose 40kg -> 200-400 mg/dose 41kg -> 205-400 mg/dose (upper capped) 42kg -> 210-400 mg/dose (upper capped) 43kg -> 215-400 mg/dose (upper capped) 44kg -> 220-400 mg/dose (upper capped) 45kg -> 225-400 mg/dose (upper capped) 46kg -> 230-400 mg/dose (upper capped) 47kg -> 235-400 mg/dose (upper capped) 48kg -> 240-400 mg/dose (upper capped) 49kg -> 245-400 mg/dose (upper capped) 50kg -> 250-400 mg/dose (upper capped) Choice Alternatives, both non-selective NSAIDs. Ibuprofen is the cheaper and the more widely stocked. Source Ibuprofen 400 mg film-coated tablets (POM) SmPC section 4.2 (eMC product 7020) for the adult dose: "200-400 mg given as a single dose or 3-4 times a day with an interval of 6 hours as required" and, in rheumatic disease, "a maximum of 2400 mg in 3 or 4 divided doses". That label is contraindicated below 20 kg or 6 years and its only mg/kg line is for adolescents 15 to 17 years, so the paediatric 5 to 10 mg/kg per dose is from MSF Essential Drugs 2024 (ibuprofen oral monograph): "Child over 3 months: 5 to 10 mg/kg 3 to 4 times daily (max. 30 mg/kg daily)". Why NSAID alternative to naproxen for tendinitis pain and inflammation, inhibiting COX- mediated prostaglandin synthesis; a widely available option for symptom control. Caution Caution in asthma, hypertension, and renal impairment. Above 1200 mg a day is prescription territory, not the over-the-counter suspension. The tablet label allows up to 2400 mg in three or four divided doses, but only as a temporary increase in an acute severe episode, and no single dose above 800 mg. The 400 mg per-dose ceiling comes from the reference literature, not from the suspension label - that label's largest paediatric single dose is 200 mg. Below about 40 kg the weight calculation binds first and the ceiling never comes into it. There is a risk of GI distress, dyspepsia, and peptic ulcer. Egypt DAJUANOFEN 400 MG 20 F.C. TABS. COPAD PHARMA 5.00 EGP (0.25/unit) FLABU 400MG 10 F.C.TAB. DELTA PHARMA 3.75 EGP (0.38/unit) NOVA-PROFEN 400MG 30 F.C. TABLETS SANOFI 12.75 EGP (0.42/unit) IBUPROFEN 400 MG 10 TAB. SEDICO 6.00 EGP (0.60/unit) MAFO 400 MG 30 F.C.TABS EIPICO 42.00 EGP (1.40/unit) BRUFEN 400 MG 30 TABS. KAHIRA > ABBO... 78.00 EGP (2.60/unit) PROFUSOL 400MG 20 S.G CAPS. EUROPEAN EGYP... 31.00 EGP ANALGIPROF 400 MG 25 SACHETS EVA PHARMA 37.50 EGP NOVA-PROFEN 100MG/5ML ORAL SUSP. 100ML SANOFI 2.25 EGP -> ? strength differs, ? different route - not oral solid BRUFEMOL-N SUSP. 60 ML ARAB DRUG COM... 4.50 EGP -> ? strength differs, ? different route - not oral solid Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)