What is the L368 Blue Oval Pill? Identification, Side Effects, and Risks

Medically Reviewed By:

Kelly Donald, PMHNP

When it comes to managing moderate to chronic pain, many people turn to over-the-counter or prescription medications for relief. Among the most commonly used nonsteroidal anti-inflammatory drugs (NSAIDs) is naproxen sodium, and one particular version of it, known as the L368 blue oval pill, has gained attention for its accessibility and effectiveness. But what exactly is this blue pill, and is it safe for everyone?

Letโ€™s explore what the L368 pill is, how it works, who itโ€™s for, and when to talk to your doctor before taking it.

What Is the L368 Blue Oval Pill?

The L368 blue oval pill is a 220 mg dose of naproxen sodium, a widely used nonsteroidal anti-inflammatory drug (NSAID). This medication is typically found over the counter in pharmacies across the United States. It’s often marketed under brand names like Aleve, though โ€œL368โ€ refers specifically to the imprint code used to identify this generic oral tablet.

Naproxen sodium is known for its pain relief and anti-inflammatory properties, commonly used to treat:

  • Headaches and migraines
  • Menstrual cramps
  • Arthritis (including rheumatoid arthritis and polyarticular juvenile idiopathic arthritis)
  • Muscle aches and joint pain
  • Gout symptoms
  • Back pain and body aches

Unlike opioid pain medications or narcotic painkillers, naproxen works peripherally, targeting enzymes that trigger inflammation, rather than affecting the central nervous system.

How Does Naproxen Work?

Naproxen sodium works by inhibiting the cyclooxygenase (COX) enzymes, particularly COX-1 and COX-2. These enzymes play a major role in the production of prostaglandins, substances that mediate inflammation, pain, and fever in the body.

By blocking these enzymes, naproxen effectively reduces inflammation, lowers fever, and relieves pain.

This mechanism makes it effective for moderate pain and chronic inflammatory conditions, but also introduces potential side effects, particularly when taken in high doses or over long periods.

Who Should Take (and Avoid) the L368 Pill?

Many people use the L368 blue pill for short-term pain like menstrual period pain, muscle pain, or stomach pain (as long as the pain isnโ€™t related to ulcers or internal bleeding). However, it’s not suitable for everyone.

You should speak with a healthcare provider before taking naproxen if you:

  • Have a history of stomach ulcers or stomach bleeding
  • Are taking blood thinners or have a low red blood count
  • Have high blood pressure or are on blood pressure medications
  • Suffer from an autoimmune disease affecting the digestive tract
  • Have a history of allergic reactions to NSAIDs
  • Are already taking other pain relievers or pain medications

Mixing naproxen with other drugs, particularly opioid medications, certain antidepressants, or blood pressure medications, can lead to serious health consequences. Always confirm with a pharmacist or healthcare provider whether naproxen is the correct medication for your condition.

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Common Side Effects and Risks of Naproxen Sodium

While naproxen sodium is widely used, itโ€™s not without side effectsโ€”some of which can be serious. 

Common side effects are:

  • Stomach irritation
  • Weight gain
  • Skin rashes
  • Headaches
  • Dizziness

More serious side effects (seek emergency medical attention):

  • Severe stomach pain
  • Yellowing skin (possible sign of liver damage)
  • Chest pain
  • Swelling in the face or throat (indicative of an allergic reaction)
  • Elevated blood pressure levels
  • Signs of internal bleeding, like dark stools or vomiting blood

In rare cases, naproxen can cause kidney damage, especially in people who are dehydrated, elderly, or have existing kidney issues. Long-term use may also increase the risk of heart attack or stroke, particularly in individuals with cardiovascular conditions.

Proper L368 Blue Pill Dosage and Uses

The recommended naproxen dosage for most adults is one 220 mg tablet every 8 to 12 hours, not to exceed 660 mg in a 24-hour period unless directed by a doctor. This means a maximum of three pills per day.

Tips for taking naproxen tablets safely include:

  • Always take with food or milk to reduce stomach irritation.
  • Avoid alcohol, which increases the risk of stomach bleeding.
  • Never take more than the prescribed dose.

Drug Interactions: What to Avoid

Naproxen sodium can interact with other medications, especially:

  • Blood pressure medications
  • Other NSAIDs (like ibuprofen)
  • Aspirin and blood thinners
  • Steroids
  • Certain antidepressants

These interactions can worsen side effects or reduce the effectiveness of your treatment. Itโ€™s especially dangerous to combine NSAIDs with narcotic pain medication or opioid painkillers without supervision, as it may increase the risk of withdrawal symptoms, kidney issues, or internal bleeding.

Is the L368 Pill Addictive?

No. Unlike opioid medications, naproxen is not a narcotic, so it does not produce euphoria or physical dependence. That said, over-reliance on any pain relieversโ€”even over-the-counter onesโ€”can lead to chronic pain mismanagement and long-term health issues.

When to Call Your Doctor Immediately

Stop taking the L368 blue pill and contact your doctor if you experience:

  • Chest pain, shortness of breath, or sudden weakness
  • Signs of severe stomach pain or stomach bleeding
  • Yellowing of the skin or eyes
  • Any signs of an allergic reaction, including swelling or rash
  • Unusual fatigue or weight gain

If you’re experiencing a medical emergency, seek emergency medical attention immediately.

Statistics: NSAID Use and Pain Management in the U.S.

According to the CDC, over 15% of U.S. adults reported taking some form of nonsteroidal anti-inflammatory drug (NSAID) regularly in the past 30 days. Naproxen is one of the most commonly used, with millions of doses sold over the counter each year.

A 2022 survey from the National Institutes of Health (NIH) found that 40% of adults experiencing chronic pain prefer non-narcotic pain relief, citing fewer side effects and less risk of dependency. Among those, naproxen is frequently chosen for its longer duration of action compared to ibuprofenโ€”lasting up to 12 hours per dose.

However, the same study cautioned that 1 in 5 NSAID users may not follow proper dosage instructions, increasing their risk of serious health consequences like stomach ulcers, bleeding, or kidney damage.

Is the L368 Blue Oval Pill Right for You?

The L368 blue oval pill, or naproxen sodium 220 mg, is a reliable option for relieving pain, reducing inflammation, and managing symptoms related to arthritis, cramps, and muscle aches. However, itโ€™s not a one-size-fits-all solution.

To use this medication safely, talk to a pharmacist or healthcare providerโ€”especially if you take other medications, have existing medical conditions, or experience side effects. When used responsibly, naproxen can be an essential tool in pain management without the risks associated with narcotic painkillers.

Always read the label, stick to the recommended dosage, and monitor how your body responds. Itโ€™s your health, and it deserves informed choices.

Frequently Asked Questions (FAQ) About the L368 Blue Oval Pill

1. Can I take the L368 pill on an empty stomach?

Itโ€™s not recommended. While naproxen sodium is effective at relieving pain, taking it on an empty stomach can increase the risk of stomach irritation or ulcers. Always take it with food, milk, or a full glass of water to help protect your stomach lining.

2. How long does it take for the L368 pill to start working?

Most people begin to feel relief within 30 to 60 minutes of taking naproxen sodium. However, its full anti-inflammatory effects may take several days of consistent use if treating chronic conditions like arthritis.

3. Is it safe to use the L368 pill while pregnant or breastfeeding?

Generally, naproxen should be avoided during the third trimester of pregnancy, as it may affect fetal circulation and labor. It can also pass into breast milk in small amounts. Always consult your doctor before using naproxen if you are pregnant, trying to conceive, or breastfeeding.

4. Can I drive or operate machinery after taking the L368 pill?

Most users donโ€™t experience drowsiness, but some may feel dizzy or lightheaded. If it’s your first time taking it, wait to see how your body reacts before driving or doing anything that requires full concentration.

5. What should I do if I miss a dose or accidentally take too much?

Since naproxen is often taken as needed, missing a dose isnโ€™t usually critical. However, if youโ€™ve been prescribed regular use and miss a dose, take it as soon as you rememberโ€”unless itโ€™s almost time for the next one. Never double up doses. If you suspect an overdose, seek immediate medical attention, especially if symptoms like nausea, confusion, or black stools appear.

6. Is there a difference between prescription-strength and over-the-counter naproxen?

Yes. Over-the-counter naproxen (like the L368 pill) typically contains 220 mg per tablet. Prescription-strength naproxen may contain up to 500 mg per dose and is often taken less frequently. Dosage, formulation, and treatment goals differ, so do not substitute one for the other without consulting your healthcare provider.

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