IN A CLINICAL
STUDY ALEVE® IS AS
STRONG* ON PAIN AS
HYD+APAP AND
LONGER LASTING.1

*In hours 0 to 4 of a single-dose dental study of Aleve® (440 mg) versus hydrocodone plus acetaminophen, HYD+APAP (10 mg + 650 mg).

Use as directed for minor aches and pains.

 

 

 

 

IN A
CLINICAL STUDY ALEVE® IS AS STRONG* ON PAIN AS HYD+APAP AND LONGER LASTING.1

*In hours 0 to 4 of a single-dose dental study of Aleve® (440 mg) versus hydrocodone plus acetaminophen, HYD+APAP (10 mg + 650 mg).

Use as directed for minor aches and pains.

ALEVE®, A NON-OPIOID OTC NSAID, WAS COMPARED WITH HYD+APAP FOR DENTAL PAIN RELIEF IN A SINGLE-CENTER, RANDOMIZED, DOUBLE-BLIND, PARALLEL, PLACEBO-CONTROLLED SINGLE-DOSE STUDY.1

  • Patients experiencing moderate or severe pain (N=221) after surgical removal of impacted third molars were randomized to receive either a single dose of Aleve® (440 mg [n=90]), HYD+APAP (10 mg + 650 mg [n=87]), or placebo (n=44)
  • The primary objective was to compare Sum of Pain Intensity Difference from 0 to 12 hours (SPID0-12) after a single oral dose
  • Secondary objectives were to compare the total pain relief (TOTPAR) over 6 and 12 hours, SPID0-6, time to onset of pain relief, time to first use of rescue medication, and duration of pain intensity at least half gone over 6 and 12 hours
  • SPID0-4 was also assessed
Finding Icon

In the study, Aleve® was as effective as HYD+APAP at hours 0 to 4 at reducing pain intensity1

In hours 0 to 4 of a single-dose dental study of Aleve® (440 mg), hydrocodone plus acetaminophen, HYD+APAP (10 mg + 650 mg), or placebo.1

 

Finding Icon

In the study, Aleve® was as effective as HYD+APAP at hours 0 to 4 at reducing pain intensity1

In hours 0 to 4 of a single-dose dental study of Aleve® (440 mg), hydrocodone plus acetaminophen, HYD+APAP (10 mg + 650 mg), or placebo.1

STUDY RESULTS

The primary endpoint was met

SPID0-12 was statistically significant for Aleve® vs HYD+APAP.

 

Key secondary endpoints also showed statistical significance compared with HYD+APAP:

  • TOTPAR (0 to 6 and 0 to 12 hours; P<0.05)
  • Median time to rescue medication (P<0.001)
  • Duration of pain at least half gone over 12 hours (P<0.001)
 

Both active treatments were significantly more effective than placebo

HYD+APAP was not statistically superior to Aleve® for any endpoint.

 

Mean pain intensity difference chart.

More treatment-related adverse events were reported with HYD+APAP (n=18) than Aleve® (n=1), including nausea, vomiting, and dizziness.1

The growing body of evidence offers a compelling argument for first-line use of an NSAID like Aleve®, and professional organization guidelines suggest ways of putting NSAIDs into practice.1-8 
When prescribing any product, HCPs should always consider its efficacy and safety. Before any procedure requiring pain management, HCPs should talk with patients about the benefits and risks.

Aleve tablet

References 

  1. Cooper SA, Desjardins PJ, Bertoch T, et al. Analgesic efficacy of naproxen sodium versus hydrocodone/acetaminophen in acute postsurgical dental pain: a randomized, double-blind, placebo-controlled trial. Postgrad Med. 2021. doi:10.1080/00325481.2021.2008180

  2. Data on file.

  3. Kiersch TA, Halladay SC, Hormel PC. A single-dose, double-blind comparison of naproxen sodium, acetaminophen, and placebo in postoperative dental pain. Clin Ther. 1994;16(3):394-404.

  4. American Dental Association announces new policy to combat opioid epidemic. News release. American Dental Association. March 26, 2018. Accessed October 16, 2025. https://www.ada.org/about/press-releases/2018-archives/american-dental-association-announces-new-policy-to-combat-opioid-epidemic

  5.  American Dental Association. Statement on the use of opioids in the treatment of dental pain. October 2016. Accessed October 16, 2025. https://www.ada.org/about/governance/current-policies#substanceusedisorders  

  6. American Association of Oral and Maxillofacial Surgeons. Opioid prescribing: acute and postoperative pain management; 2025. White Paper. Accessed October 9, 2025. https://aaoms.org/wp-content/uploads/2024/03/opioid_prescribing.pdf  

  7. Brophy RH, Fillingham YA. AAOS Clinical Practice Guideline Summary: Management of osteoarthritis of the knee (non-arthroplasty). J Am Acad Orthop Surg. 2022;30(9):e721–e729. doi:10.5435/JAAOS-D-21-01233. Accessed October 16, 2025. https://journals.lww.com/jaaos/Fulltext/2022/05010/AAOS_Clinical_Practice_Guideline_Summary_.10.aspx

  8. Kolasinksi SL, Neogi T, Hochberg MC, et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2020;72(2):149–162. doi:10.1002/acr.24131.