Taking Naproxen (a nonsteroidal anti-inflammatory drug or NSAID) along with Escitalopram (an SSRI) and Etizolam (a benzodiazepine analog) can increase the risk of gastrointestinal bleeding. This is because SSRIs like escitalopram can impair platelet aggregation by depleting serotonin in platelets, and NSAIDs like naproxen directly irritate the gastric mucosa. While Etizolam doesnât add to bleeding risk, it can increase sedation when combined with the other two. So yes, the bleeding concern is validâespecially if you have a history of gastritis, ulcers, or are taking it frequently.
Next Steps
Instead of naproxen, you can consider Paracetamol (Acetaminophen) for managing headachesâitâs safer with SSRIs and doesnât increase bleeding risk. However, if your headaches are recurrent or extreme, it's crucial to investigate the root causeâwhether itâs migraine, medication withdrawal, tension-type, or related to anxiety itself. You can discuss options like low-dose amitriptyline or propranolol for prophylaxis (if diagnosed with chronic tension headache or migraine), but only under doctor supervision.
Health Tips
If headaches are happening often or worsening, keep a headache diaryânote timing, triggers, severity, and duration. Avoid triggers like sleep deprivation, skipped meals, caffeine withdrawal, or screen overuse. Practice hydration and regular sleep cycles. For natural symptom relief, homeopathic remedies like Belladonna 30 or Glonoinum 30 can help occasionally if the headache fits the picture (e.g., throbbing, pulsating, heat-related). Still, long-term self-medication should be avoidedâget a personalized treatment plan from a qualified provider.