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This includes aspirin, ibuprofen, naproxen and other over-the-counter medications.

The company said the flat fee could cover a list of medications like the antibiotic amoxicillin and the anti-inflammatory drug naproxen.

It can also be caused by excessive use of nonsteroidal anti-inflammatory drugs such as ibuprofen, naproxen and high-dose aspirin.

This is particularly true for people with a history of bleeding, say from ulcers or aneurysms, or those taking medications like blood thinners, steroids or anti-inflammatories such as ibuprofen or naproxen.

Its manufacturer, Merck & Company, claimed Vioxx could relieve arthritic pain without causing gastric ulcers — a potential side effect of non-steroidal anti-inflammatory drugs like ibuprofen and naproxen.