Naprox 10% w/w (Gel)

15 gm tube: ৳ 70.00

Medicine Details

Indications

  • rheumatoid arthritis
  • osteoarthritis
  • ankylosing spondylitis
  • juvenile arthritis
  • tendonitis
  • bursitis
  • acute gout
  • primary dysmenorrhea

Pharmacology

  • blocks COX-1 and COX-2 enzymes
  • decreased prostaglandin synthesis
  • antipyretic
  • analgesic
  • anti-inflammatory

Dosage & Administration

  • taken with water after meals
  • varying dosage for different indications
  • oral preparations
  • enteric coated tablet
  • suspension
  • gel application

Interaction

  • ACE inhibitors diminish antihypertensive effect
  • antacids & sucralfate delay absorption
  • aspirin increases adverse effects
  • diuretics reduce natriuretic effect
  • methotrexate enhances toxicity
  • warfarin increases risk of GI bleeding
  • SSRI increases risk of GI bleeding

Contraindications

  • known hypersensitivity to Naproxen
  • asthma, urticaria, or allergic-type reactions after aspirin or other NSAIDs
  • perioperative pain in the setting of coronary artery bypass graft (CABG) surgery

Side Effects

  • gastrointestinal: heartburn, abdominal pain, nausea, diarrhea, dyspepsia
  • central nervous system: headache, vertigo, drowsiness
  • dermatological: pruritus, purpura
  • cardiovascular: edema, palpitation
  • others: visual disturbances, hearing disturbances

Pregnancy & Lactation

  • adverse effect on fetus
  • delay in parturition
  • premature closure of ductus arteriosus
  • severe pulmonary hypertension in infants
  • excretion in breast milk
  • possible risks to the fetus

Precautions & Warnings

  • renal effects: renal papillary necrosis, abnormal renal pathology, acute interstitial nephritis, hematuria, proteinuria, nephrotic syndrome
  • hepatic effects: moderate to severe jaundice

Therapeutic Class

  • drugs for osteoarthritis
  • drugs used for rheumatoid arthritis
  • non-steroidal anti-inflammatory drugs (NSAIDs)

Storage Conditions

  • keep below 30°C
  • protected from light & moisture
  • keep out of the reach of children

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