Servinaprox 500 mg (Tablet)

Unit Price: ৳ 12.10 (3 x 10: ৳ 363.00)
Strip Price: ৳ 121.00

Medicine Details

Category Details
Generic Naproxen sodium
Company Sandoz a novartis division
Also available as

Indications

  • Rheumatoid arthritis
  • Osteoarthritis
  • Ankylosing spondylitis
  • Juvenile arthritis
  • Tendonitis
  • Bursitis
  • Acute gout
  • Primary dysmenorrhea

Pharmacology

  • Blocks COX-1 and COX-2 enzymes
  • Decreases prostaglandin synthesis
  • Unique functional differences of COX-1 and COX-2 enzymes

Dosage & Administration

  • Oral administration with water after meals
  • Different dosage for adults and children
  • Dosage for rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout, dysmenorrhoea, and other indications
  • Application of gel
  • Dosage guide for suspension in children

Interaction

  • Diminishes antihypertensive effect of ACE inhibitors
  • Delays the absorption of the medication
  • Increases adverse effects when taken with aspirin
  • Reduces the natriuretic effect of diuretics
  • Enhances the toxicity of Methotrexate
  • Increases the risk of GI bleeding when taken with Warfarin or Selective Serotonin Reuptake Inhibitors (SSRI)

Contraindications

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

Side Effects

  • Gastrointestinal side effects
  • Central Nervous System side effects
  • Dermatological side effects
  • Cardiovascular side effects
  • Visual and hearing disturbances

Pregnancy & Lactation

  • Adverse effects on the fetus
  • Delay in parturition
  • Premature closure of ductus arteriosus
  • Severe pulmonary hypertension in infants born to mothers taking Naproxen
  • Excretion in small amounts in breast milk
  • Careful balancing of benefits and risks in the first and third trimesters
  • Consideration of the amount distributed into breast milk

Precautions & Warnings

  • Renal effects
  • Abnormal renal pathology in animal studies
  • Reports of acute interstitial nephritis, hematuria, proteinuria, and occasionally nephrotic syndrome
  • Elimination primarily by the kidneys
  • Caution in patients with impaired renal function
  • Monitoring of serum creatinine and/or creatinine clearance
  • Caution in patients with creatinine clearance less than 20ml/min
  • Reports of moderate to severe jaundice attributed to the medication

Therapeutic Class

  • Drugs for Osteoarthritis
  • Drugs used for Rheumatoid Arthritis
  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

  • Temperature below 30°C
  • Protection from light and moisture
  • Keep out of the reach of children

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