Inflect 375 mg+20 mg (Tablet (Delayed Release))

Unit Price: ৳ 8.02 (20's pack: ৳ 160.40)

Medicine Details

Indications

  • Relief of signs and symptoms of osteoarthritis
  • Relief of signs and symptoms of rheumatoid arthritis
  • Relief of signs and symptoms of ankylosing spondylitis
  • Decrease the risk of developing gastric ulcers in patients at risk of developing NSAID-associated gastric ulcers

Pharmacology

  • Immediate release Esomeprazole Magnesium layer
  • Enteric-coated Naproxen core
  • Esomeprazole is released first into the stomach
  • Naproxen is dissolved in the small intestine
  • Naproxen is a NSAID with analgesic and antipyretic properties
  • Naproxen inhibits prostaglandin synthesis
  • Esomeprazole is a proton pump inhibitor
  • Esomeprazole suppresses gastric acid secretion
  • Esomeprazole specifically inhibits the H+/k+ -ATPase in the gastric parietal cell
  • Esomeprazole blocks the final step in acid production

Dosage

  • Use the lowest effective dose for the shortest duration
  • Recommended dosage for adults with rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis
  • Recommended dosage for juvenile idiopathic arthritis in adolescent patients
  • Different treatment should be considered if a lower dose of Esomeprazole is appropriate

Administration

  • Do not split, chew, crush or dissolve the tablet
  • Take the tablet at least 30 minutes before meals

Interaction

  • Concomitant use of NSAIDs may reduce the antihypertensive effect of ACE inhibitors, diuretics, and beta-blockers
  • Concomitant use of this tablet and warfarin may result in an increased risk of a bleeding complication
  • Esomeprazole may interfere with the absorption of drugs where gastric pH is an important determinant of bioavailability
  • Administration of Naproxen and Esomeprazole together with high-fat food may affect the absorption of naproxen

Contraindications

  • Known hypersensitivity to any component of the tablet or substituted benzimidazoles
  • History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs
  • Use during the peri-operative period in the setting of coronary artery bypass graft (CABG) surgery

Side Effects

  • Decreased occurrence of gastric ulcers and NSAID associated upper gastrointestinal adverse events compared to Naproxen alone
  • Possible association with a small increased risk of arterial thrombotic events
  • Reported adverse events include gastrointestinal issues, oedema, hypertension, and cardiac failure

Pregnancy & Lactation

  • Not recommended during the first and second trimester of pregnancy
  • Contraindicated during the third trimester of pregnancy
  • Not recommended during breastfeeding
  • Use may impair female fertility

Precautions & Warnings

  • Avoid combination with NSAIDs including cyclooxygenase-2 selective inhibitors
  • Use caution in patients with high age, concomitant use of anticoagulants, corticosteroids, or other NSAIDs
  • Increased risk of adverse reactions in older people
  • Gastrointestinal bleeding, ulceration, or perforation may occur
  • Special consideration in patients with conditions like Inducible porphyries, Systemic lupus erythematosus and mixed connective tissue disease
  • Appropriate monitoring and advice required for patients with a history of hypertension and/or mild to moderate congestive heart failure
  • Long-term administration may result in renal papillary necrosis and other renal injury

Use in Special Populations

  • Caution required in elderly patients
  • Not recommended for patients with moderate to severe renal impairment
  • Monitor patients with mild to moderate hepatic impairment closely

Overdose Effects

  • Symptoms related to Naproxen overdose
  • Symptoms related to Esomeprazole overdose
  • Management involves symptomatic and supportive care
  • No specific antidotes known

Therapeutic Class

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

Storage Conditions

  • Store at temperature below 30°C
  • Protect from light and moisture
  • Keep out of reach of children

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