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

Unit Price: ৳ 10.50 (8 x 4: ৳ 336.00)
Strip Price: ৳ 42.00

Medicine Details

Indications

  • Relief of osteoarthritis
  • Relief of rheumatoid arthritis
  • Relief of ankylosing spondylitis
  • Decrease risk of developing gastric ulcers

Mode of Action

  • Immediate release Esomeprazole Magnesium layer
  • Enteric-coated Naproxen core
  • Inhibition of prostaglandin synthesis

Dosage

  • Use lowest effective dose
  • Adult dosage: 375 mg naproxen/20 mg esomeprazole, or 500 mg naproxen/20 mg esomeprazole twice daily
  • Adolescent dosage: 375 mg naproxen/20 mg esomeprazole, or 500 mg naproxen/20 mg esomeprazole based on weight

Administration

Take at least 30 minutes before meals

Interactions

  • Reduced antihypertensive effect with NSAIDs
  • Increased bleeding risk with warfarin
  • Potential interference with drug absorption (e.g., ketoconazole, iron salts, digoxin)
  • Effect of high-fat food on absorption

Contraindications

  • Known hypersensitivity to the tablet components
  • History of allergic reactions after taking aspirin or NSAIDs
  • Use during peri-operative period in setting of CABG surgery

Side Effects

  • Decreased occurrence of gastric ulcers
  • Potential risk of arterial thrombotic events
  • Gastrointestinal adverse events
  • Oedema, hypertension, and cardiac failure
  • Nausea, vomiting, diarrhea, constipation, abdominal pain, and more

Pregnancy & Lactation

  • Avoid use during first and second trimester of pregnancy
  • Contraindicated in third trimester
  • Avoid use during breastfeeding
  • Potential impact on fertility

Precautions & Warnings

  • Avoid use with other NSAIDs
  • Use with low dose acetylsalicylic acid
  • Minimize undesirable effects with lowest effective dose
  • Regular surveillance for long-term treatment
  • Increased frequency of adverse reactions in older people
  • Consider combination therapy for patients with history of GI toxicity

Use in Special Populations

  • Caution in elderly patients
  • Not recommended in patients with moderate to severe renal impairment
  • Close monitoring in patients with mild to moderate hepatic impairment

Overdose Effects

  • Symptoms related to Naproxen overdose
  • Symptoms related to Esomeprazole overdose
  • Management of overdose

Therapeutic Class

  • Drugs for osteoarthritis
  • Drugs for rheumatoid arthritis
  • NSAIDs

Storage Conditions

Store below 30°C, protect from light and moisture, keep out of reach of children

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