Naprox Plus 375 mg+20 mg (Tablet (Delayed Release))
Unit Price: ৳ 13.00 (5 x 6: ৳ 390.00)
Strip Price: ৳ 78.00
Medicine Details
Category | Details |
---|---|
Generic | Naproxen sodium esomeprazole magnesium |
Company | Eskayef pharmaceuticals ltd |
Also available as |
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
- Consists of an immediate release Esomeprazole Magnesium layer
- Enteric-coated Naproxen core
- Esomeprazole is released first into the stomach
- Naproxen is released in the small intestine
- Naproxen is a NSAID with analgesic and antipyretic properties
- Inhibits the prostaglandin synthesis
- Esomeprazole is a proton pump inhibitor
- Suppresses gastric acid secretion
- Specific inhibition of the H+/k+ -ATPase in the gastric parietal cell
- Blocks the final step in acid production
Dosage
- Use the lowest effective dose for the shortest duration
- Adults dose: One tablet twice daily of either: 375 mg naproxen/20 mg of esomeprazole; or 500 mg naproxen/20 mg of esomeprazole
- Juvenile Idiopathic Arthritis dose: Depends on weight
Administration
- Do not split, chew, crush or dissolve the tablet
- Taken at least 30 minutes before meals
Interaction
- Concomitant use of NSAIDs may reduce the antihypertensive effect of ACE inhibitors, diuretics, and beta-blockers
- Warfarin interaction may result in increased risk of a bleeding complication
- Inhibits the absorption of drugs where gastric pH is an important determinant of bioavailability
- Administration with high-fat food affects absorption of naproxen
Contraindications
- Known hypersensitivity to any component of this tablet or substituted benzimidazoles
- History of asthmay 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
- Decrease the occurrence of gastric ulcers and NSAID associated upper gastrointestinal adverse events
- Increased risk of arterial thrombotic events
- Gastrointestinal adverse events
- Oedema, hypertension, and cardiac failure
- Nausea, vomiting, diarrhea, flatulence, constipation, dyspepsia, abdominal pain
- Peptic ulcers, perforation or GI bleeding
- Gastritis
- Exacerbation of colitis and Crohn's disease
Pregnancy & Lactation
- Not recommended during the third trimester of pregnancy
- Should not be used during breastfeeding
- May impair female fertility
Precautions & Warnings
- Avoid combination with NSAIDs including cyclooxygenase-2 selective inhibitors
- Use with low dose acetylsalicylic acid
- Minimize undesirable effects by using the lowest effective dose
- Risk-factors for developing NSAID related gastro-intestinal complications
- Increased frequency of adverse reactions in older people
- May exacerbate gastrointestinal disease
- Caution in patients with a history of gastrointestinal disease
- Appropriate monitoring for patients with a history of hypertension and/or mild to moderate congestive heart failure
- Consideration for patients with risk factors for cardiovascular events
- Monitor patients with hepatic and renal impairment closely
Use in Special Populations
- Naproxen unbound plasma fraction is increased in the elderly
- Not recommended for use in patients with moderate to severe or severe renal impairment
- Monitor patients with mild to moderate hepatic impairment closely
- Not recommended in patients with severe hepatic impairment
Overdose Effects
- Symptoms related to Naproxen overdose
- Symptoms related to Esomeprazole overdose
- Management involves symptomatic and supportive care
Therapeutic Class
- Drugs for Osteoarthritis
- Drugs for Rheumatoid Arthritis
- NSAIDs
Storage Conditions
- Store at temperature of below 30°C
- Protect from light and moisture
- Keep out of reach of children
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