Nasopain 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 | Jenphar bangladesh 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 & an enteric-coated Naproxen core
- Esomeprazole is released first into the stomach, prior to the dissolution of Naproxen in the small intestine
- Naproxen is a NSAID with analgesic & antipyretic properties
- Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H⁺/k⁺ -ATPase in the gastric parietal cell
Dosage
- Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals
- Adults: One tablet twice daily of either 375 mg naproxen/20 mg of esomeprazole; or 500 mg naproxen/20 mg of esomeprazole
- Adolescent Patients 12 Years of Age & Older: Varying dosage based on weight
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 & 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 & Esomeprazole together with high-fat food does not affect the extent of absorption of naproxen
Contraindications
- Known hypersensitivity to any component of this 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
- Naproxen and Esomeprazole tablet has been shown to significantly decrease the occurrence of gastric ulcers and NSAID associated upper gastrointestinal adverse events compared to Naproxen alone
- Clinical trial and epidemiological data suggest that use of coxibs and some NSAIDs may be associated with a small increased risk of arterial thrombotic events
- Oedema, hypertension, and cardiac failure have been reported in association with NSAID treatment
Pregnancy & Lactation
- The tablet should not be given during the third trimester of pregnancy
- Naproxen is excreted in low quantities in human milk
- The tablet should not be used during breastfeeding
Precautions & Warnings
- Avoid the combination of Naproxen and Esomeprazole tablet and NSAIDs including cyclooxygenase-2 selective inhibitors
- Undesirable effects may be minimized by using the lowest effective dose for the shortest duration necessary to control symptoms
Use in Special Populations
- Use caution when high doses are required in elderly patients
- Naproxen-containing products are not recommended for use in patients with moderate to severe or severe renal impairment
- Monitor patients with mild to moderate hepatic impairment closely
Overdose Effects
- Symptoms related to Naproxen overdose include lethargy, dizziness, drowsiness, epigastric pain, abdominal discomfort, heartburn, indigestion, nausea, transient alterations in liver function, hypoprothrombinemia, renal dysfunction, and more
- Management should be symptomatic and supportive care following a NSAID overdose
Therapeutic Class
- Drugs for Osteoarthritis
- Drugs used for Rheumatoid Arthritis
- Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Storage Conditions
- Store at a temperature below 30°C
- Protect from light & moisture
- Keep out of reach of children
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