Novoxen 375 mg+20 mg (Tablet (Delayed Release))
Unit Price: ৳ 11.00 (5 x 4: ৳ 220.00)
Strip Price: ৳ 44.00
Medicine Details
Category | Details |
---|---|
Generic | Naproxen sodium esomeprazole magnesium |
Company | Orion pharma ltd |
Also available as |
Indications
- Relief of signs & symptoms of Osteoarthritis
- Relief of signs & symptoms of Rheumatoid arthritis
- Relief of signs & symptoms of Ankylosing spondylitis
- Risk reduction of NSAID-associated gastric ulcers
Pharmacology
- Immediate release Esomeprazole Magnesium layer
- Enteric-coated Naproxen core
- NSAID with analgesic & antipyretic properties
- Inhibition of prostaglandin synthesis
- Proton pump inhibitor that suppresses gastric acid secretion
Dosage
- Consideration of potential benefits & risks
- Use of lowest effective dose
- Different doses for adults & adolescent patients based on weight
Administration
- Tablet to be taken at least 30 minutes before meals
- Not to split, chew, crush or dissolve the tablet
Interaction
- Reduction of antihypertensive effect of ACE inhibitors, diuretics & beta-blockers
- Increased risk of bleeding complication with concomitant use of warfarin
- Interference with absorption of drugs like Ketoconazole, iron salts and digoxin
- Effect of administration with high-fat food on absorption of naproxen
Contraindications
- Known hypersensitivity to any component
- 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 in occurrence of gastric ulcers and NSAID associated upper gastrointestinal adverse events
- Potential association with arterial thrombotic events
- Gastrointestinal adverse events like peptic ulcers, perforation or GI bleeding
- Other adverse events like oedema, hypertension, cardiac failure, naussea, vomiting, diarrhoea, dyspepsia, abdominal pain
Pregnancy & Lactation
- Contraindication in the third trimester of pregnancy
- Caution in the first and second trimester
- Avoidance of use during breastfeeding
- Possible impairment of female fertility
Precautions & Warnings
- Avoidance of combination with NSAIDs including cyclooxygenase-2 selective inhibitors
- Minimization of undesirable effects by using lowest effective dose
- Risk-factors for developing NSAID related gastro-intestinal complications
- Increased frequency of adverse reactions in older people
- Monitoring and advice required for patients with history of hypertension and/or mild to moderate congestive heart failure
- Effects of long-term administration on renal papillary necrosis and other renal injury
Use in Special Populations
- Increased unbound plasma fraction of naproxen in elderly
- Caution and possible dose reduction in elderly patients
- Non-recommendation for use in patients with moderate to severe or severe renal impairment
- Monitoring and dose reduction consideration based on hepatic insufficiency
Overdose Effects
- Symptoms related to Naproxen overdose
- Symptoms related to Esomeprazole overdose
- Symptomatic and supportive care for NSAID overdose
- No specific antidote for Esomeprazole overdose
- Symptomatic and general supportive measures for Esomeprazole overdose
Therapeutic Class
- Drugs for Osteoarthritis
- Drugs used for Rheumatoid Arthritis
- Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Storage Conditions
- Store at temperature below 30°C
- Protection from light & moisture
- Keep out of reach of children
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