Solivo 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 | Healthcare pharmaceuticals 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
- 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
- Mechanism of action of Naproxen inhibits the prostaglandin synthesis
- Proton pump inhibitor Esomeprazole suppresses gastric acid secretion
Dosage
- Use the lowest effective dose for the shortest duration
- Adult dosage: One tablet twice daily of either 375 mg naproxen/20 mg of esomeprazole or 500 mg naproxen/20 mg of esomeprazole
- Adolescent dosage: 375 mg naproxen/20 mg of esomeprazole or 500 mg naproxen/20 mg of esomeprazole
- Juvenile dosage: 375 mg naproxen/20 mg of esomeprazole
Administration
- Take the tablet at least 30 minutes before meals
- Do not split, chew, crush or dissolve the tablet
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
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 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
- Gastrointestinal side effects: nausea, vomiting, diarrhoea, flatulence, constipation, dyspepsia
- Peptic ulcers, perforation or GI bleeding, particularly in older people, may occur
Pregnancy & Lactation
- Naproxen and Esomeprazole tablet should not be given during the first and second trimester of pregnancy unless the potential benefit to the patient outweighs the potential risk to the foetus
- Naproxen and Esomeprazole tablet is contraindicated during the third trimester of pregnancy
- Naproxen and Esomeprazole tablet should not be used during breastfeeding
Precautions & Warnings
- Avoid 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
- Consideration for patients requiring concomitant low dose acetylsalicylic acid
- Caution advised in patients receiving NSAIDs with concomitant medications which could increase the risk of ulceration or bleeding
Use in Special Populations
- Use caution 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 of Naproxen overdose: lethargy, dizziness, drowsiness, epigastric pain, abdominal discomfort
- Symptoms of esomeprazole overdose are transient
- Management for Naproxen overdose: symptomatic and supportive care
- No specific antidote for Esomeprazole overdose
Therapeutic Class
- Drugs for Osteoarthritis
- Drugs used for Rheumatoid Arthritis
- Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Storage Conditions
- Store at temperature of below 30°C
- Protect from light & moisture
- Keep out of reach of children
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