Naprozol 375 mg+20 mg (Tablet (Delayed Release))
Unit Price: ৳ 8.03 (5 x 10: ৳ 401.50)
Strip Price: ৳ 80.30
Medicine Details
Category | Details |
---|---|
Generic | Naproxen sodium esomeprazole magnesium |
Company | General 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 in the risk of developing gastric ulcers in patients at risk of NSAID-associated gastric ulcers
Pharmacology
- Consists of an immediate release Esomeprazole Magnesium layer
- Consists of an enteric-coated Naproxen core
- Naproxen is a NSAID with analgesic & antipyretic properties
- Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion
Dosage
- Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals
- Adult dose: One tablet twice daily of 375 mg naproxen/20 mg esomeprazole or 500 mg naproxen/20 mg esomeprazole
- Juvenile Idiopathic Arthritis in Adolescent Patients 12 Years of Age & Older: 375 mg naproxen/20 mg esomeprazole or 500 mg naproxen/20 mg esomeprazole for weight greater than 50 kg; 375 mg naproxen/20 mg esomeprazole for weight 38 kg to less than 50 kg
Administration
- Tablet is to be taken 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 inhibits gastric acid secretion & 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 in healthy volunteers does not affect the extent of absorption of naproxen but significantly prolongs tmax by 10 hours and decreases peak plasma concentration (Cmax) by about 12%
Contraindications
- Known hypersensitivity to any component of this tablet or substituted benzimidazoles
- History of asthmatic 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 the occurrence of gastric ulcers and NSAID associated upper gastrointestinal adverse events compared to Naproxen alone
- Gastrointestinal side effects from Naproxen
Pregnancy & Lactation
- Contraindicated during the third trimester of pregnancy
- Not recommended for use during breastfeeding
- NSAIDs like Naproxen may impair female fertility
Precautions & Warnings
- Avoid combining with other NSAIDs
- Minimize undesirable effects by using the lowest effective dose
- Risk-factors to develop NSAID related gastro-intestinal complications
- Older people have an increased frequency of adverse reactions especially gastro-intestinal bleeding
- Patients with a history of GI toxicity should report any unusual abdominal symptoms
- Appropriate monitoring and advice required for patients with a history of hypertension and/or mild to moderate congestive heart failure
Use in Special Populations
- Use caution and possible dose adjustment in elderly patients
- 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: lethargy, dizziness, drowsiness, epigastric pain, abdominal discomfort, heartburn, indigestion, nausea, alterations in liver function
- Symptoms related to Esomeprazole overdose: transient
- No specific antidotes for Naproxen overdose
- No specific antidote known 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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