Naproxen 500 mg (Tablet)

Unit Price: ৳ 7.00 (50's pack: ৳ 350.00)

Medicine Details

Category Details
Generic Naproxen sodium
Company Guardian healthcare ltd

Indications

  • rheumatoid arthritis
  • osteoarthritis
  • ankylosing spondylitis
  • juvenile arthritis
  • tendonitis
  • bursitis
  • acute gout
  • primary dysmenorrhea & pain

Pharmacology

  • blocks COX-1 and COX-2 enzymes
  • decreased prostaglandin synthesis
  • antipyretic
  • analgesic
  • anti-inflammatory properties

Dosage & Administration

  • taken with water
  • oral preparations
  • enteric coated tablet
  • suspension
  • gel
  • dosage for different indications
  • dosage for adults
  • dosage for children

Interaction

  • ACE inhibitors diminish antihypertensive effect
  • Antacids & Sucralfate delay absorption
  • Aspirin increases adverse effects
  • Diuretics reduce natriuretic effect
  • Methotrexate enhances toxicity
  • Warfarin increases risk of GI bleeding
  • Selective Serotonin Reuptake Inhibitors (SSRI) increases risk of GI bleeding

Contraindications

  • known hypersensitivity to Naproxen
  • asthma or allergic-type reactions after taking aspirin or other NSAIDs
  • perioperative pain in the setting of coronary artery bypass graft (CABG) surgery

Side Effects

  • Gastrointestinal: Heartburn, abdominal pain, nausea, diarrhea, dyspepsia
  • Central Nervous System: Headache, vertigo, drowsiness
  • Dermatological: Pruritus, purpura
  • Cardiovascular: Edema, palpitation
  • Others: Visual disturbances, hearing disturbances

Pregnancy & Lactation

  • delay in parturition in animals
  • associated with premature closure of the ductus arteriosus and severe pulmonary hypertension in infants
  • excreted in small amounts in breast milk
  • careful balancing of benefits to the mother against possible risks to the fetus
  • considered by some authorities to be too small to be harmful to a breast-fed infant
  • some manufacturers recommend avoiding breastfeeding during Naproxen therapy

Precautions & Warnings

  • renal effects
  • abnormal renal pathology
  • acute interstitial nephritis
  • hematuria
  • proteinuria
  • nephrotic syndrome
  • eliminated primarily by the kidneys
  • used with caution in patients with significantly impaired renal function
  • monitoring of serum creatinine and/or creatinine clearance advised
  • use caution in patients with creatinine clearance of less than 20ml/min
  • reports of moderate to severe jaundice attributed to Naproxen

Therapeutic Class

  • Drugs for Osteoarthritis
  • Drugs used for Rheumatoid Arthritis
  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

  • Keep below 30°C temperature
  • protected from light & moisture
  • keep out of the reach of children

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