Naxin SR 500 mg (Tablet (Sustained Release))

Unit Price: ৳ 14.05 (3 x 10: ৳ 421.50)
Strip Price: ৳ 140.50

Medicine Details

Indications

  • Relief of sign and symptoms of rheumatoid arthritis
  • Relief of sign and symptoms of osteoarthritis
  • Relief of sign and symptoms of ankylosing spondylitis
  • Relief of sign and symptoms of juvenile arthritis
  • Relief of sign and symptoms of tendonitis
  • Relief of sign and symptoms of bursitis
  • Relief of sign and symptoms of acute gout
  • Management of primary dysmenorrhea & pain

Pharmacology

  • Blocks COX-1 and COX-2 enzymes
  • Decreased prostaglandin synthesis
  • COX-1 enzyme mediates gastrointestinal upset and renal toxicities
  • COX-2 enzyme mediates antipyretic, analgesic and anti-inflammatory properties

Dosage & Administration

  • Should be taken with water after meals
  • Dosage for adults with rheumatoid arthritis/osteoarthritis/ankylosing spondylitis
  • Dosage for acute gout
  • Dosage for dysmenorrhoea
  • Dosage for other indications like analgesia and acute musculoskeletal disorders
  • Dosage for children with juvenile rheumatoid arthritis
  • Naproxen Gel application

Interaction

  • Diminishes the antihypertensive effect of ACE inhibitors
  • Delays the absorption of Naxin SR by antacids & sucralfate
  • Increases adverse effects with aspirin
  • Reduces the natriuretic effect of diuretics
  • Enhances the toxicity of methotrexate
  • Increases the risk of GI bleeding with warfarin and SSRIs

Contraindications

  • Known hypersensitivity to Naproxen
  • Patients who have experienced asthma, urticaria, 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 side effects: Heartburn, abdominal pain, nausea, diarrhea, dyspepsia
  • Central Nervous System side effects: Headache, vertigo, drowsiness
  • Dermatological side effects: Pruritus (itching), purpura
  • Cardiovascular side effects: Edema, palpitation
  • Other side effects: Visual disturbances, hearing disturbances

Pregnancy & Lactation

  • Adverse effects on the fetus
  • Causes a delay in parturition in animals
  • Associated with premature closure of the ductus arteriosus
  • Excreted in small amounts in the breast milk

Precautions & Warnings

  • Risk of renal papillary necrosis and abnormal renal pathology
  • Reports of acute interstitial nephritis, hematuria, proteinuria
  • Reports of moderate to severe jaundice attributed to Naxin SR
  • Caution for patients with significantly impaired renal function
  • Monitoring of serum creatinine and/or creatinine clearance advised
  • Caution for patients with creatinine clearance of less than 20ml/min

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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