Naxin 10% w/w (Gel)

30 gm tube: ৳ 116.00

Medicine Details

Indications

  • Rheumatoid arthritis
  • Osteoarthritis
  • Ankylosing spondylitis
  • Juvenile arthritis
  • Tendonitis
  • Bursitis
  • Acute gout
  • Primary dysmenorrhea

Pharmacology

  • Blocks COX-1 and COX-2 enzymes
  • Decreased prostaglandin synthesis
  • Desired antipyretic, analgesic, and anti-inflammatory properties
  • Undesired adverse effects on gastrointestinal upset and renal toxicities

Dosage & Administration

  • Oral administration with water
  • Enteric coated tablet for adults and children
  • Suspension for juvenile rheumatoid arthritis
  • Gel for topical application

Interaction

  • ACE inhibitors - diminish antihypertensive effect
  • Antacids & Sucralfate - delay absorption
  • Aspirin - increase adverse effects
  • Diuretics - reduce natriuretic effect
  • Methotrexate - enhance toxicity
  • Warfarin - increase risk of GI bleeding
  • Selective Serotonin Reuptake Inhibitors - increase risk of GI bleeding

Contraindications

  • Known hypersensitivity to Naproxen
  • Previous asthma, urticaria, or allergic-type reactions to 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

  • Adverse effects on fetus
  • Delay in parturition
  • Premature closure of ductus arteriosus
  • Severe pulmonary hypertension in infants
  • Excretion in breast milk
  • Possible risks to the breast-fed infant

Precautions & Warnings

  • Renal effects - renal papillary necrosis, abnormal renal pathology
  • Acute interstitial nephritis, hematuria, proteinuria
  • Nephrotic syndrome
  • Elimination by the kidneys
  • Caution in patients with impaired renal function
  • Hepatic effects - moderate to severe jaundice

Therapeutic Class

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

Storage Conditions

  • Below 30°C temperature
  • Protected from light & moisture
  • Keep out of the reach of children

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