Indications

Naproxen and Esomeprazole are used to treat the signs and symptoms of osteoarthritis.

• Rheumatoid arthritis is a type of arthritis that affects the joints.
• Ankylosing spondylitis (AS) is a type of arthritis that affects the spine.
• In individuals at risk of NSAID-associated stomach ulcers, to reduce the chance of developing gastric ulcers.

Pharmacology

This comprises of a prompt discharge Esomeprazole Magnesium layer & an enteric-coated Naproxen center. As a result, Esomeprazole is discharged, to begin with into the stomach, earlier to the disintegration of Naproxen within the small intestine. Naproxen could be an NSAID with pain-relieving & antipyretic properties. The instrument of action of Naproxen is to restrain the prostaglandin amalgamation. Esomeprazole may be a proton pump inhibitor that stifles gastric corrosive discharge by particular restraint of the H+/k+ -ATPase within the gastric parietal cell by acting particularly on the proton pump, Esomeprazole squares the ultimate step in corrosive generation, in this way diminishing gastric corrosiveness.

Dosage & Administration

Carefully consider the potential benefits & risks of this tablet & other treatment options before deciding to use this tablet. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. If a dose of Esomeprazole lower than a total daily dose of 40 mg is more appropriate, a different treatment should be considered.

Rheumatoid Arthritis, Osteoarthritis, and Ankylosing Spondylitis-

• Adults: One tablet twice daily of either: 375 mg naproxen/20 mg of esomeprazole; or 500 mg naproxen/20 mg of esomeprazole

Juvenile Idiopathic Arthritis in Adolescent Patients 12 Years of Age & Older-

• Weight greater than 50 kg: 375 mg naproxen/20 mg of esomeprazole; or 500 mg naproxen/20 mg of esomeprazole
• Weight 38 kg to less than 50 kg: One tablet twice daily of 375 mg naproxen/20 mg of esomeprazole.

Interaction

With medicine: Concomitant utilization of NSAIDs may decrease the antihypertensive impact of Expert inhibitors, diuretics & beta-blockers Concomitant utilization of this tablet and warfarin may result in an expanded chance of a deadly complication. Esomeprazole restrains gastric corrosive emission & may meddle with the assimilation of drugs where gastric pH is a critical determinant of bioavailability (eg. Ketoconazole, press salts, and digoxin). With nourishment & others: Organization of Naproxen & Esomeprazole beside high-fat nourishment in sound volunteers does not influence the degree of assimilation of naproxen but altogether drags out max by 10 hours and diminishes top plasma concentration (Cmax) by almost 12%

Contraindications

• Hypersensitivity to any of the tablet’s ingredients or substituted benzimidazoles.
• After taking aspirin or other NSAIDs, you may experience asthma urticaria or other allergic responses.
• In the case of coronary artery bypass graft (CABG) surgery, use during the peri-operative period.

Side Effects

This medication is generally well tolerated. Erosive gastritis, dyspepsia, gastritis, diarrhea, gastric ulcer, upper abdominal discomfort, nausea, and other unpleasant responses were the most common in clinical trials (>5%).

Pregnancy & Lactation

Category C pregnancy. It should be avoided in late pregnancy since it may cause premature closure of the ductus arteriosus. Because of the Naproxen component, this tablet should not be taken by nursing mothers.

Precautions & Warnings

Patients having a history of cardiovascular disease or risk factors may be at higher risk. In patients with fluid retention or heart failure, this tablet should be used with caution.

Therapeutic Class

Non-steroidal anti-inflammatory drugs (NSAIDs), drugs for osteoarthritis, drugs for rheumatoid arthritis (NSAIDs)

Storage Conditions

Protect from light and moisture at a temperature below 30°C. Children should be kept out of reach.

Pharmaceutical Name

Ziska Pharmaceuticals Ltd.