Dinovo 375/20mg 10pcs

Indications

Naproxen and Esomeprazole are used to treat the signs and symptoms of-

• Osteoarthritis
• Rheumatoid arthritis is a kind of arthritis that affects the joints.
• Ankylosing spondylitis (AS) and
• To reduce the risk of developing gastric ulcers in individuals who are at high risk of developing NSAID-related gastric ulcers.

Pharmacology

This consists of a Naproxen core with an enteric coating and a magnesium esomeprazole instant-release coating. Esomeprazole is consequently released into the stomach first, and then Naproxen dissolves in the small intestine.

A nonsteroidal anti-inflammatory medication (NSAID) called naproxen has analgesic and antipyretic properties. Prostaglandin production is suppressed by naproxen, which is how it works. The H+/k+ -ATPase in the gastric parietal cell is inhibited by the proton pump inhibitor esomeprazole, which prevents stomach acid output. Esomeprazole reduces stomach acidity by directly affecting the proton pump, which stops the final stage of acid formation.

Dosage

Before choosing to use this medication, carefully weigh the advantages, dangers, and alternative treatment choices. Utilize the shortest possible time and lowest effective dose in accordance with each patient’s unique treatment objectives. A new course of treatment should be taken into consideration if an Esomeprazole dose less than the recommended daily maximum of 40 mg is more effective.

Osteoarthritis, ankylosing spondylitis, and rheumatoid arthritis

• Adults should take one tablet twice daily that contains either 375 mg of naproxen or 500 mg of naproxen and 20 mg of esomeprazole.
• Those 12 years of age and older who are adolescents who have juvenile idiopathic arthritis
• If you weigh more than 50 kg, take 375 mg of naproxen and 20 mg of esomeprazole, or 500 mg.
• Weight between 38 kg and 50 kg: Take one 375 mg naproxen/20 mg of esomeprazole tablet twice daily.

Administration

Do not split, chew, crush or dissolve the tablet. This tablet is to be taken at least 30 minutes before meals.

Interaction

• When it comes to medicine:
• The use of NSAIDs concurrently may decrease the antihypertensive impact of ACE inhibitors, diuretics, and beta-blockers.
• Concurrent use of this pill with warfarin may raise the risk of a bleeding problem.
• Esomeprazole reduces stomach acid secretion and may interfere with medication absorption in situations where gastric pH is a key factor of bioavailability (eg. Ketoconazole, iron salts, and digoxin).
• With food and others: Administration of Naproxen and Esomeprazole along with high-fat meal has no effect on naproxen absorption but considerably prolongs Tmax by 10 hours and reduces peak plasma concentration (Cmax) by around 12% in healthy individuals.

Contraindications

• Any known hypersensitivity to this tablet’s components or substituted benzimidazoles.
• Aspirin or other NSAIDs have caused asthmatic urticaria or other allergic-type responses in the past.
• In the setting of coronary artery bypass graft (CABG) surgery, use during the peri-operative phase.

Side Effects

• This medication is generally well-tolerated. The following are the most common adverse responses in clinical trials (>5%): erosive gastritis, dyspepsia, gastritis, diarrhea, gastric ulcer, upper abdominal discomfort, nausea, and so on.

Pregnancy & Lactation

C is the pregnancy category. 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 who have a history of CV disease or risk factors may be at a higher risk. In patients with fluid retention or heart failure, this pill should be taken with care.

Storage Conditions

Store at temperatures below 30°C and keep away from light and moisture. Keep out of children’s reach.