রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন*
Indications:
DINOVO 500/20MG is indicated for the treatment of osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and for reducing the risk of NSAID-associated gastric ulcers in patients requiring long-term NSAID therapy.
Pharmacology:
Naproxen is a non-steroidal anti-inflammatory drug (NSAID) that inhibits prostaglandin synthesis through cyclooxygenase (COX) inhibition, reducing inflammation and pain.
Esomeprazole is a proton pump inhibitor (PPI) that reduces gastric acid secretion by blocking the H+/K+ ATPase in gastric parietal cells, thereby minimizing the risk of ulceration caused by prolonged NSAID use.
Dosage:
One tablet once or twice daily as prescribed by the physician.
Should be used at the lowest effective dose for the shortest duration necessary.
Administration:
Take orally at least 30 minutes before meals. Swallow the tablet whole; do not chew or crush.
Interaction:
Naproxen may interact with anticoagulants, diuretics, ACE inhibitors, and other NSAIDs.
Esomeprazole may interact with clopidogrel, digoxin, ketoconazole, and diazepam.
Avoid concurrent use with other ulcerogenic drugs unless advised by a physician.
Contraindications:
Hypersensitivity to Naproxen, Esomeprazole, or similar drugs.
History of gastrointestinal bleeding or perforation.
Severe hepatic or renal insufficiency.
Active peptic ulcer disease.
Side Effects:
May include abdominal pain, nausea, heartburn, headache, dizziness, constipation, or flatulence. Rare but serious effects: GI bleeding, kidney or liver dysfunction, allergic reactions.
Pregnancy & Lactation:
Not recommended during the third trimester of pregnancy. Should be used during pregnancy or lactation only if clearly necessary and under medical supervision.
Precautions & Warnings:
Caution in patients with a history of ulcers, cardiovascular disease, or kidney/liver disorders.
Avoid alcohol and smoking.
Monitor for gastrointestinal symptoms during prolonged use.
Therapeutic Class:
NSAID with gastroprotective agent (Fixed-dose combination)
Storage Conditions:
Store below 30°C in a cool, dry place away from sunlight. Keep out of reach of children.