Maxpro-N 20 mg + 500 mg (Tablet)
Manufactured by: Renata Limited
Esomeprazole + Naproxen Similar medicine
Maxpro-N is indicated for
- 類風濕性關節炎、骨關節炎、僵直性脊椎炎、關節僵硬
Precautions and warnings
如果您在服用此藥之前曾患有氣喘、肝臟疾病、出血、潰瘍、反覆胃灼熱、心臟病（例如心臟病發作史）、高血壓、中風、水腫、體液滯留、低鈉血液水平、血液疾病（例如貧血、出血或凝血問題、鼻息肉或狼瘡），請告訴您的醫生。
非類固醇抗發炎藥（NSAID）藥物，例如萘普生，可能會導致某些人出現腎臟問題。 如果您脫水、患有心臟衰竭或腎臟疾病、年齡較大或正在服用某些藥物，則更有可能出現問題。 為避免脫水，請按照醫生的建議喝大量液體，並立即向醫生報告尿量的任何變化。
這種藥物可能會導致頭暈或嗜睡。 如果您飲酒或吸食大麻，您可能會感到頭暈或困倦。 在確定可以安全之前，請勿駕駛、操作機器或從事任何其他需要集中註意力的活動。 限製酒精飲料的攝取量。 如果您使用大麻，請諮詢您的醫生。
該藥有可能引起胃出血。 定期飲酒和吸煙，尤其是與此處方合併使用，可能會增加胃出血的風險。 欲了解更多信息，請諮詢您的醫生或藥劑師。
Side-effects
- 一般來說，臨床試驗中最常見的不良反應（>5%）：糜爛性胃炎、消化不良、胃炎、腹瀉、胃潰瘍、上腹痛、噁心等。
Drug Interactions
阿利吉崙、ACE 抑制劑（如卡托普利和賴諾普利）、血管張力素 II 受體阻斷劑（如纈沙坦和氯沙坦）、皮質類固醇（如潑尼松、鋰、甲氨蝶呤，尤其是高劑量治療）和利福平是一些可能與此藥物相互作用的產品。
當與其他可能導致出血的藥物併用時，這種藥物會增加出血的風險。 例如氯吡格雷等抗血小板藥物，以及達比加群/依諾肝素/華法林等「血液稀釋劑」。
有些產品需要胃酸才能被身體充分吸收。 由於埃索美拉唑會減少胃酸，因此可能會影響這些藥物的療效。 阿扎那韋、厄洛替尼、奈非那韋、帕唑帕尼、利匹韋林以及某些唑類抗真菌藥物（如伊曲康唑、酮康唑和泊沙康唑）均屬於受影響的產品。
Contraindications
• 對Progesic 的任何成分或取代的苯並咪唑過敏。
• 使用阿斯匹靈或其他非類固醇抗發炎藥物後出現氣喘、蕁麻疹或其他過敏反應
• 對於冠狀動脈繞道手術(CABG) 手術，請在圍手術期使用。
• 懷孕後期的女士。
Mode of actions
典型的非類固醇抗發炎藥是萘普生，一種丙酸衍生物。 它以可逆的方式抑制環氧合酶-1和-2（COX-1和-2）酶，導致前列腺素前體合成減少。 它具有抗發炎、鎮痛、解熱作用，並能抑制血小板聚集。
埃索美拉唑是一種質子幫浦抑制劑 (PPI)，可抑制胃壁細胞中的 H+/K+ ATP 酶，進而抑制胃酸排出。 它是奧美拉唑的S-異構體。
Dosage & Administration
類風濕性關節炎、骨關節炎、僵直性脊椎炎及經痛：375 或 500 mg，每次 1 片，每日兩次。
Pregnancy & Lactation
懷孕期間不允許使用這種藥物。 如果您懷孕了，請勿使用它。 它可以透過皮膚和肺部吸收，從而損害未出生孩子的器官並導致先天性殘疾。 治療期間及停藥後六個月內嚴格有效的節育。 如果您確實懷孕了，請停止服用藥物並立即與您的醫生討論。
沒有關於這種藥物是否會進入母乳的具體資訊。 考慮到兒童可能存在的風險，不建議在使用該藥物時進行母乳喂養，並且至少在最後一次用藥後兩週進行母乳喂養。 哺乳前請先諮詢您的醫生。
Pack Size & Price
Price : ৳
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