Generic drug of the therapeutic class: Anti-inflammatories
active ingredients: Naproxen
Granulate for oral suspension
Sachets Box of 30
They arise from the anti-inflammatory activity of naproxen, the importance of the manifestations of intolerance to which the drug results and its place in the range of anti-inflammatory products currently available.
THEY ARE LIMITED IN ADULTS and children from the age of 15 to:
- long-term symptomatic treatment:
. chronic inflammatory rheumatism, including rheumatoid arthritis, ankylosing spondylitis or related syndromes such as Fiessinger-Leroy-Reiter syndrome and psoriatic arthritis,
. some disabling and painful arthroses;
- short-term symptomatic treatment of acute attacks of:
. abarticular rheumatism such as scapulohumeral periarthritis, tendinitis, bursitis;
. low back pain,
. acute post-traumatic benign conditions of the musculoskeletal system;
- dysmenorrhea after etiological research.
THEY ARE LIMITED IN THE CHILD FROM 25 KG (about 8 years) to juvenile chronic polyarthritis.
Dosage APRANAX 250 mg Granulated for oral suspension Sachets Box of 30
Pour the contents of the sachet into a half glass of water, preferably at the time of the meal, and shake to suspend.
The occurrence of side effects can be minimized by using the lowest possible dose for the shortest duration of treatment required to relieve symptoms (see Warnings and Precautions section ).
· Clinical and biological monitoring is recommended in case of high dosage. One study has shown that in the elderly, the plasma concentration of free naproxen ion is doubled even though the total plasma concentration is unchanged.
· Dosage reduction should be considered if there is a decrease in renal elimination.
· Rheumatology, gynecology:
o Attack treatment: 4 sachets of 250 mg or 1000 mg per day.
o maintenance treatment: 2 sachets of 250 mg or 500 mg per day.
Child (from 25 kg):
· Chronic juvenile rheumatoid arthritis: the average dose is 10 mg / kg daily.
Frequency of administration
The dosage is to be divided into 1 or 2 doses.
This medicine is contraindicated in the following cases:
· After 24 weeks of amenorrhea (5 months pregnant) (see section on Pregnancy and breastfeeding ),
· A history of allergy or asthma triggered by taking naproxen or other substances of similar activity such as other NSAIDs, acetylsalicylic acid,
Hypersensitivity to any of the excipients,
· History of bleeding or digestive perforation during previous NSAID treatment,
· Progressive peptic ulcer, history of peptic ulcer or recurrent haemorrhage (2 or more episodes, or more, of haemorrhage or ulceration objectivized),
· Severe hepatocellular insufficiency,
· Severe renal insufficiency,
· Severe heart failure,
· Child under 25 kg, that is to say, less than 8 years old (because of the unsuitability of the unit dosage),
· Phenylketonuria, due to the presence of aspartame.
Apranax side effects
Clinical studies and epidemiological data suggest that the use of certain NSAIDs (especially when used at high doses and over a long period of time) may be associated with a small increase in the risk of arterial thrombotic events (eg, infarction myocardial or cerebrovascular accident) (see Warnings and Precautions for Use section ).
The most commonly observed side effects are gastrointestinal in nature. Peptic ulcers, perforation or gastrointestinal bleeding, sometimes fatal, can occur, especially in the elderly (see section Warnings and precautions for use ).
Nausea, vomiting, diarrhea, flatulence, constipation, dyspepsia, ulcerative stomatitis, abdominal pain, melena, hematemesis, exacerbation of rectocolitis or Crohn's disease (see Warnings and Precautions for Use section ) reported following the administration of NSAIDs. Less frequently, gastritis has been observed.
Edema, hypertension and heart failure have been reported in combination with NSAID therapy.
· Mostly reported gastrointestinal disorders such as epigastralgia, often mild or moderate, nausea, vomiting, abdominal meteorism, dyspepsia, diarrhea, constipation, ulcerative stomatitis.
· Exceptionally observed: ulcers, haemorrhage and / or gastrointestinal perforation. These digestive haemorrhages are all the more frequent as the dosage used is high.
· A few isolated cases of oesophagitis, colitis and pancreatitis have also been reported.
· Dermatological: rash, hives, aggravation of chronic urticaria, pruritus.
· Respiratory: asthma. The onset of asthma attacks in some subjects may be related to an allergy to acetylsalicylic acid or an NSAID (see section 4.3 ).
· General: Quincke's edema, vasculitis, anaphylactoid reactions to the components.
· Pruritus, hair loss, photosensitivity reactions including rare cases of "pseudoporphyries" have been observed.
· Purpura, erythema polyphoma, fixed pigmented erythema, erythema nodosum and lichen planus have been reported rarely.
· Very rarely bullous reactions (including Stevens-Jonhson syndrome and Lyell's syndrome) have been observed.
Effects on the central nervous system
· Mostly reported: headache, dizziness, drowsiness.
· Have also been reported: insomnia, difficulty concentrating, disordered ideation, aseptic meningitis.
· Hydrosoduced retention, hyperkalemia with possibility of edema (see sections Warnings and precautions for use and Interactions with other medicinal products and other forms of interaction ).
· Functional acute renal failure (ARF) in patients with risk factors (see Warnings and Precautions section ).
· Organic kidney damage that can result in ARI: isolated cases of interstitial nephritis, acute tubular necrosis, nephrotic syndrome, papillary necrosis have been reported.
· Visual disturbances, exceptionally papillitis, retrobulbar optic neuritis and papilledema.
Effects on the hearing aid
· Hearing disorders, especially tinnitus.
· Moderate peripheral edema has been reported in patients with compromised cardiac function, aggravation of congestive heart failure and hypertension.
Effects on the respiratory system
· Eosinophilic pneumonia.
Leucopenia (mainly granulocytopenia), thrombocytopenia, medullary aplasia and haemolytic anemia.
· Some cases of transient and reversible changes in liver biological parameters, jaundice, unusually severe hepatitis (including one case of fatal outcome) have been reported.