Anaprox Ds

— THERAPEUTIC CATEGORIES —
  • Arthritis/rheumatic disorders
  • Dysmenorrhea
  • Nonnarcotic analgesics

Anaprox Ds Generic Name & Formulations

General Description

Naproxen sodium 550mg; scored tabs.

Pharmacological Class

NSAID (propionic acid deriv.).

See Also

    How Supplied

    Tabs—100

    Manufacturer

    Generic Availability

    YES

    Anaprox Ds Indications

    Indications

    Rheumatoid arthritis. Osteoarthritis. Ankylosing spondylitis. Polyarticular juvenile idiopathic arthritis (JIA). Tendinitis. Bursitis. Acute gout.

    Anaprox Ds Dosage and Administration

    Adult

    Use lowest effective dose for shortest duration. Arthritis, spondylitis: 275mg or 550mg twice daily. Tendinitis, bursitis: Initially 550mg, then 550mg every 12hrs or 275mg every 6–8hrs; max 1.375g (first day), then max 1.1g/day. Acute gout: 825mg once then 275mg every 8hrs. Renal or hepatic impairment, elderly: consider lower doses.

    Children

    <2yrs: not established. ≥2yrs: use susp form of naproxen.

    Anaprox Ds Contraindications

    Contraindications

    Aspirin allergy. Coronary artery bypass graft surgery.

    Anaprox Ds Boxed Warnings

    Boxed Warning

    Risk of serious cardiovascular and gastrointestinal events.

    Anaprox Ds Warnings/Precautions

    Warnings/Precautions

    Increased risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI, severe heart failure, advanced renal disease; if necessary, monitor. Increased risk of serious GI adverse events (including inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Hypertension; monitor BP closely. Hepatic or renal impairment. Discontinue if signs/symptoms of liver disease develop, or if abnormal LFTs persist or worsen. Correct volume status prior to initiation. Dehydration. Hypovolemia. Moderate to severe renal impairment (CrCl <30mL/min): not recommended. Hyperkalemia. Coagulation disorders. Monitor CBCs, blood chemistry, hepatic, renal, and ocular function in long-term therapy. Pre-existing asthma. May mask signs of infection or fever. Discontinue at 1st sign of rash or any other hypersensitivity. Elderly. Debilitated. Labor & delivery. May be associated with a reversible delay in ovulation in females of reproductive potential. Pregnancy (avoid during ≥30 weeks gestation): increased risk of premature closure of the fetal ductus arteriosus; (20–30 weeks gestation): may cause fetal renal dysfunction/oligohydramnios; if treatment needed, limit dose and duration of use. Nursing mothers.

    Anaprox Ds Pharmacokinetics

    See Literature

    Anaprox Ds Interactions

    Interactions

    Concomitant aspirin, salicylates (eg, diflunisal, salsalate), or other NSAIDs: not recommended. Increased risk of GI bleed with anticoagulants, antiplatelets, oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy; monitor. May antagonize, or increase risk of renal failure with diuretics (eg, loop or thiazides), ACE inhibitors, ARBs, or β-blockers; monitor closely. Potentiates digoxin; monitor levels. May potentiate lithium, methotrexate, cyclosporine; monitor for toxicity. Concomitant with pemetrexed may increase risk of pemetrexed-associated myelosuppression, renal, and GI toxicity. Avoid antacids, sucralfate, cholestyramine. Serum levels increased by probenecid. May potentiate protein-bound drugs (eg, phenytoin, sulfonylureas, sulfonamides). May interfere with 5HIAA urinary assays or Porter-Silber tests.

    Anaprox Ds Adverse Reactions

    Adverse Reactions

    Dyspepsia, abdominal pain, nausea, headache, rash, ecchymosis, and edema; cardiovascular thrombotic events, GI ulcer/bleed, hepatotoxicity, renal toxicity, hypersensitivity reactions, serious skin reactions (eg, Stevens-Johnson Syndrome, toxic epidermal necrolysis), Drug Reaction with Eosinophilia and Systemic Symptoms (discontinue if occurs), anemia.

    Anaprox Ds Clinical Trials

    See Literature

    Anaprox Ds Note

    Not Applicable

    Anaprox Ds Patient Counseling

    See Literature

    Anaprox Ds Generic Name & Formulations

    General Description

    Naproxen sodium 550mg; scored tabs.

    Pharmacological Class

    NSAID (propionic acid deriv.).

    See Also

      How Supplied

      Tabs—100

      Manufacturer

      Generic Availability

      YES

      Anaprox Ds Indications

      Indications

      Dysmenorrhea.

      Anaprox Ds Dosage and Administration

      Adult

      Use lowest effective dose for shortest duration. Initially 550mg, then 550mg every 12hrs or 275mg every 6–8hrs; max 1.375g (first day), then max 1.1g/day. Renal or hepatic impairment, elderly: consider lower doses.

      Children

      Not applicable.

      Anaprox Ds Contraindications

      Contraindications

      Aspirin allergy. Coronary artery bypass graft surgery.

      Anaprox Ds Boxed Warnings

      Boxed Warning

      Risk of serious cardiovascular and gastrointestinal events.

      Anaprox Ds Warnings/Precautions

      Warnings/Precautions

      Increased risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI, severe heart failure, advanced renal disease; if necessary, monitor. Increased risk of serious GI adverse events (including inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Hypertension; monitor BP closely. Hepatic or renal impairment. Discontinue if signs/symptoms of liver disease develop, or if abnormal LFTs persist or worsen. Correct volume status prior to initiation. Dehydration. Hypovolemia. Moderate to severe renal impairment (CrCl <30mL/min): not recommended. Hyperkalemia. Coagulation disorders. Monitor CBCs, blood chemistry, hepatic, renal, and ocular function in long-term therapy. Pre-existing asthma. May mask signs of infection or fever. Discontinue at 1st sign of rash or any other hypersensitivity. Elderly. Debilitated. Labor & delivery. May be associated with a reversible delay in ovulation in females of reproductive potential. Pregnancy (avoid during ≥30 weeks gestation): increased risk of premature closure of the fetal ductus arteriosus; (20–30 weeks gestation): may cause fetal renal dysfunction/oligohydramnios; if treatment needed, limit dose and duration of use. Nursing mothers.

      Anaprox Ds Pharmacokinetics

      See Literature

      Anaprox Ds Interactions

      Interactions

      Concomitant aspirin, salicylates (eg, diflunisal, salsalate), or other NSAIDs: not recommended. Increased risk of GI bleed with anticoagulants, antiplatelets, oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy; monitor. May antagonize, or increase risk of renal failure with diuretics (eg, loop or thiazides), ACE inhibitors, ARBs, or β-blockers; monitor closely. Potentiates digoxin; monitor levels. May potentiate lithium, methotrexate, cyclosporine; monitor for toxicity. Concomitant with pemetrexed may increase risk of pemetrexed-associated myelosuppression, renal, and GI toxicity. Avoid antacids, sucralfate, cholestyramine. Serum levels increased by probenecid. May potentiate protein-bound drugs (eg, phenytoin, sulfonylureas, sulfonamides). May interfere with 5HIAA urinary assays or Porter-Silber tests.

      Anaprox Ds Adverse Reactions

      Adverse Reactions

      Dyspepsia, abdominal pain, nausea, headache, rash, ecchymosis, and edema; cardiovascular thrombotic events, GI ulcer/bleed, hepatotoxicity, renal toxicity, hypersensitivity reactions, serious skin reactions (eg, Stevens-Johnson Syndrome, toxic epidermal necrolysis), Drug Reaction with Eosinophilia and Systemic Symptoms (discontinue if occurs), anemia.

      Anaprox Ds Clinical Trials

      See Literature

      Anaprox Ds Note

      Not Applicable

      Anaprox Ds Patient Counseling

      See Literature

      Anaprox Ds Generic Name & Formulations

      General Description

      Naproxen sodium 550mg; scored tabs.

      Pharmacological Class

      NSAID (propionic acid deriv.).

      See Also

        How Supplied

        Tabs—100

        Manufacturer

        Generic Availability

        YES

        Anaprox Ds Indications

        Indications

        Pain.

        Anaprox Ds Dosage and Administration

        Adult

        Use lowest effective dose for shortest duration. Initially 550mg, then 550mg every 12hrs or 275mg every 6–8hrs; max 1.375g (first day), then max 1.1g/day. Renal or hepatic impairment, elderly: consider lower doses.

        Children

        <2yrs: not established. ≥2yrs: use susp form of naproxen.

        Anaprox Ds Contraindications

        Contraindications

        Aspirin allergy. Coronary artery bypass graft surgery.

        Anaprox Ds Boxed Warnings

        Boxed Warning

        Risk of serious cardiovascular and gastrointestinal events.

        Anaprox Ds Warnings/Precautions

        Warnings/Precautions

        Increased risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI, severe heart failure, advanced renal disease; if necessary, monitor. Increased risk of serious GI adverse events (including inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Hypertension; monitor BP closely. Hepatic or renal impairment. Discontinue if signs/symptoms of liver disease develop, or if abnormal LFTs persist or worsen. Correct volume status prior to initiation. Dehydration. Hypovolemia. Moderate to severe renal impairment (CrCl <30mL/min): not recommended. Hyperkalemia. Coagulation disorders. Monitor CBCs, blood chemistry, hepatic, renal, and ocular function in long-term therapy. Pre-existing asthma. May mask signs of infection or fever. Discontinue at 1st sign of rash or any other hypersensitivity. Elderly. Debilitated. Labor & delivery. May be associated with a reversible delay in ovulation in females of reproductive potential. Pregnancy (avoid during ≥30 weeks gestation): increased risk of premature closure of the fetal ductus arteriosus; (20–30 weeks gestation): may cause fetal renal dysfunction/oligohydramnios; if treatment needed, limit dose and duration of use. Nursing mothers.

        Anaprox Ds Pharmacokinetics

        See Literature

        Anaprox Ds Interactions

        Interactions

        Concomitant aspirin, salicylates (eg, diflunisal, salsalate), or other NSAIDs: not recommended. Increased risk of GI bleed with anticoagulants, antiplatelets, oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy; monitor. May antagonize, or increase risk of renal failure with diuretics (eg, loop or thiazides), ACE inhibitors, ARBs, or β-blockers; monitor closely. Potentiates digoxin; monitor levels. May potentiate lithium, methotrexate, cyclosporine; monitor for toxicity. Concomitant with pemetrexed may increase risk of pemetrexed-associated myelosuppression, renal, and GI toxicity. Avoid antacids, sucralfate, cholestyramine. Serum levels increased by probenecid. May potentiate protein-bound drugs (eg, phenytoin, sulfonylureas, sulfonamides). May interfere with 5HIAA urinary assays or Porter-Silber tests.

        Anaprox Ds Adverse Reactions

        Adverse Reactions

        Dyspepsia, abdominal pain, nausea, headache, rash, ecchymosis, and edema; cardiovascular thrombotic events, GI ulcer/bleed, hepatotoxicity, renal toxicity, hypersensitivity reactions, serious skin reactions (eg, Stevens-Johnson Syndrome, toxic epidermal necrolysis), Drug Reaction with Eosinophilia and Systemic Symptoms (discontinue if occurs), anemia.

        Anaprox Ds Clinical Trials

        See Literature

        Anaprox Ds Note

        Not Applicable

        Anaprox Ds Patient Counseling

        See Literature