Indications
Naxin Gel is used for: 
 Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Mild to moderate pain, Tendonitis, Acute musculoskeletal disorders, Bursitis
                                              
                        Adult Dose
Topica
Adult: Apply Naproxen gel 2-6 times a day as required.
                                              
                        Child Dose
Renal Dose
Administration
Contra Indications
Hypersensitivity. Aspirin or NSAID allergy. Perioperative pain in the setting of CABG surgery. Pregnancy (3rd trimester)
                                              
                        Precautions
Pre-existing CV risk factors or disease e.g. fluid retention, CHF, hypertension. History of GI disease (bleeding or ulcers). Other forms of asthma. Hepatic impairment; closely monitor patients with any abnormal LFT. Renal impairment. Elderly. Lactation.
                                              
                        Pregnancy-Lactation
Pregnancy category: C; D in 3rd trimester or near delivery.
                                              
                        Interactions
May enhance methotrexate toxicity. Reduced BP response to ACE inhibitors or angiotensin II receptor antagonists. Increased risk of serious GI events (e.g. ulcer) w/ aspirin. Increased risk of GI bleeding w/ warfarin. May reduce the natriuretic effects of furosemide or thiazide diuretics. May increase serum lithium concentrations and reduce renal lithium clearance. Delayed absorption w/ antacids, colestyramine or sucralfate. May interfere w/ the antihypertensive effects of ?-blockers (e.g. propranolol). May increase serum levels w/ probenecid.
                                              
                        Side Effects
Side effects of Naproxen 10% Topical : 
 Oedema,  palpitation,  dizziness,  drowsiness,  headache,  light headedness,  vertigo,  pruritus,  skin eruption,  ecchymosis,  purpura,  rash,  fluid retention,  abdominal pain,  constipation,  nausea,  heartburn,  diarrhoea,  dyspepsia,  stomatitis,  flatulence,  gross bleeding/perforation,  indigestion,  ulcers,  vomiting,  abnormal renal function,  haemolysis,  anaemia,  increased bleeding time,  elevated LFTs,  visual disturbances,  tinnitus,  hearing disturbances,  dyspnoea,  diaphoresis,  thirst. 
Potentially Fatal: Anaphylactic/anaphylactoid reactions. Exfoliative dermatitis,  Stevens-Johnson syndrome (SJS),  toxic epidermal necrolysis (TEN).
                                              
                        Mode of Action
Naproxen, a propionic acid derivative, is a prototypical NSAID. It reversibly inhibits the cyclooxygenase-1 and -2 (COX-1 and -2) enzymes, thus resulting in reduced synthesis of prostaglandin precursors. It can inhibit platelet aggregation, has anti-inflammatory, analgesic and antipyretic actions.
                                              
                        Note
Naxin 10% Gel generic name is Naproxen 10% Topical. Naxin 10% Gel is manufactured by Opsonin Pharma LimitedNaxin is availble in all over Bangladesh.
 Mes BD drug index information on Naxin Gel is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.