esomeprazole and naproxen (cont.)
What happens if I miss a dose (Vimovo)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Vimovo)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include feeling weak or tired, nausea, vomiting, stomach pain or discomfort, severe dizziness or drowsiness, bleeding, uncontrolled muscle movements, weak or shallow breathing, or loss of coordination.
What should I avoid while taking esomeprazole and naproxen (Vimovo)?
Ask a doctor or pharmacist before using any other pain or arthritis medicine. Many medicines available over the counter contain naproxen or similar medicines (such as aspirin, ibuprofen, or ketoprofen). Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains naproxen or another NSAID.
This medication can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking esomeprazole and naproxen and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.
Ask your doctor before using an antidepressant such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft). Taking any of these drugs with an NSAID may increase your risk of stomach bleeding.
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
What other drugs will affect esomeprazole and naproxen (Vimovo)?
Esomeprazole should not be taken together with atazanavir (Reyataz) or nelfinavir (Viracept). Tell your doctor if you are taking either of these medications to treat HIV or AIDS.
Tell your doctor about all other medicines you use, especially:
- clopidogrel (Plavix) or cilostazol (Pletal);
- cholestyramine (Prevalite, Questran);
- digoxin (digitalis, Lanoxin);
- lithium (Eskalith, Lithobid, others);
- methotrexate (Rheumatrex, Trexall);
- probenecid (Benemid);
- rifampin (Rifadin, Rifater, Rifamate);
- St. John's wort;
- tacrolimus (Prograf);
- an iron supplement;
- a blood thinner such as warfarin (Coumadin, Jantoven);
- steroids (prednisone and others);
- a diuretic (water pill) such as furosemide (Lasix);
- antifungal medication such as ketoconazole (Nizoral) or voriconazole (Vfend);
- aspirin or other NSAIDs such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others; or
- heart or blood pressure medication such as atenolol (Tenormin, Tenoretic), benazepril (Lotensin), carvedilol (Coreg), fosinopril (Monopril), lisinopril (Prinivil, Zestril), metoprolol (Dutoprol, Lopressor, Toprol), propranolol (Inderal, InnoPran), ramipril (Altace), and others.
This list is not complete and other drugs may interact with esomeprazole and naproxen. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about esomeprazole and naproxen.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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