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Terms Of Use

ETORICOXIB

Brand Name(s) : Arcoxia
Warnings
Uses
Side Effects
Precautions
Interactions
Overdose

ETORICOXIB WARNINGS

Etoricoxib should be used with caution in: patients with a history of stomach bleeding or ulcers; patients who are dehydrated (e.g. by a prolonged bout of vomiting or diarrhoea); patients with swelling due to fluid retention; patients with a history of heart failure, heart attack or any other form of heart disease; patients with a history of stroke or mini stroke; patients with a history of high blood pressure; patients with any history of liver or kidney disease; patients who are being treated for an infection; elderly patients (over 65 years of age); patients with diabetes; patients with high cholesterol; patients who smoke.

It should not be used in:

  • Patients who are allergic (hypersensitive) to etoricoxib or any of the other ingredients in the product; patients who are allergic to non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin and COX-2 inhibitors; patients suffering from a current stomach ulcer or bleeding from the stomach or intestines; patients with serious liver or kidney disease; patients who are or could be pregnant or are breast-feeding; children under 16 years of age; patients with inflammatory bowel disease, such as Crohn’s disease, ulcerative colitis, or colitis; patients who have been diagnosed with heart problems or if you have had a heart attack or bypass surgery; patients with uncontrolled (by treatment) high blood pressure.

Also see list of precautions and interactions.

STORAGE

Store in the original package in order to protect from moisture.

ETORICOXIB USES

What is it used for?

  • Etoricoxib is used to treat a number of problems affecting the joints.
  • It is a selective COX-2 inhibitor, which belong to a family of pain killers called non-steroidal anti-inflammatory drugs (NSAIDs).
  • It is used to relieve pain, reduce swelling and joint stiffness.
  • In general this drug is used to treat patients suffering from joint pain and swelling caused by osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout.
  • Benefits of being on this drug can include relieving pain and reducing the swelling and stiffness in joints allowing you to do more of your normal daily activities.

Listed below are the typical uses of etoricoxib:

  • Treatment of osteoarthritis (a disease of the joints)
  • Treatment of rheumatoid arthritis (a long term inflammatory disease of the joints)
  • Treatment of ankylosing spondylitis (an inflammatory disease of the spine and large joints)
  • Treatment of acute gouty arthritis (a disease of sudden, recurring attacks of very painful inflammation and redness in the joints)

On occasion your doctor may prescribe this medicine to treat a condition not on the above list.

HOW TO USE/TAKE

How often do I take it?

  • Take this medication by mouth usually once daily (however the dose will be different for treating different conditions) with or without food. However, the medication may take effect quicker if it is taken without food.
  • Use this medication for the duration of the prescription in order to get the most benefit from it.
  • Remember to use it at the same time each day - unless specifically told otherwise by your doctor.
  • It may take up to a few hours before the full benefit of this drug takes effect.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • Etoricoxib may make you feel sleepy or dizziness, therefore you may be advised not to drive or operate machinery if you do not feel well. Consult your doctor or pharmacist for more details.

When can I stop?

  • Always complete the full course as prescribed by your doctor.

ETORICOXIB SIDE EFFECTS

  • Weakness
  • Fatigue
  • Dizziness
  • Headache
  • Flu-like illness
  • Diarrhoea
  • Wind
  • Nausea
  • Indigestion (dyspepsia)
  • Stomach pain or discomfort
  • Heartburn
  • Changes in blood tests related to your liver
  • Swelling of the legs and/or feet due to fluid retention (oedema)
  • Increased blood pressure
  • Palpitations (unpleasant sensations of irregular and/or forceful beating of the heart)
  • Bruising

If any of these persist or you consider them severe then inform doctor or pharmacist.

Tell your doctor immediately if you develop any of the following symptoms: shortness of breath, chest pains, or ankle swelling appear or if they get worse; yellowing of the skin and eyes (jaundice) - these are signs of liver problems; severe or continual stomach pain or your stools become black.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.

ETORICOXIB PRECAUTIONS

Before taking etoricoxib, tell your doctor or pharmacist if you are allergic to it; or to other COX-2 inhibitors or NSAIDs; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist in case of: an allergy (hypersensitivity) to etoricoxib or any of the other ingredients in the product; an allergy to non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin and COX-2 inhibitors; current stomach ulcer or bleeding in your stomach or intestines; serious liver or kidney disease; pregnant or trying to conceive or are breastfeeding; under 16 years of age; inflammatory bowel disease, such as Crohn’s disease, ulcerative colitis, or colitis; heart problems or if you have had a heart attack or bypass surgery; suffered from any kind of stroke; uncontrolled (by treatment) high blood pressure.

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following: history of stomach bleeding or ulcers; dehydrated (e.g. by a prolonged bout of vomiting or diarrhoea); swelling due to fluid retention; history of heart failure, heart attack or any other form of heart disease; history of stroke or mini stroke; history of high blood pressure; history of liver or kidney disease; being treated for an infection; elderly patients (over 65 years of age); diabetes; high cholesterol; patients who smoke.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Limit alcohol intake with this drug as it may enhance side effects, such as dizziness and drowsiness.

The elderly: etoricoxib should be used with caution in the elderly as kidney, liver and heart function declines as you grow older and they therefore may be more sensitive to the side effects of this medication.

Pregnancy and breastfeeding - please ensure you read the detailed information below

PREGNANCY

Etoricoxib is not safe to take if you are, or are planning to become, pregnant.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

Etoricoxib is not safe to take if you are breastfeeding.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

ETORICOXIB INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious, possibly fatal interactions may occur: None known.

Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of:

  • Medicines that thin your blood (anticoagulants), such as warfarin
  • Rifampicin (an antibiotic)
  • Methotrexate (a drug used for suppressing the immune system, and often used in rheumatoid arthritis)
  • Medicines used to help control high blood pressure and heart failure called ACE inhibitors and angiotensin receptor blockers, examples include enalapril, ramipril, losartan and valsartan
  • Lithium (a medicine used to treat some types of depression)
  • Diuretics (water tablets)
  • Ciclosporin or tacrolimus (drugs used for suppressing the immune system)
  • Digoxin (a medicine for heart failure and irregular heart rhythm)
  • Minoxidil (a drug used to treat high blood pressure)
  • Salbutamol tablets or oral solution (a medicine for asthma)
  • Birth control pills
  • Hormone replacement therapy
  • Aspirin, the risk of stomach ulcers is greater if you take etoricoxib with aspirin.

This information does not contain all possible interactions. Therefore, before using etoricoxib, tell your doctor or pharmacist of all the products you use.

ETORICOXIB OVERDOSE

Taking too much etoricoxib may cause the following: abdominal pain, wind (flatulence), heartburn, diarrhoea, indigestion (dyspepsia), nausea.

People who have taken too much etoricoxib should have the unabsorbed material removed from the gastro-intestinal tract (requires specialist treatment in hospital) and should be carefully monitored.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of etoricoxib or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.

MISSED DOSE

If you miss a dose, just resume your usual schedule the following day. Do not double the dose to catch up.

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Source: Selected from data included with permission and copyrighted by Boots UK Limited or TicTac Communications Ltd. This copyrighted material is sourced from a licensed data provider and is not for distribution, except as may be authorised by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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