ETORICOXIB Arcoxia™Ac 120 milligrams
Generic Name: ETORICOXIB
Brand Name: Arcoxia™Ac
Dosage Strength: 120 milligrams
Dosage Form: Tablet
WHAT IS THE MEDICINE USED FOR?
(Indication) Acute and chronic treatment of the signs and symptoms of osteoarthritis (OA) and rheumatoid arthritis (RA); treatment of ankylosing spondylitis (AS); treatment of acute gouty arthritis; relief of acute pain; treatment of primary dysmenorrhea; treatment of moderate to severe acute post-operative pain associated with dental surgery; treatment of moderate to severe acute post-operative pain associated with abdominal gynecological surgery.
The decision to prescribe a selective COX-2 inhibitor should be based on an assessment of the individual patient’s overall risks
HOW MUCH AND HOW OFTEN SHOULD YOU USE THIS MEDICINE?
(Dosage) Acute Pain: For acute pain conditions, the recommended dose is 90 mg or 120 mg once daily. ETORICOXIB (ARCOXIA) should be used only for the acute symptomatic period, limited to a maximum of 8 days treatment.
Acute Gouty Arthritis: The recommended dose is 120 mg once daily.
Primary Dysmenorrhea: The recommended dose is 120 mg once daily.
Post-Operative Gynecological Pain: The initial dose should be administered shortly before surgery. The dose can be increased to a maximum 120 mg once daily.
the dose for acute gout should not exceed 120 mg daily; the dose for acute pain and primary dysmenorrhea should not exceed 120 mg daily; the dose for post-operative acute dental surgery pain should not exceed 90 mg daily; the dose for post-operative acute gynecological surgery pain should not exceed 120 mg daily.
(Contraindications) Hypersensitivity to etoricoxib or to any of the excipients. Active peptic ulceration or active gastro-intestinal (GI) bleeding; patients who have experienced bronchospasm, acute rhinitis, nasal polyps, angioneurotic oedema, urticaria, or allergic-type reactions after taking acetylsalicylic acid or NSAIDS including COX-2 (cyclooxygenase-2) inhibitors; severe hepatic dysfunction (serum albumin <25g/l or Child-Pugh score≥10); estimated renal creatinine clearance <30 mL/min; children and adolescents under 16 years of age; inflammatory bowel disease; congestive heart failure (NYHA II-IV); patients with hypertension whose blood pressure has not been adequately controlled; established ischemic heart disease, peripheral arterial disease and/or cerebrovascular disease.
(Precautions) Use at the shortest possible duration & the lowest effective daily dose to avoid CV risk. Not a substitute for aspirin for CV prophylaxis. Patients at risk of CV events (HTN, Hyperlipidemia, DM, smoking), w/ peripheral arterial disease, or w/ preexisting edema, impaired renal function, HTN or uncompensated heart failure or cirrhosi; considerable dehydratio. History of GI perforation, ulcers & bleeding. Elderly over 65 yrs.
(Adverse Reactions) Asthenia/fatigue, dizziness, lower extremity edema, HTN, dyspepsia, heartburn, nausea, increased ALT & AST, Thrombocytopenia, hypersensitivty reactions including anaphylactic/anaphylactoid reactions including shock; hyperkalemia, anxiety, insomia, confusion, hallucinations, depression, restlessness; dysgeusia, somnolence, blurred vision, CHF, palpitations, angina, arrythmia, hypertensive crisis, bronchospasm, abdominal pain, oral ulcers, peptic ulcer including perforation or bleeding (elderly), vomiting, diarrhea, hepatitis, jaundice; hepatic failure, angioedema, pruritus, erythema, rash, Stevens-Johnson syndrome, toxic epidermal necrolysis, urticaria; fixed-drug eruption, renal insufficiency including renal failure.
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