Celebrex® (Celecoxib)		Celebrex pricing
	Brand Celebrex manufactured by: PHARMACIA
	Chemical name: Celecoxib (Generic not available)

Anti-inflammatory Agent - Analgesic

Celebrex Information | Celebrex Precautions | Celebrex Side Effects | How To Take Celebrex

IMPORTANT NOTE: The following information is intended to heighten awareness of health information and does not suggest diagnosis or treatment. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

Celebrex Common Use: Celebrex is a nonsteroidal anti-inflammatory drug (NSAID) which reduces the joint swelling, redness and pain of arthritis.

Celebrex Information: Your body produces chemicals called prostaglandins. Some of these prostaglandins help line the stomach with a protective layer. In arthritis, other prostaglandins cause pain and swelling. Celebrex reduces the type that causes pain and swelling. At prescribed doses, Celebrex does not affect the type that maintains the protective layer of the stomach, and reduces the chances of bleeding.

This medicine does not cure arthritis, but promotes suppression of the inflammation and tissue damaging effects resulting from this inflammation. Celebrex will help you only as long as you continue to take it.

You should take Celebrex only as directed by your doctor. Do not take more of it, do not take it more often and do not take it for a longer period of time than your doctor ordered. Taking too much of any NSAID may increase the chance of unwanted effects, especially if you are an elderly patient. It is unclear at this time, whether this also applies to the use of Celebrex in elderly patients. Therefore, elderly patients should continue to be cautious.

Be sure to take Celebrex regularly as prescribed. In some types of arthritis, up to 2 weeks may pass before you feel the full effects of this medicine. During treatment, your doctor may decide to adjust the dosage according to your response to the medication.

Your doctor may prescribe low dose ASA as a blood thinner for cardiovascular prophylaxis while you are taking Celebrex. Take only the amount of ASA prescribed by your doctor and do not discontinue it while taking Celebrex unless directed to do so by your physician. Do not take additional ASA or ASA-containing medications or other drugs used to relieve symptoms of arthritis while taking Celebrex unless directed to do so by your physician. Since even a low dose ASA may upset or damage your stomach, combination of Celebrex with ASA has a greater potential for these side effects compared to Celebrex alone.

Celebrex is usually taken once or twice a day. Celebrex may be taken with or without food. If you are prescribed this medication for use over a long period of time, your doctor will check your health during regular visits to assess your progress and to ensure that this medicine is not causing unwanted effects.

Celebrex Precautions:
Before taking this medication tell your doctor and pharmacists if you:

• or a family member are allergic to or have had a reaction to Celebrex, sulfonamide drugs or other anti-inflammatory drugs (such as ASA, diclofenac, diflunisal, fenoprofen, flurbiprofen, ibuprofen, indomethacin, ketoprofen, mefenamic acid, naproxen, piroxicam, sulindac, tiaprofenic acid, tolmetin, nabumetone or tenoxicam) manifesting itself by increased sinusitis, hives, the initiating or worsening of asthma or anaphylaxis (sudden collapse);
• or a family member has had asthma, nasal polyps, chronic sinusitis, or chronic urticaria (hives);
• have a history of stomach upset, ulcers, liver or kidney diseases;
• are taking any other medication (either prescription or nonprescription) such as NSAIDs, high blood pressure medication, blood thinners, corticosteroids, fluconazole, or lithium;
• are pregnant or intend to become pregnant while taking this medication;
• are breast-feeding or intend to breast-feed while taking this medication;
• have blood or urine abnormalities;
• have high blood pressure;
• are on any special diet, such as a low-sodium or low-sugar diet;
• have diabetes;
• have any other medical problem(s) such as alcohol abuse, bleeding problems, etc.

While Taking This Medication:

• tell any other doctor, dentist or pharmacist that you consult or see, that you are taking this medication;
• some NSAIDs may cause drowsiness or fatigue in some people taking them. Be cautious about driving or participating in activities that require alertness if you are drowsy, dizzy or lightheaded after taking this medication;
• check with your doctor if you are not getting any relief of your arthritis or if any problems develop;
• report any untoward reactions to your doctor. This is very important as it will aid in the early detection and prevention of potential complications;
• stomach problems may be more likely to occur if you drink alcoholic beverages. Therefore, do not drink alcoholic beverages while taking this medication;
• check with your doctor immediately if you experience unexpected weakness while taking this medication, or if you vomit any blood or have dark or bloody stools;
• some people may become more sensitive to sunlight than they are normally. Exposure to sunlight or sunlamps, even for brief periods of time, may cause sunburn, blisters on the skin, skin rash, redness, itching or discoloration, or vision changes. If you have a reaction from the sun, check with your doctor;
• check with your doctor immediately if chills, fever, muscle aches or pains, or other flu-like symptoms occur, especially if they occur shortly before, or together with, a skin rash. Very rarely, these effects may be the first signs of a serious reaction to this medication;
• Your regular medical checkups are essential.

Celebrex Side Effects: Along with its beneficial effects, Celebrex may occasionally cause some undesirable reactions, especially when used for a long time or in large doses.

Elderly, frail or debilitated patients often seem to experience more frequent or more severe side effects. Although these side effects are not common, when they do occur they may require medical attention. No substantial differences in safety and effectiveness of Celebrex were observed between elderly and younger subjects. However, greater sensitivity of some older patients cannot be ruled out.

Check With Your Doctor Immediately if any of the Following are Noted:

• bloody or black tarry stools;
• shortness of breath, wheezing, any trouble in breathing or tightness in the chest;
• skin rash, hives or swelling, itching;
• vomiting or persistent indigestion, nausea, stomach pain or diarrhea;
• yellow discoloration of the skin or eyes;
• any change in the amount of or color of your urine (dark red or brown);
• any pain or difficulty experienced while urinating;
• swelling of the feet or lower legs;
• malaise, fatigue, loss of appetite;
• blurred vision or any visual disturbance;
• mental confusion, depression, dizziness, lightheadedness;
• hearing problems.

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Dosing: Usual Adult Dose: Rheumatoid Arthritis: Initially 100 mg twice per day. Dose may be increased depending on patient's response to 200 mg twice per day. Take with or without food.

Osteoarthritis: 200 mg once daily or 100 mg twice daily. Take with or without food.

What to do if You Miss a Dose: Take the dose as soon as you remember, then take the next dose at the scheduled time.

Storage: Store at room temperature, between 15-30°C.

Celebrex is not recommended for patients under 18 years of age since safety and effectiveness have not been established.

Do not take Celebrex during pregnancy unless specifically prescribed by a physician.

Do not keep outdated medicine or medicine no longer needed.

Keep out of the reach of children.

This medicine has been prescribed for your medical problem. Do not give it to anyone else.

If you require more information on this drug, consult your doctor or pharmacist.

Nonmedicinal ingredients present in celecoxib capsules include croscarmellose sodium, lactose monohydrate, magnesium stearate, povidone, and sodium lauryl sulfate. The capsules are made of gelatin and contain titanium dioxide (E171) and edible inks (ferric oxide (E172) for 200 mg capsules and indigotine (E132) for 100mg capsules).

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