Tell any doctor who treats you that you are using Capoten. If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Dosage Information in more detail What happens if I miss a dose? 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? Seek emergency medical attention or call the Poison Help line at What should I avoid? Drinking alcohol can further lower your blood pressure and may increase certain side effects of Capoten. Proteinuria Total urinary proteins greater than 1 g per day were seen in about 0. The nephrotic syndrome occurred in about one-fifth of proteinuric patients.
In most cases, proteinuria subsided or cleared within six months whether or not captopril was continued. Parameters of renal function, such as BUN and creatinine, were seldom altered in the patients with proteinuria. In heart failure, where the blood pressure was either normal or low, transient decreases in mean blood pressure greater than 20 percent were recorded in about half of the patients. This transient hypotension is more likely to occur after any of the first several doses and is usually well tolerated, producing either no symptoms or brief mild lightheadedness , although in rare instances it has been associated with arrhythmia or conduction defects.
Hypotension was the reason for discontinuation of drug in 3. A starting dose of 6. In patients with heart failure, reducing the dose of diuretic, if feasible, may minimize the fall in blood pressure. Hypotension is not per se a reason to discontinue captopril. The magnitude of the decrease is greatest early in the course of treatment; this effect stabilizes within a week or two, and generally returns to pretreatment levels, without a decrease in therapeutic efficacy, within two months.
Fetal Toxicity Pregnancy Category D Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Resulting oligohydramnios can be associated with fetal lung hypoplasia and skeletal deformations. Potential neonatal adverse effects include skull hypoplasia, anuria, hypotension, renal failure, and death. When pregnancy is detected, discontinue Capoten as soon as possible.
These adverse outcomes are usually associated with use of these drugs in the second and third trimester of pregnancy. Most epidemiologic studies examining fetal abnormalities after exposure to antihypertensive use in the first trimester have not distinguished drugs affecting the renin-angiotensin system from other antihypertensive agents. Appropriate management of maternal hypertension during pregnancy is important to optimize outcomes for both mothers and fetus.
In the unusual case that there is no appropriate alternative to therapy with drugs affecting the reninangiotensin system for a particular patient, apprise the mother of the potential risk to the fetus. Perform serial ultrasound examinations to assess the intra-amniotic environment.
If oligohydramnios is observed, discontinue Capoten, unless it is considered lifesaving for the mother. However, bleeding from the digestive tract can occur anytime during treatment. Seek immediate medical attention if you experience chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance. Contact your doctor at once if you experience signs that you could be bleeding such as black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.
For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications, particularly before taking any action. Is it safe for me to take the Celebrex? What else can I take for the bursitis in my hip? Celecoxib is also used in the treatment of hereditary polyps in the colon. Common side effects of Celebrex include upset stomach, mild heartburn, diarrhea, constipation, bloating, gas, dizziness, nervousness, headache, skin rash, itching, blurred vision, and ringing in your ears.
More serious side effects can occur and this is not a complete list of possible side effects associated with Celebrex. Using Celebrex increases the risk of serious conditions involving the stomach and intestines, including bleeding, ulceration, and perforation forming a hole in the wall of the stomach or intestines. These conditions can be life-threatening and can occur without warning at any time during treatment with Celebrex.
Because of this risk, people with a history of stomach ulcers or bleeding should not use Celebrex. The risk is also increased in elderly patients over the age of 65 and with longer duration of therapy. If you are concerned about the safety of Celebrex use, talk to your doctor for information based on your specific circumstances. Contact your doctor right away if you have symptoms of bleeding from your digestive tract. These include black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee.
For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications.
Sarah Lewis, RPh Q: Over the past year, I have gained about 25 lbs, with excess "flab" around the midsection and a stomach I've never had to deal with before. I started taking Celebrex daily for over a year thinking it was better for me than taking mg of ibuprofen everyday. I'm really struggling with my weight. Has the Celebrex caused "some" of my weight gain? Drugs can cause weight gain in several different ways. Some can increase appetite or make you crave certain types of foods like those high in carbohydrates or fat.
Other medications may slow down metabolism or cause fluid retention. However, the effect of prescription drugs on body weight is complex. Some drugs have no effect on weight, while others cause weight gain or weight loss. Also, the same medications can cause weight gain in certain individuals and weight loss in others. There are also drugs that initially cause weight loss and then lead to weight gain with long-term use.
Most prescription medications associated with changes in body weight affect the central nervous system. Mood stabilizers lithium, valproic acid , antipsychotics, and anticonvulsants have also been linked with weight gain. Other drugs that have been reported to cause weight gain include diabetes medications insulin, sulfonylureas, and thiazolidinediones , antihypertensive drugs, certain hormonal contraceptives, corticosteroids, antihistamines, some chemotherapy regimens, and antiretroviral protease inhibitors.
If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. According to the manufacturer's package insert for Celebrex celecoxib , an increase in weight and edema are potential adverse effects from the use of Celebrex. So yes, it is possible that Celebrex is responsible for your weight gain. Is Celebrex one of the drugs that will make one have bad dreams, because I take it daily, and have bad dreams more than I care to.
It can also be used in the treatment of hereditary polyps in the colon. Common side effects of Celebrex include upset stomach, mild heartburn, diarrhea, constipation, bloating, gas, dizziness, nervousness, skin rash, blurred vision, and ringing in the ears. This is not a complete list of side effects that can occur with Celebrex.
A search of a drug database and the prescribing information for Celebrex did not specifically list bad dreams as a side effect of the drug. If bad dreams continue or get worse, consult your doctor for specific recommendations. Your doctor may be able to determine if the dreams are caused by Celebrex or not. Do not stop or change the amount of medication you take without talking to your health care provider first.
Tell your health care provider about any negative side effects from prescription drugs. You can also report them to the U. Food and Drug Administration by visiting www. Can Celebrex be taken only when needed for pain, or does it need to be taken daily? It works by reducing hormones that cause pain and inflammation. Celebrex can be taken every day for pain prevention, or it can be taken on an as needed basis. People who have chronic pain conditions such as arthritis may need to take Celebrex every morning for pain prevention.
People who have intermittent pain conditions can take Celebrex on an as needed only basis. You should consult your physician for more information about how often to take Celebrex.
The most common side effects of Celebrex are constipation, diarrhea, dizziness, gas, headache, heartburn, nausea, sore throat, and stomach upset. This is not a complete list of side effects. More severe side effects are possible. Celebrex can interact with other medications. Burton Dunaway, PharmD Q: Can Celebrex affect your stomach, and how long can it be used for muscle tendonitis?
But if you are experiencing stomach pain or stomach bleeding, please consult your physician. Other causes or other medications must be ruled out. Studies suggest different time periods of treatment for muscle tendonitis depending on pain severity, tolerance to medication and physician preference.
Studies also show concern regarding cardiovascular health in some patients using Celebrex. Please keep up with doctor's appointments for your physician to monitor lab results and heart health. Long-term use of Celebrex may cause renal kidney toxicity and decreased blood flow to the heart. Kidney damage may also result. In one study, patients on Celebrex for three years had an increased risk of serious cardiovascular events which included heart attacks, strokes, and heart failures.
It is always a good idea to check with one's health care provider in matters like this. Please consult your health care provider for guidance in your specific case. My husband just started taking Celebrex for pain in his shoulder, back, and arm. Is there a generic version, or another medication that is similar but less expensive? It works by reducing hormones that cause inflammation and pain. Currently, there is no generic available in the United States for Celebrex.
For cheaper alternatives, consult with your health care provider. Kimberly Hotz, PharmD Q: Is Celebrex good for gout, or are there over-the-counter aids you could recommend? Celebrex is used to treat pain and inflammation caused by many conditions, such as arthritis, ankylosing spondylitis, and menstrual pain. It's also used to treat hereditary polyps in the colon. Gout is a type of arthritis caused when too much of a chemical called uric acid builds up in the blood. Uric acid comes from the breakdown of protein, whether from the turnover of our own cells or from foods and beverages.
Usually, the kidneys can get rid of normal levels of uric acid. In gout, it builds up and is not gotten rid of properly. This can lead to the formation of crystals that deposit in joints and cause pain. The treatment of gout focuses on decreasing both the uric acid levels and the pain caused by the crystal deposits. Discuss their use with your health care provider before taking them. I've been taking Celebrex, and it isn't giving me so much relief anymore.
Is there another drug besides Celebrex that I might discuss with my doctor? The main concern with these medications is that over time, they can cause bleeding in the gastrointestinal GI tract, which includes the esophagus leading into the stomach, the stomach, and the intestines. An alternative is Tylenol acetaminophen , as it works differently, but it does not reduce inflammation. NSAIDs work by reducing the effects of prostaglandins, which cause inflammation, pain, and fever in the body.
COX-1 makes prostaglandins that support platelets and protect the stomach lining. When they are blocked, the platelets cannot cause the blood to clot as easily. COX-2 makes the prostaglandins that cause inflammation, swelling, and as a result, pain.
Also ask about alternative treatments and how effective they are. What should you expect the drug to do? Some drugs cure the condition for which they are prescribed while other drugs provide only relief from symptoms. Some drugs provide an immediate benefit while other drugs require more time to be effective.
To determine whether the drug is working as intended, it is important to know the expected result and how long it will take to see that result. How should the drug be stored? Most medications are stored at room temperature.
However, some medications require special storage conditions in order to avoid premature deterioration of the drug. Look at the expiration dates written on the container and use the drug before the expiration date. How should unused drugs be disposed of? To safe guard the health of children, pets, and the environment; and to reduce drug abuse ; drugs should be disposed of responsibly.
The FDA recommends the following for safe disposal of unused or expired medications: Follow specific recommendations for disposal instructions on the drug label or patient information packet provided with the medication. Do not flush drugs down the sink or toilet unless the packet information on the drug specifically instructs to do so.
Check to see if your community has a drug take-back program that allows the public to bring unused drugs to a specific location for disposal. If you do not have access to a disposal program in your area to dispose of unused drugs it is recommended you throw the drugs in the garbage after taking the following steps:
Effect of capsinoids on energy capoten in human subjects. In adverse cases, this can lead to more serious side effects like liver or kidney damage. Here is a link to more information on Celebrex: Chronic use of Celebrex may cause an increased risk of life-threatening heart or circulation effects, which include heart attack and stroke. The recommended dose is mg administered twice daily as needed on subsequent days of treatment, adverse effects of capoten. Carotenoid biosynthesis changes in five red pepper Capsicum annuum Effects. Celebrex celecoxib is classified as a nonsteroidal anti inflammatory drug, and is COX-2 selective, adverse effects of capoten. Check to see if your adverse has a drug take-back program that allows the public to bring unused drugs to a specific location for disposal. I've capoten using Celebrex for 4 months because of arthoscopic knee surgery. If I'm allergic to sulfa drugs, can I take Celebrex?
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