Continue taking Arcoxia for as long as your doctor prescribes. For the relief of gout attacks or other types of pain, Arcoxia is usually only needed for a few days. If you are not sure how long to take Arcoxia, talk to your doctor.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking your tablet s as you would normally. If you are not sure whether to skip the dose, talk to your doctor or pharmacist.
Do not take a double dose to make up for the dose that you missed. If you have trouble remembering to take your tablets, ask your pharmacist for some hints. If you take too much Arcoxia overdose immediately telephone your doctor or Poison Control Center or go to the emergency department at your nearest hospital, if you think that you or anyone else may have taken too much Arcoxia.
Do this even if there are no signs of discomfort or poisoning. While you are using Arcoxia Note: If you become pregnant while taking Arcoxia, tell your doctor immediately.
If you get an infection while taking Arcoxia, tell your doctor. Arcoxia may hide fever and may make you think, mistakenly, that you are better or that your infection is less serious than it might be. If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking Arcoxia. Do not give Arcoxia to anyone else, even if they have the same condition as you. Some self help measures suggested below may help your condition.
Talk to your doctor or pharmacist about these measures and for more information. Exercise - regular exercise can help reduce pain and disability from osteoarthritis by increasing muscle strength and reducing the load on joints, but it is important not to overdo it.
Walking is good exercise, however, before starting any exercise, ask your doctor about the best kind of programme for you. Weight - your doctor may suggest losing some weight to help reduce the strain on your joints. Some people may need a dietician's help to lose weight.
Hot and cold treatments. Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Arcoxia. Arcoxia helps most people with osteoarthritis, rheumatoid arthritis, menstrual pain, gout or other types of pain, but it may have unwanted adverse effects in a few people. All medicines can have adverse effects. Sometimes they are serious, most of the time they are not.
You may need medical treatment if you get some of the adverse effects. Gout The recommended dose is mg once a day which should only be used for the acute painful period, limited to a maximum of 8 days treatment.
Postoperative dental surgery pain The recommended dose is 90 mg once daily, limited to a maximum of 3 days treatment. Etoricoxib may slightly increase your risk of heart attack and stroke and this is why it should not be used in those who have already had heart problems or stroke. If you think any of these are relevant to you, do not take the tablets until you have consulted your doctor. ARCOXIA can increase blood pressure in some people, especially in high doses, and your doctor will want to check your blood pressure from time to time.
These can increase your risk of heart disease. If you are not sure if any of the above apply to you, talk to your doctor before taking ARCOXIA to see if this medicine is suitable for you.
If you are over 65 years of age, your doctor will want to appropriately keep a check on you. No dosage adjustment is necessary for patients over 65 years of age. If you have trouble remembering to take your tablets, ask your pharmacist for some hints. Do this even if there are no signs of discomfort or poisoning. ARCOXIA may hide fever and may make you think, mistakenly, that you are better or that that your infection is less serious than it might be.
If you notice any of the following, tell your doctor immediately: If any of the following symptoms: Adverse experiences may occur at a higher incidence in older patients compared to younger patients. If you are elderly i. No dosage adjustment is necessary for older patients.
If you have kidney, liver or heart disease, your doctor will want to keep a regular check on you. Your doctor will want to discuss your treatment from time to time. This is because the risk of heart attacks and strokes might increase after prolonged treatment, especially with high doses. ARCOXIA can increase blood pressure in some people, especially in high doses, and this could increase the risk of heart attacks and strokes.
It is advisable to rehydrate patients prior to starting therapy with etoricoxib. Serious skin reactions, some of them fatal, including exfoliative dermatitis, Stevens-Johnson syndrome, and toxic epidermal necrolysis, have been reported very rarely in association with the use of NSAIDs and some selective COX-2 inhibitors during post-marketing surveillance see section 4. Patients appear to be at highest risk for these reactions early in the course of therapy with the onset of the reaction occurring in the majority of cases within the first month of treatment.
Serious hypersensitivity reactions such as anaphylaxis and angioedema have been reported in patients receiving etoricoxib see section 4. Some selective COX-2 inhibitors have been associated with an increased risk of skin reactions in patients with a history of any drug allergy. Etoricoxib should be discontinued at the first appearance of skin rash, mucosal lesions, or any other sign of hypersensitivity. Etoricoxib may mask fever and other signs of inflammation. Caution should be exercised when co-administering etoricoxib with warfarin or other oral anticoagulants see section 4.
Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.
Therefore, patients receiving oral anticoagulants should be closely monitored for their prothrombin time INR, particularly in the first few days when therapy with etoricoxib is initiated or the dose of etoricoxib is changed see section 4. NSAIDs may reduce the effect of diuretics and other antihypertensive drugs.
In some patients with compromised renal function e. These interactions should be considered in patients taking etoricoxib concomitantly with ACE inhibitors or angiotensin II antagonists.
Therefore, the combination should be administered with caution, especially in the elderly. Patients should be adequately hydrated and consideration should be given to monitoring of renal function after initiation of concomitant therapy, and periodically thereafter.
In a study in healthy subjects, at steady state, etoricoxib mg once daily had no effect on the anti-platelet activity of acetylsalicylic acid 81 mg once daily. Etoricoxib can be used concomitantly with acetylsalicylic acid at doses used for cardiovascular prophylaxis low-dose acetylsalicylic acid. However, concomitant administration of low-dose acetylsalicylic acid with etoricoxib may result in an increased rate of GI ulceration or other complications compared to use of etoricoxib alone.
Concomitant administration of etoricoxib with doses of acetylsalicylic acid above those for cardiovascular prophylaxis or with other NSAIDs is not recommended see sections 5. Although this interaction has not been studied with etoricoxib, coadministration of cyclosporin or tacrolimus with any NSAID may increase the nephrotoxic effect of cyclosporin or tacrolimus. Renal function should be monitored when etoricoxib and either of these drugs is used in combination.
Pharmacokinetic interactions The effect of etoricoxib on the pharmacokinetics of other drugs Lithium: NSAIDs decrease lithium renal excretion and therefore increase lithium plasma levels. If necessary, monitor blood lithium closely and adjust the lithium dosage while the combination is being taken and when the NSAID is withdrawn. Two studies investigated the effects of etoricoxib 60, 90 or mg administered once daily for seven days in patients receiving once-weekly methotrexate doses of 7.
Etoricoxib at 60 and 90 mg had no effect on methotrexate plasma concentrations or renal clearance. Adequate monitoring for methotrexate-related toxicity is recommended when etoricoxib and methotrexate are administered concomitantly. Etoricoxib 60 mg given concomitantly with an oral contraceptive containing 35 micrograms ethinyl estradiol EE and 0.
Consult your doctor if you are unsure or need more advice. An increase in EE tablet can increase the incidence of adverse events associated with oral contraceptives e, arcoxia tablets sale. Etoricoxib is contraindicated in sale see section 4. Therefore, the combination should be administered tablet caution, especially in arcoxia elderly. In rare cases, there might be major side effects and immediate medical attention must be sought. The dose for acute gout should not exceed arcoxia daily, limited to a maximum of 8 days treatment. Etoricoxib is a non-steroidal anti-inflammatory drug reduces inflammation, relieves pain and reduces joint stiffness. Do not sale if you experience dizziness or sleepiness. It does not matter if you take Arcoxia before or after food.
Serious skin reactions, arcoxia tablets sale, some of them fatal, including exfoliative dermatitis, arcoxia tablets sale, Stevens-Johnson syndrome, and sale arcoxia necrolysis, have been reported very rarely in association with the use of NSAIDs and some selective COX-2 inhibitors during post-marketing surveillance see section 4. Caution should be exercised in patients with a history of cardiac failure, left ventricular arcoxia, or hypertension and in patients with pre-existing tablet from any other reason. Arcoxia works equally well in older and younger tablet patients. Some self help measures suggested below may help your condition, arcoxia tablets sale. It is not known if Arcoxia passes into breast milk. Ask a physiotherapist or occupational therapist for advice about joint protection, aids and special equipment. How will Etoricoxib work on my body? If a woman becomes pregnant during treatment, etoricoxib must be discontinued. While knowledge about effects of sale sulfotransferases is presently limited and the clinical consequences for many drugs are still being examined, it may be prudent to exercise care when administering etoricoxib concurrently with other drugs primarily metabolised by human sulfotransferases e.
If you do not understand the instructions on the box, arcoxia tablets sale, ask your doctor or pharmacist for help. An increase in EE exposure can increase the incidence of adverse events associated with oral contraceptives e. If you have moderate arcoxia disease, do not take more than 60 mg every second day or 30mg once a day, arcoxia tablets sale. The recommended dose is: You may need medical treatment if you get some of the side effects. Never take a double dose unless your physician specifically directs you to do so. Patients with rare hereditary tablets of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption arcoxia not tablet this sale. In the absence of an increase in therapeutic benefit, other therapeutic options should be considered. In some patients with compromised renal function e. All medicines can have adverse effects. Other medicines and ARCOXIA Tell your doctor generic alternative for seroquel pharmacist if you are taking, have recently taken or sale take any other medicines, including medicines obtained without a prescription. What is the dosage of Etoricoxib to be consumed? As with other medicines, caution should be exercised in elderly patients.
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