Ribox 90 mg (Tablet)

Unit Price: ৳ 12.00 (3 x 10: ৳ 360.00)
Strip Price: ৳ 120.00

Medicine Details

Indications

  • Osteoarthritis (OA)
  • Rheumatoid arthritis (RA)
  • Ankylosing spondylitis
  • Acute gouty arthritis
  • Moderate pain associated with dental surgery

Pharmacology

  • Orally active cyclooxygenase-2 (COX-2) specific inhibitor
  • Inhibition of COX-2 decreases pain, inflammation, and fever
  • Dose-dependent inhibition of COX-2 without inhibition of COX-1 at clinical doses up to 150 mg daily

Dosage & Administration

  • Recommended doses for different conditions
  • Patients may require additional postoperative analgesia
  • Shortest duration and lowest effective daily dose should be used to minimize cardiovascular risks

Interaction with Medicine

  • Effect on oral anticoagulants
  • Potential reduction of effect of diuretics and antihypertensive drugs
  • Concomitant use with acetylsalicylic acid at low doses for cardiovascular prophylaxis

Contraindications

  • Hypersensitivity to the active substance or excipients
  • Active peptic ulceration or active gastrointestinal bleeding
  • Pregnancy and lactation
  • Severe hepatic dysfunction
  • Estimated renal creatinine clearance <30 ml/min
  • Children and adolescents under 16 years of age
  • Inflammatory bowel disease
  • Congestive heart failure
  • Established ischaemic heart disease, peripheral arterial disease, and/or cerebrovascular disease

Side Effects

  • Palpitation
  • Fatigue
  • Influenza-like symptoms
  • Dry mouth
  • Taste disturbance
  • Appetite and weight change
  • Atrial fibrillation
  • Transient ischaemic attack
  • Chest pain
  • Flushing
  • Cough
  • Dyspnoea
  • Epistaxis
  • Anxiety
  • Impaired mental acuity
  • Paraesthesia
  • Electrolyte disturbance
  • Myalgia
  • Arthralgia
  • Confusion
  • Hallucinations

Pregnancy & Lactation

  • Not recommended for women attempting to conceive
  • Excreted in the milk of lactating rats
  • Not recommended for breastfeeding women

Precautions & Warnings

  • Caution advised with NSAID treatment in high-risk patients
  • Considering cardiovascular risk factors before treatment
  • Monitoring renal function in patients at risk
  • Caution in patients with cardiac failure, left ventricular dysfunction, or hypertension
  • Monitoring liver function and discontinuing in case of hepatic insufficiency or abnormal liver function tests
  • Discontinuation at the first appearance of hypersensitivity signs
  • Potential masking of fever and inflammation
  • Exercise caution when co-administering with warfarin or other oral anticoagulants

Overdose Effects

  • No significant toxicity observed at specified doses
  • Usual supportive measures recommended in case of overdose

Therapeutic Class

  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

  • Store below 30°C
  • Protect from light and moisture
  • Keep out of reach of children

Chemical Structure

  • Molecular Formula: C18H15ClN2O2S
  • Chemical Structure visualization

Common Questions about Ribox 90 mg Tablet

  • Information about uses, duration of effect, onset of action, pregnancy warnings, habit-forming tendencies, breast-feeding warnings, safety with alcohol, driving safety, and effects on kidney and liver function

Quick Tips

  • Relief of pain and inflammation
  • Comparative stomach problems with other NSAIDs
  • Potential dizziness, fatigue, and alcohol interaction
  • Blood pressure monitoring and history disclosure
  • Regular liver function testing during long-term treatment
  • Pregnancy and breastfeeding warnings

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