E-coxib 120 mg (Tablet)

Unit Price: ৳ 15.00 (3 x 10: ৳ 450.00)
Strip Price: ৳ 150.00

Medicine Details

Indications

  • Symptomatic relief of osteoarthritis (OA)
  • Symptomatic relief of rheumatoid arthritis (RA)
  • Symptomatic relief of ankylosing spondylitis
  • Symptomatic relief of acute gouty arthritis
  • Short-term treatment of moderate pain associated with dental surgery

Pharmacology

  • Potent, orally active cyclooxygenase-2 (COX-2) specific inhibitor
  • Decreases clinical signs and symptoms with decreased potential for gastrointestinal (GI) toxicity
  • Primarily responsible for the synthesis of prostanoid mediators of pain, inflammation, and fever

Dosage & Administration

  • 30 mg once daily for osteoarthritis
  • 60 mg once daily for osteoarthritis if insufficient relief
  • 90 mg once daily for rheumatoid arthritis and ankylosing spondylitis
  • 120 mg once daily for acute gouty arthritis for 8 days
  • 90 mg once daily for postoperative dental surgery pain, limited to a maximum of 3 days

Interaction

  • Increase in prothrombin time with oral anticoagulants
  • Reduction in the effect of diuretics and other antihypertensive drugs with NSAIDs
  • Concomitant use with low-dose acetylsalicylic acid for cardiovascular prophylaxis
  • Potential increase in nephrotoxic effect of ciclosporin or tacrolimus
  • Decrease in lithium renal excretion and increase in lithium plasma levels with NSAIDs

Contraindications

  • Hypersensitivity to the active substance or excipients
  • Active peptic ulceration or active gastrointestinal (GI) bleeding
  • Adverse reactions after taking acetylsalicylic acid or NSAIDs
  • 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, hypertension, established ischaemic heart disease, peripheral arterial disease, and/or cerebrovascular disease

Side Effects

  • Palpitation
  • Fatigue
  • Influenza-like symptoms
  • Ecchymosis
  • Dry mouth
  • Taste disturbance
  • Mouth ulcer
  • 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 in women attempting to conceive
  • Excreted in the milk of lactating rats

Precautions & Warnings

  • Caution with patients at risk of developing a gastrointestinal complication with NSAIDs
  • Caution with patients at significant risk factors for cardiovascular events
  • Monitoring of renal function in patients with decreased renal blood flow
  • Caution with patients with a history of cardiac failure, left ventricular dysfunction, or hypertension
  • Monitoring of hepatic function and discontinuation upon signs of hepatic insufficiency
  • Discontinuation at the first appearance of hypersensitivity signs
  • Masking of fever and other signs of inflammation
  • Caution when co-administering with warfarin or other oral anticoagulants

Overdose Effects

  • No significant toxicity observed up to 500 mg as single doses and 150 mg/day for 21 days

Therapeutic Class

  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

  • Temperature below 30°C
  • Protected from light and moisture
  • Keep out of reach of children

Chemical Structure

  • Molecular Formula: C18H15ClN2O2S
  • Chemical Structure: Image provided

Common Questions about E-coxib 120 mg Tablet

  • Selective COX-2 inhibitor
  • Indicated for symptomatic relief of osteoarthritis (OA), rheumatoid arthritis (RA), ankylosing spondylitis
  • Duration of effect lasts for an average of 20-24 hours
  • Onset of action can be observed within 1-2 hours
  • Not recommended for pregnant or breastfeeding women
  • No habit-forming tendencies reported
  • Unsafe to consume with alcohol
  • Affects patient alertness and driving ability
  • Caution needed in patients with kidney and liver diseases

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