Etoricoxib 60 mg (Tablet)

Unit Price: ৳ 7.00 (4 x 10: ৳ 280.00)
Strip Price: ৳ 70.00

Medicine Details

Indications

  • Osteoarthritis
  • Rheumatoid arthritis
  • Ankylosing spondylitis
  • Acute gouty arthritis
  • Dental surgery pain

Pharmacology

  • COX-2 specific inhibitor
  • Cyclooxygenase-1 (COX-1) responsible for prostaglandin-mediated functions
  • COX-2 responsible for pain, inflammation, fever
  • Inhibition of COX-1 by nonselective NSAIDs associated with gastric damage
  • Dose-dependent inhibition of COX-2 by Etoricoxib
  • No inhibition of gastric prostaglandin synthesis

Dosage & Administration

  • Recommended dosages for different conditions
  • Adjustment of dose for insufficient relief
  • Limitation on postoperative dental surgery pain dose and duration
  • Cardiovascular risks consideration

Interaction

  • Interaction with oral anticoagulants
  • Effect on diuretics, ACE inhibitors, and angiotensin II antagonists
  • Concomitant use with acetylsalicylic acid
  • Potential interactions with ciclosporin, tacrolimus, and lithium

Contraindications

  • Hypersensitivity to active substance or excipients
  • Active peptic ulceration or gastrointestinal bleeding
  • Allergic-type reactions after taking acetylsalicylic acid or NSAIDs
  • Pregnancy, lactation, severe hepatic dysfunction, estimated renal creatinine clearance <30 ml/min
  • Inflammatory bowel disease, congestive heart failure, uncontrolled hypertension
  • Established ischaemic heart disease, peripheral arterial disease, cerebrovascular disease

Side Effects

  • Palpitation, fatigue, influenza-like symptoms, ecchymosis
  • Dry mouth, taste disturbance, mouth ulcer, 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
  • Excretion in the milk of lactating rats
  • Prohibition of breastfeeding while using Etoricoxib

Precautions & Warnings

  • Caution in patients most at risk of gastrointestinal complication with NSAIDs
  • Consideration for patients with significant risk factors for cardiovascular events
  • Potential effect on renal function and need for monitoring
  • Caution in patients with history of cardiac failure, left ventricular dysfunction, hypertension
  • Monitoring needed for liver function and discontinuation in case of hepatic insufficiency
  • Discontinuation at the first sign of hypersensitivity
  • Masking of fever and inflammation, caution with co-administration of warfarin

Overdose Effects

  • Absence of significant toxicity with single and multiple doses
  • Employment of usual supportive measures in case of overdose

Therapeutic Class

  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

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

Chemical Structure

  • Molecular Formula: C18H15ClN2O2S
  • Chemical Structure: Image of chemical structure

Common Questions

  • Duration of effect
  • Onset of action
  • Pregnancy warnings
  • Habit forming tendencies
  • Breast-feeding warnings
  • Safety with alcohol
  • Safety to drive while on medication
  • Effect on kidney function
  • Effect on liver function
  • Quick tips for usage

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