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Celebrex®

(CELECOXIB)

Before using
Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking. Additional monitoring of your dose or condition may be needed if you are taking an ACE inhibitor, an anticoagulant, furosemide, lithium, or fluconazole. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
The usual dose of Celebrex for osteoarthritis is 200 mg daily or 100 mg twice daily. While patients with rheumatoid arthritis should start with these dosages, some patients with rheumatoid arthritis may benefit from dosage of 200 mg twice daily. The maximum daily dose should not exceed 200 mg twice daily. Ask your doctor, nurse, or pharmacist any questions you may have about this medicine. This medicine may be taken on an empty stomach or with food.

Storage
STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a tightly-closed container, away from heat and light.

Miss a dose
If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.

Precautions
Do not take this medicine if you have had severe allergic reaction to aspirin or any medicine containing aspirin or to a nonsteroidal anti-inflammatory drug (such as Feldene, Motrin, Naprosyn, Clinoril). Do not take this medicine if you have had a severe allergic reaction to a sulfonamide antibiotic (Septra DS, Bactrim DS, Gantrisin). A severe reaction includes a severe rash, hives, breathing difficulties, or dizziness. If you have a question about whether you are allergic to this medicine, contact your doctor or pharmacist. If you experience difficulty breathing; tightness of chest; swelling of eyelids, face, or lips; or if you develop a rash or hives, tell your doctor immediately. Do not take any more doses of this medicine unless your doctor tells you to do so. DO NOT exceed the recommended dose or take this medicine for longer than prescribed without checking with your doctor. Keep ALL doctor and laboratory appointments while you are using this medicine. This medicine may cause stomach bleeding. If you drink alcohol on a daily basis, do not take this medicine without first discussing it with your doctor. Alcohol use combined with this medicine may increase your risk for stomach bleeding. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines that contain aspirin, ibuprofen, naproxen, or ketoprofen. For women: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Celebrex medicine during pregnancy. It is unknown if this medicine is excreted in breast milk. DO NOT breast-feed while taking this medicine.

Side effects
Side effects that may occur while taking Celebrex medicine include diarrhea, indigestion, mild stomach pain, gas, nausea, or headache. If they continue or are bothersome, check with your doctor. Check with with your doctor as soon as possible if you experience skin rash or itching; unexplained weight gain; bloating or swelling of ankles, feet, or hands; vomiting material that looks like coffee grounds; blood in stool or vomit; yellowing of skin or eyes; or unusual fatigue. Contact your doctor immediately if you experience swelling of face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Notes
DO NOT share this medicine with others for whom it was not prescribed. DO NOT use this medicine for other health conditions. Keep this product out of the reach of children. If using this medicine for an extended period of time, obtain refills before your supply runs out.


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Celebrex Prescription

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Celebrex Description
CELECOXIB - ORAL (sell-eh-COX-ib)

Common Celebrex Brand Name(s)
Celebrex

Celebrex Side Effects
Stomach upset, diarrhea, gas or nausea may occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly black or bloody stools or persistent stomach pain. Very unlikely but report promptly unusual fatigue, yellowing eyes or skin, severe headache, unexplained weight gain or change in amount of urine. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include rash, itching, swelling, dizziness or trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

How To Use Celebrex
CELEBREX: Take by mouth, generally once or twice daily, as directed by your doctor. To decrease the chance of stomach upset, CELEBREX is best taken with food. Dosage is based on your medical condition and response to therapy. Take CELEBREX with 6 to 8 ounces (180-240ml) of water. Do not lie down for at least 30 minutes after taking CELEBREX.

Celebrex Uses
CELEBREX is a nonsteroidal anti-inflammatory drug (NSAID) which relieves pain and inflammation (swelling). It is used to treat pain, swelling and stiffness due to arthritis.

Celebrex Precautions
Tell your doctor your medical history, including any allergies, especially allergies to drugs such as sulfas or aspirin-type drugs (NSAIDs); kidney, liver or heart disease; alcohol use, high blood pressure, swelling (edema), blood disorders (anemia), serious infections, stomach problems (bleeding or ulcers), asthma, or growths in the nose (nasal polyps). This medicine may cause stomach bleeding. Daily use of alcohol, especially when combined with this medicine, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. CELEBREX should be used only when clearly needed during the first 3 months of pregnancy. It is not recommended for use during the last 6 months of pregnancy. Discuss the risks and benefits with your doctor. It is not known whether CELEBREX is excreted into breast milk. Due to the potential risk to the infant, breast-feeding while using CELEBREX is not recommended. Consult your doctor before breast-feeding. Caution is advised when CELEBREX is used in the elderly, as they may be more sensitive to the side effects of CELEBREX.

Celebrex Drug Interactions
Tell your doctor of all nonprescription and prescription medication you may use, especially fluconazole, lithium, "water pills" (diuretics, e.g., furosemide, hydrochlorothiazide), drugs for high blood pressure, "ACE inhibitors" (e.g., captopril, lisinopril), "corticosteroids" (e.g., prednisone-like drugs), "blood thinners" (e.g., warfarin) or NSAIDs (e.g., ibuprofen, naproxen). Check all nonprescription medicine labels carefully, since many contain pain relievers/fever reducers (NSAIDs/aspirin) which are similar to CELEBREX. Aspirin as prescribed by your doctor for reasons such as heart attack or stroke prevention (i.e., non-arthritis doses) should be continued. Consult your pharmacist. Do not start or stop any medicine without doctor or pharmacist approval.

Celebrex Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness.

Celebrex Notes
Do not share CELEBREX with others. Laboratory and/or medical tests may be performed to monitor your progress.

Missed Celebrex Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

Celebrex Storage
Store at room temperature between 59 and 86 degrees F (15 - 30 degrees C) away from light and moisture.


 

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