Celebrex instructions

• Celebrex uses
• Celebrex dosage
• Celebrex side effects
• Warnings & precautions
• Drug interactions
• Missed dose

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Brand Name: Celebrex

Generic Name: Celecoxib

The following product information is not intended to replace the physician's or manufacturer's instructions.

Celebrex Common Medical Uses:
Celebrex is a nonsteroidal anti-inflammatory drug (NSAID) known as a COX-2 inhibitor. This medication is used to relieve the symptoms of osteoarthritis and rheumatoid arthritis in adults. Celebrex is also used to treat acute pain, and to treat pain associated with menstruation. It may also be used to treat other conditions as determined by your doctor.

Before Using Celebrex:
Some medicines or medical conditions may interact with celebrex. 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.

Celebrex Directions:
Celebrex comes as a capsule to take by mouth. The usual dose of Celebrex for osteoarthritis is 200 mg daily or 100 mg twice daily. 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. This medication may be taken with or without food. If Celebrex causes an upset stomach, take it with food. Take Celebrex exactly as directed. Do not take any more doses of this medication unless your doctor tells you to do so. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Celebrex Possible Side Effects:
Possible side effects that may occur while taking Celebrex include:

• diarrhea
• indigestion
• mild stomach pain
• gas
• nausea
• dizziness
• headache
• insomnia

If any of these side effects worsen or persist, notify your doctor.
Check with your doctor as soon as possible if you experience any of the following serious symptoms:

• skin rash or itching
• bloating or swelling of ankles, feet, or hands
• blood in stool
• vomiting material that looks like coffee grounds
• unexplained weight gain
• unusual fatigue or lethargy
• yellowing of skin or eyes

Stop taking Celebrex and contact your doctor immediately if you experience swelling of face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; hoarseness. If you notice other side effects not listed here, contact your doctor.

Celebrex Precautions:
Do not take Celebrex if you have had a severe allergic reaction to celecoxib, aspirin or other nonsteroidal anti-inflammatory drugs (e.g. Feldene, Motrin, Naprosyn, Clinoril), sulfonamide antibiotic (e.g. Septra DS, Bactrim DS, Gantrisin), or any other drugs. A severe reaction includes a breathing difficulties, severe rash, hives, dizziness. If you have a question about whether you are allergic to this medication, contact your doctor or pharmacist. Before taking Celebrex, tell your doctor if you: drink alcohol; smoke; have any stomach problems including ulcers or bleeding; have liver, heart, or kidney disease; have asthma; have blood disorders (anemia); have high blood pressure; have fluid retention; are taking a steroid medicine such as prednisone (Deltasone and others), methylprednisolone (Medrol and others), prednisolone (Prelone, Pediapred, and others), and others. Celebrex may cause stomach bleeding. Daily use of alcohol, especially when combined with this drug, may increase your risk for stomach bleeding. If you are pregnant or breast-feeding, discuss with your doctor the benefits and risks of using Celebrex during pregnancy and breast-feeding. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist.

Drug Interactions:
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Tell your doctor of all nonprescription and prescription medication you may use. Before taking Celebrex, tell your doctor if you are taking any of the following drugs:

• aspirin or other salicylate such as salsalate (Disalcid), magnesium salicylate (Doan's, Bayer Select Backache Formula), choline salicylate-magnesium salicylate (Trilisate, Tricosal)
• over-the-counter cough, cold, allergy, or pain medicine that contains aspirin, ibuprofen, naproxen, or ketoprofen
• diuretic (water pill) (furosemide (Lasix), hydrochlorothiazide (HydroDiuril), chlorothiazide (Diuril), chlorthalidone (Hygroton, Thalitone), and others
• angiotensin-converting-enzyme inhibitor (ACE inhibitor) (e.g. benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc)
• steroid medicine (e.g. prednisone (Deltasone), methylprednisolone (Medrol), prednisolone (Prelone, Pediapred), and others)
• anticoagulant (blood thinner) (e.g. warfarin (Coumadin))
• lithium (Eskalith, Lithobid, others)
• fluconazole (Diflucan)

Do not start or stop any medicine without doctor or pharmacist approval.

Missed Dose:
If you miss a dose of Celebrex, 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.

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

Notes:
Do not share Celebrex with others for whom it was not prescribed, since they may have a problem that is not effectively treated by this drug. Do not use this medicine for other health conditions.

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