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ETOXA contains the active substance etoricoxib. ETOXA is one of a group of medicines called selective COX-2 inhibitors. These belong to a family of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). ETOXA helps to reduce the pain and swelling (inflammation) in the joints and muscles of people 16 years of age and older with osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout. ETOXA is also used for the short term treatment of moderate pain after dental surgery in people 16 years of age and older. How to use Osteoarthritis The recommended dose is 30 mg once a day, increase to a maximum of 60 mg once a day if needed. Rheumatoid arthritis The recommended dose is 60 mg once daily. In some patients with insufficient relief from symptoms, an increased dose of 90 mg once daily may increase efficacy. Once the patient is clinically stabilised, down-titration to a 60 mg once daily dose may be appropriate. In the absence of an increase in therapeutic benefit, other therapeutic options should be considered. Ankylosing spondylitis The recommended dose is 60 mg once daily. In some patients with insufficient relief from symptoms, an increased dose of 90 mg once daily may increase efficacy. Once the patient is clinically stabilised, down-titration to a 60 mg once daily dose may be appropriate. In the absence of an increase in therapeutic benefit, other therapeutic options should be considered. People with liver problems If you have mild liver disease, you should not take more than 60 mg a day. If you have moderate liver disease, you should not take more than 30 mg a day. Use in children and adolescents ETOXA tablets should not be taken by children or adolescents under 16 years of age. Elderly No dose adjustment is necessary for elderly patients. As with other medicines, caution should be exercised in elderly patients. Method of administration ETOXA is for oral use. Take the tablets once a day. ETOXA can be taken with or without food. Warnings and precautions Talk to your doctor or pharmacist before taking ETOXA if: You have a history of stomach bleeding or ulcers. You are dehydrated, for example by a prolonged bout of vomiting or diarrhoea. You have swelling due to fluid retention. You have a history of heart failure, or any other form of heart disease. You have any history of liver or kidney disease. Side Effects If you experience any of the following symptoms you should contact your doctor or go to the hospital straight away: Very common Stomach pain Common Dry socket (inflammation and pain after a tooth extraction) Swelling of the legs and/or feet due to fluid retention (oedema) Dizziness, headache Palpitations (fast or irregular heartbeat), irregular heart rhythm (arrhythmia) Increased blood pressure Wheezing or shortness of breath (bronchospasms) Constipation, wind (excessive gas), gastritis (inflammation of the lining of the stomach), heartburn, diarrhea, indigestion (dyspepsia)/stomach discomfort, nausea, being sick (vomiting), inflammation of the esophagus, mouth ulcers Changes in blood tests related to your liver Bruising Weakness and fatigue, flu-like illness Storage Information Store below 30°C. Drug Interactions In particular, if you are taking any of the following medicines, your doctor may want to monitor you to check that your medicines are working properly, once you start taking ETOXA: Medicines that thin your blood (anticoagulants), such as warfarin Rifampicin (an antibiotic) Methotrexate (a drug used for suppressing the immune system, and often used in rheumatoid arthritis) Ciclosporin or tacrolimus (drugs used for suppressing the immune system) Lithium (a medicine used to treat some types of depression) Digoxin (a medicine for heart failure and irregular heart rhythm) Ingredients The active substance is Etoricoxib The other ingredients are: Calcium hydrogen phosphate anhydrous, Microcrystalline cellulose (Avicel PH 112), Croscarmellose sod, Colloidal silicon dioxide (Aerosil200), Magnesium Stearate, Opadry II green or Opadry II White Specifications ETOXA 60 mg is Pale green biconvex Shaped Film coated tablet embossed with SJ 12E on one side.
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