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Xibax contains the active substance etoricoxib. Xibax 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). Xibax 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. Xibax 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 The recommended dose is: 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 a day, increased to a maximum of 90 mg once a day if needed. Ankylosing spondylitis The recommended dose is 60 mg once a day, increased to a maximum of 90 mg once a day if needed. Acute pain conditions Etoricoxib should be used only for the acute painful period. Gout The recommended dose is 120 mg once a day which should only be used for the acute painful period, limited to a maximum of 8 days treatment. Postoperative dental surgery pain The recommended dose is 90 mg once daily, limited to a maximum of 3 days treatment. 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 Xibax 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 Xibax is for oral use. Take the tablets once a day. Xibax can be taken with or without food. Warnings and precautions Talk to your doctor or pharmacist before taking Xibax if: You have a history of stomach bleeding or ulcers. You are dehydrated, for example by a prolonged bout of vomiting or diarrhea. You have swelling due to fluid retention. You have a history of heart failure, or any other form of heart disease. You have a history of high blood pressure. You have any history of liver or kidney disease. You are being treated for an infection. You have diabetes, high cholesterol, or are a smoker. You are a woman trying to become pregnant. You are over 65 years of age. You are under 16 years of age You have inflammatory bowel disease, such as Crohn’s Disease, Ulcerative Colitis, or Colitis You have high blood pressure that has not been controlled by treatment Side Effects If you develop any of these signs you should stop Xibax and talk to your doctor immediately: shortness of breath, chest pains, or ankle swelling appear or if they get worse yellowing of the skin and eyes (jaundice) – these are signs of liver problems severe or continual stomach pain or your stools become black an allergic reaction- which can include skin problems such as ulcers or blistering, or swelling of the face, lips, tongue, or throat which may cause difficulty in breathing The following side effects can occur during treatment with Xibax: Very Common: stomach pain 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 Xibax: 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) medicines used to help control high blood pressure and heart failure called ACE inhibitors and angiotensin receptor blockers, examples include enalapril and ramipril, and losartan and valsartan diuretics (water tablets) digoxin (a medicine for heart failure and irregular heart rhythm) minoxidil (a drug used to treat high blood pressure) salbutamol tablets or oral solution (a medicine for asthma) birth control pills (the combination may increase your risk of side effects) hormone replacement therapy aspirin, the risk of stomach ulcers is greater if you take Xibax with aspirin. Ingredients The active substance is etoricoxib. The other ingredients are: Tablet Core: Microcrystalline Cellulose PH-102,Dibasic calcium phosphate Anhydrous, Croscarmellose Sodium,Magnesium Stearate Tablet Coating: Lactose monohydrate,Hypromellose,Triacetin,Titanium dioxide (E171) The 60 mg and 120 mg tablets also contain FD&C Blue #2/Indigo Carmine Aluminium Lake (E132) iron oxide yellow (E172).
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