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Etozox (generic Arcoxia)
 
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Manufacture: CIPLA
Arcoxia is used for the following: acute and chronic treatment of the signs and symptoms of osteoarthritis and rheumatoid arthritis management of ankylosing spondylitis relief of chronic musculoskeletal pain relief.
Generic Name: Etoricoxib
Brand Name: Arcoxia
Common Uses:
  Arcoxia is considered to belong to a ne generation of NSAIDs. They  effectively block the action of cyclo-oxygenase type 2 substances (COX-2). Arcoxia  inhibits the production of inflammatory prostaglandins without affecting the  production of the prostaglandins that protect the intestines and stomach. Arcoxia  is more popular than other types of NSAIDs because unlike traditional NSAIDs,  it succesfuuly reduces inflammation and pain but does not cause harmful side  effects to the intestine and stomach of the person taking the medicine.
How to use: 
  Take Arcoxia only when  prescribed by your doctor. For osteoarthritis, the recommended dose is 60 mg  once a day. For rheumatoid arthritis the recommended dose is 90 mg once a day. For  ankylosing spondylitis the recommended dose is 90 mg once a day. For the relief  of gout attacks the recommended dose is 120 mg once a day, which should only be  used for the acute painful period. For the relief of chronic musculoskeletal  pain the recommended dose is 60 mg once a day. Doses greater than those recommended  for each condition have either not demonstrated additional efficacy or have not  been studied. Therefore, the daily doses stated above for each condition should  not be exceeded. 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  60 mg every other day. Follow all directions given to you by your doctor  carefully. 
Warning  and Precautions:
  Arcoxia can increase blood  pressure in some people, especially in high doses, and this could increase the  risk of heart attacks and strokes. Your doctor will want to check your blood  pressure from time to time, to make sure that it is safe to continue treatment.
Your doctor  may have prescribed Arcoxia for another reason. Ask your doctor if you have any  questions about why Arcoxia has been prescribed for you
Important  safety information: 
  If any of the following  symptoms: shortness of breath, chest pains or ankle swelling appear or worsen,  stop your treatment with Arcoxia and consult a doctor, as soon as is practical.
  If you have kidney, liver  or heart disease, your doctor will want to appropriately keep a check on you.
  If you develop any symptoms  that could indicate a severe allergic reaction such as an inability to breathe or  a serious skin reaction you must consult a doctor on an urgent basis.
  Your doctor will want to  discuss your treatment from time to time. It is important that you use the  lowest dose that controls your pain and you should not take Arcoxia for longer  than necessary. This is because the risk of heart attacks and strokes might  increase after prolonged treatment, especially with high doses.
Side  Effects:
  Arcoxia helps most people with osteoarthritis, rheumatoid arthritis,  menstrual pain, gout or other types of pain, but it may have unwanted adverse  effects in a few people. All medicines can have adverse effects. Sometimes they  are serious, most of the time they are not. You may need medical treatment if  you get some of the adverse effects. Tell your doctor if you notice or have any  of the following and they worry you: feeling sick (nausea), vomiting, heartburn,  indigestion, uncomfortable feeling or pain in the stomach, diarrhoea, swelling  of the legs, ankles or feet, high blood pressure, dizziness, headache.
Overdose:
  Seek emergency medical attention if you think you  have used too much of this medicine. Overdose symptoms may include diarrhea,  stomach pain, easy bruising or bleeding, dark urine, or jaundice (yellowing of  the skin or eyes).
Missed  Dose:
  Take the  missed dose as soon as you remember. If it is almost time for your next dose,  wait until then to take the medicine and skip the missed dose. Do not take  extra medicine to make up the missed dose. 
Do  not use this medicine if:
  you have an allergy to Arcoxia or any of the  ingredients listed at the end of this leaflet
  the packaging is torn or shows signs of  tampering
  the expiry date on the pack has passed.
  If you take this medicine after the expiry date has passed, it may not work.
  You have had heart failure, a heart attack,  bypass surgery, chest pain (angina), narrow or blocked arteries of the  extremities (peripheral arterial disease), a stroke or mini stroke (TIA or  transient ischaemic attack).
  You have high blood pressure that is not well  controlled on blood pressure medication.
  You are having major surgery and have conditions  which increase your risk of coronary artery disease or atherosclerosis such as  high blood pressure, diabetes, high cholesterol or smoking.
  You are having major surgery on you heart or  arteries.
Storage conditions:
All information given above is a summary. You must visit your doctor, pharmacies or health care provider can provide more information about this medicine. Do not share this medicine with others for whom it was not prescribed. Do not use this medicine for other health conditions. Do not store medication with end term of storage.
All information given above is a summary. You must visit your doctor, pharmacies or health care provider can provide more information about this medicine. Do not share this medicine with others for whom it was not prescribed. Do not use this medicine for other health conditions. Do not store medication with end term of storage.

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