Common uses
Celebrex is a nonsteroidal anti-inflammatory medicine(NSAID) used to treat pain, including pain and inflammation
associated with certain types of arthritis (such as osteoarthritis, rheumatoid arthritis, or ankylosing
spondylitis) or menstrual periods in women. It may be used along with other treatments to decrease certain types of
growth in the bowel (polyps) or to treat other conditions as determined by your doctor.
Before using
WARNING: THE RISK OF SERIOUS AND SOMETIMES FATAL HEART PROBLEMS, HEART ATTACK, AND STROKE may be increased with the
use of Celebrex. This risk may be increased the longer you use Celebrex. Risk may also be higher in patients who
have heart problems or who are at risk for heart problems. Celebrex SHOULD NOT BE USED to treat pain before or
after coronary artery "heart bypass" (CABG) surgery. THE RISK OF SERIOUS AND SOMETIMES FATAL STOMACH AND BOWEL
PROBLEMS, including bleeding, ulcers, and holes in the stomach and bowel, is increased while using Celebrex. These
problems may occur at any time during therapy, with or without symptoms. Elderly patients are at higher risk for
serious stomach problems. Ask your doctor or pharmacist for more information about Celebrex 200mg and its side
effects. 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. DO NOT TAKE CELEBREX 200mg if you are also taking
other NSAIDs (such as ibuprofen or rofecoxib). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you
are taking aspirin, fluconazole, lithium, methotrexate, "water pills" (diuretics such as furosemide,
hydrochlorothiazide, triamterene), ACE inhibitors (such as captopril and lisinopril), angiotensin II receptor
blockers (ARBs)(such as valsartan), corticosteroids (such as prednisone), or blood thinners (such as warfarin).
Inform your doctor of any other medical conditions including serious infections, dehydration, poorly controlled
diabetes, heart problems (such as heart failure or history of heart attack), swelling of the hands, feet, or ankles
(edema), high blood pressure, history of stroke, blood clotting problems, stomach or bowel problems (such as
bleeding or ulcers), history of tobacco use or alcohol use, kidney problems, liver problems, blood or bleeding
problems (such as anemia), asthma, growths in the nose (nasal polyps), any allergies (especially to aspirin/NSAIDs
such as ibuprofen, COX-2 inhibitors such as rofecoxib, or to sulfa medicines), pregnancy, or breast-feeding. USE OF
Celebrex IS NOT RECOMMENDED if you have history of severe kidney disease or if you are going to have or have
recently had coronary artery heart bypass (CABG) surgery. Contact your doctor or pharmacist if you have any
questions or concerns about taking Celebrex.
Directions
Follow the directions for using Celebrex provided by your doctor. Ask your doctor, nurse, or pharmacist any
questions you may have about Celebrex. Take this medication by mouth with a full glass of water (8oz/240ml).
Celebrex MAY BE TAKEN WITH FOOD if it upsets your stomach. Taking it with food may not decrease the risk of stomach
or bowel problems (such as bleeding or ulcers) that may occur while taking Celebrex. Talk with your doctor or
pharmacist if you experience persistent stomach upset. STORE Celebrex at room temperature at 77 degrees F (25
degrees C) away from light and moisture. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is
permitted. Do not store in the bathroom. 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.
Cautions
Celebrex INCREASES YOUR RISK OF SERIOUS STOMACH OR BOWEL PROBLEMS (such as ulcers and bleeding). This risk is
increased if you are elderly or are in poor health, if you have a history of smoking or drinking alcohol, if you
take corticosteroid medicines (such as prednisone) or "blood thinners" (such as warfarin), or if you take Celebrex
200mg for a long period of time. Celebrex MAY ALSO INCREASE YOUR RISK for certain serious heart and blood vessel
problems (such as heart attack and stroke). TAKE Celebrex EXACTLY AS PRESCRIBED BY YOUR DOCTOR, at the lowest
possible dose for the shortest time needed. Talk with your doctor or pharmacist for further information. DO NOT
TAKE Celebrex IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to aspirin or any medicine containing aspirin or to a
nonsteroidal anti-inflammatory drug (such as piroxicam, ibuprofen, naproxen, sulindac). IF YOU HAVE HAD A SEVERE
ALLERGIC REACTION to Celebrex or any other sulfonamide medicine (such as Septra DS, Bactrim DS, Gantrisin,
glyburide, or probenecid), contact your doctor or pharmacist before taking Celebrex. A severe reaction includes a
severe rash, hives, breathing difficulties, or dizziness. If you have a question about whether you are allergic to
Celebrex, 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 of
Celebrex unless your doctor tells you to do so. DO NOT EXCEED THE RECOMMENDED DOSE or take Celebrex for longer than
prescribed without checking with your doctor. Laboratory and/or medical tests, including blood counts, blood
clotting, and liver and kidney function tests, may be performed to monitor your progress or to check for side
effects, especially if you are taking Celebrex for a long period of time. KEEP ALL DOCTOR AND LABORATORY
APPOINTMENTS while you are taking Celebrex. CELEBREX 200mg MAY CAUSE stomach bleeding. If you drink alcohol on a
daily basis, do not take Celebrex without first discussing it with your doctor. BEFORE YOU BEGIN TAKING ANY NEW
MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any
medicines that may contain aspirin, ibuprofen, naproxen, or ketoprofen. Aspirin as prescribed by your doctor for
reasons such as heart attack or stroke prevention (usually 81-325 mg per day) should be discussed with your doctor
before combining with Celebrex. CAUTION IS ADVISED WHEN USING Celebrex IN THE ELDERLY because they may be more
sensitive to the effects of Celebrex, especially the risk of stomach or bowel effects (such as bleeding or ulcers),
or kidney effects. CAUTION IS ADVISED WHEN USING Celebrex IN CHILDREN who have juvenile rheumatoid arthritis; they
may be more sensitive to its effects, especially blood clotting problems. FOR WOMEN: Celebrex should be used only
when clearly needed during the first 6 months of pregnancy. IT SHOULD NOT BE USED during the last 3 months of
pregnancy. Discuss the risks and benefits with your doctor. Celebrex MAY BE EXCRETED in breast milk. DO NOT
BREAST-FEED while taking Celebrex.
Possible side effects SIDE EFFECTS that may occur while
taking Celebrex include constipation, diarrhea, gas, heartburn, nausea, vomiting, or dizziness. If they continue or
are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience tightness of chest. Do
not take any more doses of Celebrex unless your doctor tells you to do so. CONTACT YOUR DOCTOR IMMEDIATELY if you
experience sharp or crushing chest pain; sudden shortness of breath; sudden leg pain; sudden severe headache,
vomiting, dizziness, or fainting; changes in vision; numbness of an arm or leg; slurred speech; one-sided weakness;
sudden unexplained weight gain; change in amount of urine produced; severe or persistent stomach pain; vomit that
looks like coffee grounds; black tarry stools; itching, reddened, swollen, blistered, painful, or peeling skin;
yellowing of the skin or eyes; dark urine; right-sided tenderness; severe or persistent tiredness; fever, chills,
or sore throat; severe or persistent nausea; swelling of hands, ankles, feet, face, lips, eyes, throat, or tongue;
difficulty swallowing or breathing; or hoarseness. AN ALLERGIC REACTION TO Celebrex is unlikely, but seek immediate
medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness,
or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This
is not a complete list of all side effects that may occur. If you have questions about side effects, contact your
healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at
1-800-FDA-1088.
Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug
interaction checker to find out if your medicines interact with each other.
If you take too much 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, change in the amount of urine, slow or shallow breathing, severe headache or loss
of consciousness.
Additional information
DO NOT SHARE Celebrex with others for whom it was not prescribed. DO NOT USE Celebrex for other health conditions.
KEEP THIS PRODUCT out of the reach of children and pets. IF USING Celebrex FOR AN EXTENDED PERIOD OF TIME, obtain
refills before your supply runs out.
