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Information for patients using Celebrex

Celebrex (Celecoxib) is a selective non-steroidal anti-inflammatory medicine. It works by blocking the action of a certain enzyme, cyclooxigenase-2.

INFORMATION FOR PATIENTS

Celebrex is used for:

• reduction of osteoarthritis (i.e. arthritis caused by age-related changes in bones and joints) symptoms;
• reduction of rheumatoid arthritis symptoms for adults;
• pain treatment for adults (especially short term pain emerging after dental or surgical operation);
• treatment of painful menstrual cycles;
• reducing of the polyps quantity in colon or rectum for the patients having a familial adenomatous polyposis, as well as diseases which are characterized with covering of colon and rectum with multiple polyps.

Who Shouldn't Use Celebrex?

Do not take Celebrex if you:

• have ever had an allergic reaction for sulfa-containing medicines;
• have ever had asthma, nettle-rash or any allergic reaction after taking aspirin or any other non-steroidal anti-inflammatory medicines, as well as medicines which selectively block the action of cyclooxigenase-2;

Aspirin-sensitive patients also should not take Celebrex, as it may result in serious narrowing of airways, i.e. bronchospasm, and even death.

• have kidney diseases;
• are pregnant, especially if you are in the last three months of pregnancy.

Before using Celebrex you should tell your doctor about your medical condition, especially:

• if you are planning to become pregnant, are pregnant or are breast-feeding
• if you have or have had stenocardia, heart attack or a blocked artery in your heart
• if you have kidney problems
• if you have liver problems
• if you have cardiac decompensation
• if you have high artery pressure
• if you have fluid retention or edemas
• if you have allergies to aspirin or any other non-steroidal anti-inflammatory medicines
• if you have a history of serious stomach problems
• if you have or have had any other medical problems

Does Celebrex Interact with Other Drugs or Food ?

Tell your doctor about all the medicines you use, including prescripted and non-prescripted medicines, vitamins and herbal supplements. Your doctor may regulate your dose or observe you closely if you use any of the following medications:

• certain blood pressure medicines called ACE inhibitors
• furosemide
• fluconazole or ketoconazole
• phenytoin
• warfarin
• aspirin

Are There Any Other Risks of Taking Celebrex?

Celebrex can cause bleeding stomach ulcers.

The chance of this serious disease increases the longer you use Celebrex.

Stomach bleeding can begin suddenly when you take Celebrex. Stop using the medicine and call your doctor immediately if you

• have a strong stomach pain
• tar black stool
• vomit that has elements of blood or coffee grounds

Allergic Reactions:

Celebrex may cause allergic reactions, including edemas of face, lips, tongue, which may lead to breathing and swallowing problems and asphyxia. Serious skin reactions are also possible.

Liver injuries:

Stop taking Celebrex and call your doctor if you have nausea, vomiting, fatigue, bad appetite, itching, yellow color of skin or eyes, "flu-like" symptoms and dark color of urine.

Kidney problems:

Celebrex may cause kidney problems, including acute kidney failure or worsening of your kidney problems.

Fliud retention:

Celebrex may cause fluid retention or edemas. It's very serious if you have high blood pressure or kidney failure.

Pregnancy:

Do not take Celebrex in the last three months of your pregnancy, since it may be harmful for your baby. Tell your doctor if are pregnant or you are planning to become pregnant.

Breast-feeding:

Tell your doctor if you are breast-feeding.

How Shuold I Take Celebrex ?

• Osteoarthritis: 200 mg once a day or 100 mg twice a day
• Rheumathoid arthritis: 100 - 200 mg twice a day.
• Pain: first 400 mg, and then 200 mg twice a day if necessary.

more info

What about headache ?

Headache is a medical condition of pain in the head. Its name in the medical terminology is cephalalgia. It can be located above the ears or above the eyes, in the upper back or in the neck. It is one the most common local pain complaints.

Headaches have a lot of different reasons. Besides, there are two main types of headaches, according to which a headache can be either primary, or secondary. The latter are caused by some associated disease, such as a tumor in the head, subdural or epidural hematoma, infection (for instance, meningitis or sinusitis), Parkinson's disease etc. In addition, it may be caused by a head injury.

Primary headache is not associated with any other disease. Its most common kinds are migraine, tension and cluster headaches. They may be caused by stress, high tension, dehydration, low blood sugar, eye strain, alcohol poisoning etc. They are frequent for many people.

Headache is often treated symptomatically by using painkillers, such as aspirin, ibuprofen or paracetamol. However, different types of headaches require special treatment, and some of them just require healthier lifestyle. Besides, the most important thing is to relate the occurrence of a headache to some particular trigger, in order to avoid it or to use prophylactic medications.

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