Celect 200 mg 20 capsules

Celect 200 mg 20 Capsules:

Celecoxib capsules 200 mg.

What is celecoxib and what are its uses:

• Celecoxib is used in adults to relieve signs and symptoms of rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis.
• Celecoxib belongs to a group of medicines called nonsteroidal anti-inflammatory drugs (NSAIDs).
• You should expect your medication to start working within hours of taking the first dose, but you may not feel the full effect for several days.

Do not use celecoxib if:

• You are allergic to celecoxib or any of the other ingredients of this medication.
•  You have had an allergic reaction to a group of medicines called 'sulfonamides' (eg, some antibiotics used to treat infections).
•  You currently have an ulcer in your stomach or intestines or bleeding in your stomach or intestines
•  As a result of taking acetylsalicylic acid or any other nonsteroidal anti-inflammatory and pain reliever (NSAID) medicine you have had asthma, nasal polyps, severe nasal congestion, or an allergic reaction such as a skin rash, itching and swelling of the face. Lips, tongue or throat, breathing difficulties or wheezing.
•  You have severe liver disease.
•  You have severe kidney disease.
•  You have an inflammatory bowel disease such as ulcerative colitis or Crohn's disease.
•  You have heart failure, confirmed ischemic heart disease, or cerebrovascular disease, for example. You have been diagnosed with a heart attack, stroke, transient ischemic attack (temporary reduction in blood flow to the brain; also known as a "mini-stroke"), angina, or blockage of a blood vessel of the heart or brain.
•  You have or have had blood circulation problems (peripheral arterial disease) or if you have had surgery on the arteries in your legs.

Warnings and precautions:

Talk to your doctor or pharmacist before taking celecoxib:

• If you have ever had an ulcer or bleeding in your stomach or intestines.
• If you use Celebrex at the same time as other non-acetylsalicylic NSAIDs such as ibuprofen or diclofenac. You should avoid using these medicines together.
• If you are a smoker or have diabetes, high blood pressure, or high cholesterol.
• If your heart, liver or kidneys are not working well, your doctor may want to monitor your condition regularly.
• If you suffer from fluid retention (eg swollen ankles and feet).
• If you are dehydrated, for example due to illness, diarrhea or using diuretics (used to treat excess fluid in the body).
• If you are feeling sick with an infection or think you may have an infection, if you are over 65, your doctor will want to monitor you regularly.
• Taking alcohol and NSAIDs may increase the risk of gastrointestinal problems

Other medicines and celecoxib:

Celecoxib may interact with:

• Dextromethorphan (used to treat cough)
• Steroids (cortisone)
• Angiotensin-converting enzyme inhibitors, angiotensin II antagonists, beta blockers, and diuretics (used for high blood pressure and heart failure)
• Fluconazole and rifampicin (used to treat fungal and bacterial infections)
• Warfarin or other warfarin like medicines ('blood thinning' agents that reduce blood clotting) including newer medicines such as apixaban
• Lithium (used to treat some types of depression).
• Other medicines to treat depression, sleep disorders, high blood pressure, or irregular heartbeat
• Antipsychotics (used to treat some mental disorders)
• Methotrexate (used to treat rheumatoid arthritis, psoriasis, and leukemia)
• Carbamazepine (used to treat epilepsy/seizures and some forms of pain or depression)
• Barbiturates (used to treat epilepsy/seizures and some sleep disorders)
• Cyclosporine and tacrolimus (used to suppress the immune system eg after a transplant)
• Celecoxib can be taken with a low dose of acetylsalicylic acid (75 mg or less per day). Ask your doctor for advice before taking both medicines together.