About Celebrex (generic):

Common Uses: This medicine is a nonsteroidal anti-inflammatory drug (NSAID) known as a COX-2 inhibitor. It is used to relieve pain and swelling (inflammation). It is used to treat arthritis, acute pain, and menstrual pain and discomfort. Celecoxib is also used to decrease growths found in the intestines (colon polyps) in persons with a family history of this condition. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling.

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Additional Information:

Generic Name: E: CELECOXIB (ce-le-KOX-ib)

How to use this Medicine: Follow the directions for using this medicine provided by your doctor. Ask your doctor, nurse, or pharmacist any questions you may have about this medicine. To decrease the chance of stomach upset, take this medicine with food. Take this medication by mouth with a full glass of water (8oz/240ml). Do not lie down for at least 30 minutes after taking this medicine. STORE THIS MEDICINE 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 THIS MEDICINE, 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: DO NOT TAKE THIS MEDICINE 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). DO NOT TAKE THIS MEDICINE IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to a sulfonamide antibiotic (such as sulfamethoxazole or sulfisoxazole). A severe reaction includes a severe rash, hives, breathing difficulties, or dizziness. If you have a question about whether you are allergic to this medicine, contact your doctor or pharmacist. DO NOT EXCEED THE RECOMMENDED DOSE or take this medicine for longer than prescribed without checking with your doctor. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. THIS MEDICINE MAY CAUSE stomach bleeding. If you drink alcohol on a daily basis, do not take this medicine without first discussing it with your doctor. Alcohol use combined with this medicine may increase your risk for stomach bleeding. 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 pain relievers/fever reducers (NSAIDs such as aspirin, ibuprofen, naproxen, or ketoprofen) which are similar to this drug. Aspirin as prescribed by your doctor for reasons such as heart attack or stroke prevention (usually 81-325 mg per day) should be continued. Caution should be used in the elderly since they may be more sensitive to the side effects of this medicine (especially to stomach bleeding and kidney effects). FOR WOMEN: This medicine 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. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

Possible Side Effects: SIDE EFFECTS that may occur while taking this medicine include stomach upset or gas. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience severe headache, unexplained weight gain, swelling of the hands or feet, or change in amount of urine. This medicine may rarely cause serious (possibly fatal) bleeding from the stomach or intestines; therefore, CONTACT YOUR DOCTOR IMMEDIATELY AND STOP TAKING THIS MEDICINE if you experience any of the following: black stools, vomit that looks like coffee grounds, persistent stomach/abdominal pain. This medicine may rarely cause serious (possibly fatal) liver disease; therefore, CONTACT YOUR DOCTOR IMMEDIATELY if you experience any of the following: yellowing eyes or skin, dark urine, persistent stomach/abdominal pain, unusual fatigue. CONTACT YOUR DOCTOR IMMEDIATELY IF YOU EXPERIENCE difficulty breathing; dizziness; 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 doses of this medicine unless your doctor tells you to do so. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Celebrex (generic)

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Dosage and amounts subject to availability:
200 mg 100 capsules

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FDA Warns on Black-Market IUDs : WASHINGTON -- Many intrauterine devices (IUDs) sold over the Internet from foreign pharmacies are not approved in the U.S. and are possibly dangerous, the FDA said. The agency said an investigation disclosed that patients in Rhode Island, Massachusetts, and Kentucky had received unapproved IUDs from healthcare providers who had bought them from foreign pharmacies, presumably to save money. In a "Dear Colleague" letter to providers, the FDA said it had uncovered distribution of "unapproved versions of FDA-approved products such as Mirena, Implanon, Copper-T, and ParaGard; as well as products not approved for use in the U.S., such as T-Safe." These products may not be as effective or safe as FDA-approved IUDs, the agency warned. Women who believe they may have received an unapproved IUD should use another contraceptive method and talk to their healthcare providers, the FDA recommended. The FDA also advised physicians to use extra caution when asked to insert IUDs provided by patients. Healthcare providers should verify that products are authentic FDA-approved devices and were purchased from a licensed U.S.-based supplier. The agency also noted that billing Medicaid or private insurers for unapproved medical products could bring criminal fraud charges. "To reduce the chance of receiving an unapproved or adulterated medical product, your Internet purchases should be made from state-licensed distributors or pharmacies located in the U.S.," the FDA said. It recommended buying only from Internet pharmacies displaying a logo from the National Association of Boards of Pharmacy, known as the VIPPS seal for Verified Internet Pharmacy Practice Sites. "Healthcare providers should be aware that purchasing medical products from websites that are outside of the U.S. may be illegal and may increase the risk of receiving a potentially harmful product, since many websites sell products that are not FDA approved and could be manufactured in other countries." The FDA first became aware of the problem in Rhode Island, but its probe turned up unapproved products in the two other states. The investigation is continuing, the agency said.

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