ETOXIB 90

# Etoricoxib 90 mg ## Short Description Etoricoxib 90 mg is a **prescription non-steroidal anti-inflammatory drug (NSAID)** belonging to the selective COX-2 inhibitor class. It is used to relieve **pain and inflammation** associated with conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and acute gouty arthritis, depending on the approved indications in the country. ## Key Benefits * Helps relieve pain and inflammation * May reduce joint swelling and stiffness * Provides relief in arthritis-related pain * May be prescribed for acute gout attacks * Selectively inhibits COX-2, which is involved in pain and inflammation * Once-daily dosing is commonly used for several approved indications ## Uses / Indications Etoricoxib 90 mg may be prescribed for: * **Rheumatoid arthritis** * **Osteoarthritis** * **Ankylosing spondylitis** * **Acute gouty arthritis** * Other acute or chronic musculoskeletal pain conditions where specifically approved and prescribed The approved uses and recommended doses may vary by country. ## How It Works Etoricoxib is a **selective cyclooxygenase-2 (COX-2) inhibitor**. COX-2 is an enzyme involved in producing prostaglandins, substances that contribute to pain, swelling and inflammation. By selectively inhibiting COX-2, etoricoxib reduces the production of these inflammatory substances, helping relieve pain and inflammation. ## Dosage & Administration * Take Etoricoxib 90 mg exactly as prescribed by your doctor * It is generally taken **once daily** * It may be taken with or without food * Swallow the tablet whole with water * Take it at approximately the same time each day * Use the **lowest effective dose for the shortest appropriate duration** * Do not increase the dose without medical advice * Do not take more than the prescribed amount * If you miss a dose, take it when remembered if appropriate; do not take two doses together * The dose may differ depending on the condition being treated * Etoricoxib 90 mg should not automatically be used for every type of pain ## Side Effects Possible side effects include: * Stomach discomfort * Indigestion * Nausea * Headache * Dizziness * Fatigue * Diarrhea * Swelling of the legs or feet * Increased blood pressure Serious but less common side effects may include: * Stomach or intestinal bleeding * Kidney problems * Liver problems * Serious allergic reactions * Heart attack or stroke * Severe skin reactions Seek urgent medical attention for chest pain, difficulty breathing, sudden weakness, black or bloody stools, severe allergic symptoms or significant swelling. ## Precautions & Warnings * Etoricoxib can **increase blood pressure**; blood pressure should be monitored when appropriate * It may increase the risk of **heart attack and stroke**, particularly with higher doses or prolonged use * Do not use it if you have certain serious heart or blood-vessel conditions unless specifically advised by a specialist * Tell your doctor if you have high blood pressure, heart disease, previous stroke or circulation problems * Inform your doctor about kidney or liver disease * Tell your doctor if you have previously experienced stomach ulcers or gastrointestinal bleeding * Avoid taking other NSAIDs unless specifically instructed * Use caution if you are dehydrated or taking medicines that affect kidney function * Etoricoxib may cause fluid retention and swelling * Stop and seek medical advice if you develop signs of gastrointestinal bleeding * Tell your doctor if you are pregnant, planning pregnancy or breastfeeding * Etoricoxib should generally be avoided during pregnancy unless specifically prescribed by a healthcare professional * Keep out of reach of children ## Drug Interactions Tell your doctor or pharmacist about all prescription medicines, OTC medicines, supplements and herbal products you use. Important interactions include: * **Warfarin and other anticoagulants** — may increase bleeding risk or require closer monitoring * **ACE inhibitors and ARBs** — may reduce blood-pressure control and affect kidney function * **Diuretics** — may increase the risk of kidney problems and fluid retention * **Lithium** — etoricoxib may increase lithium levels * **Methotrexate** — monitoring may be required * **Cyclosporine or tacrolimus** — may increase the risk of kidney problems * **Aspirin and other NSAIDs** — may increase adverse effects and bleeding risk * Certain oral contraceptives or hormone therapies may interact with etoricoxib * **Rifampicin** may reduce etoricoxib concentrations Do not combine etoricoxib with another NSAID unless your doctor specifically recommends it. ## Storage Information * Store Etoricoxib according to the manufacturer's instructions * Keep tablets in their original packaging * Protect from excessive heat, moisture and direct sunlight * Keep the container tightly closed * Keep out of reach and sight of children * Do not use after the expiry date * Follow the storage conditions printed on the product label ## Prescription Status Etoricoxib 90 mg is generally a **prescription-only medicine**. It should be taken under the supervision of a qualified healthcare professional. ## Genuine Medicine Assurance * Purchase Etoricoxib only from a licensed and reputable pharmacy * Use it only with a valid prescription where required * Check the medicine name and **90 mg strength** * Verify the batch number and expiry date * Ensure the packaging and seal are intact * Do not use tablets from damaged, altered or suspicious packaging * Confirm that the strength matches your prescription * Purchase medicines from authorized sources * If you suspect the medicine is counterfeit, consult a pharmacist or the appropriate medicine regulatory authority ## Frequently Asked Questions ### What is Etoricoxib 90 mg used for? Etoricoxib 90 mg is an NSAID used to relieve **pain and inflammation** associated with conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis and certain acute gout attacks. ### Is Etoricoxib a painkiller? Yes. Etoricoxib is an anti-inflammatory pain medicine belonging to the **selective COX-2 inhibitor** class of NSAIDs. ### Is Etoricoxib 90 mg used for arthritis? Yes. Etoricoxib may be prescribed for several forms of arthritis, including osteoarthritis and rheumatoid arthritis. ### Can Etoricoxib be used for gout? Yes. Etoricoxib may be prescribed for **acute gouty arthritis**. The appropriate dose and treatment duration should be determined by a doctor. ### How does Etoricoxib work? Etoricoxib selectively blocks the COX-2 enzyme, reducing the production of prostaglandins involved in pain, swelling and inflammation. ### Is Etoricoxib a steroid? No. Etoricoxib is an **NSAID**, not a corticosteroid. ### Is Etoricoxib 90 mg a strong dose? 90 mg is a relatively high tablet strength and is used for certain approved conditions. The appropriate dose depends on the specific condition and should be determined by a doctor. ### Can Etoricoxib be taken every day? It can be prescribed once daily for certain conditions, but the duration of treatment should be determined by a healthcare professional. The lowest effective dose for the shortest appropriate period is generally preferred. ### Can Etoricoxib be taken with food? Yes. Etoricoxib can generally be taken with or without food. ### Does Etoricoxib cause acidity? Indigestion and stomach discomfort can occur. Although selective COX-2 inhibitors may have a lower risk of some gastrointestinal effects than non-selective NSAIDs, serious gastrointestinal complications can still occur. ### Can Etoricoxib increase blood pressure? Yes. Etoricoxib can increase blood pressure or worsen existing hypertension in some people. Blood pressure monitoring may be necessary. ### Can Etoricoxib affect the kidneys? Yes. NSAIDs can affect kidney function, particularly in people with kidney disease, dehydration, heart failure or those taking certain medicines. ### Can Etoricoxib cause heart problems? Etoricoxib can increase the risk of cardiovascular events such as **heart attack and stroke**, particularly at higher doses and with prolonged use. People with cardiovascular disease require careful medical assessment. ### Can I take Etoricoxib with Ibuprofen? Do not combine etoricoxib with ibuprofen or another NSAID unless specifically instructed by your doctor. Combining NSAIDs can increase the risk of adverse effects. ### Can Etoricoxib be taken with Paracetamol? In some circumstances, a doctor may recommend paracetamol with etoricoxib, but you should confirm the combination and appropriate doses with a healthcare professional. ### Can Etoricoxib be taken with alcohol? Alcohol may increase the risk of certain side effects, particularly gastrointestinal problems and dizziness. It is advisable to discuss alcohol consumption with your healthcare professional. ### Can Etoricoxib be used during pregnancy? Etoricoxib should generally be avoided during pregnancy unless specifically recommended by a healthcare professional. Tell your doctor if you are pregnant or planning pregnancy. ### Can Etoricoxib be used while breastfeeding? Consult your doctor before using etoricoxib while breastfeeding. Your healthcare professional can determine whether an alternative medicine would be more appropriate. ### What happens if I miss a dose of Etoricoxib? Take the missed dose when you remember if appropriate, but do not take two doses together. If it is nearly time for the next dose, follow your regular schedule. ### Can Etoricoxib cure arthritis? No. Etoricoxib helps **control pain and inflammation** but does not cure the underlying cause of most forms of arthritis. ### How long does Etoricoxib take to work? Pain relief can begin relatively quickly after a dose, but the response varies depending on the condition and individual patient. ### Can Etoricoxib be used for back pain? It may be prescribed for certain inflammatory musculoskeletal conditions, but it is not appropriate for every type of back pain. A healthcare professional should determine the cause of the pain and suitable treatment. ### Who should avoid Etoricoxib? People with certain cardiovascular diseases, uncontrolled high blood pressure, serious kidney or liver disease, active stomach ulcers or gastrointestinal bleeding may not be suitable candidates. A doctor should assess individual risks before prescribing it. ## Medical Disclaimer This information is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Etoricoxib 90 mg is a prescription NSAID and should be used only under the supervision of a qualified healthcare professional. The appropriate dose and treatment duration depend on the condition, cardiovascular risk, kidney and liver function, other medicines and individual patient factors. Do not start, stop or change the dose without medical advice. Seek urgent medical attention for chest pain, difficulty breathing, sudden weakness, severe allergic reactions, black or bloody stools, or other signs of serious adverse effects.