Atocib 90mg DHG medicine treats osteoarthritis, rheumatoid arthritis (3 blisters x 10 tablets)

Dosage form Box of 3 blisters x 10 tablets
Specifications Etoricoxib
Ingredient Dysmenorrhea, joint spondylitis, arthritis, chronic pain, acute pain, joint pain

Ingredient

Composition information	Content
Etoricoxib	90mg

Uses

Indications

Atocib 90 drug is indicated in the following cases:

Acute and chronic treatment of signs and symptoms of osteoarthritis (osteoarthritis) and rheumatoid arthritis. Learning

atocib 90 with Etoricoxib active ingredient, is a nonsteroidal anti -inflammatory drug, selective inhibition of cyclooxygenase - 2 (COX - 2), has anti -inflammatory, analgesic, antipyretic effect. Etoricoxib does not inhibit the synthesis of prostaglandin stomach and no effect on platelet function.

pharmacokinetics

Etoricoxib is well absorbed from oral road. Absolute bioavailability is about 100%. Food does not affect the ability to absorb drugs.

The drug is linked to plasma proteins about 92%.

Etoricoxib is strongly metabolized with

Before taking Atocib 90mg DHG medicine treats osteoarthritis, rheumatoid arthritis (3 blisters x 10 tablets)

How to use

atocib 90 is used by oral, can be used or not with food.

Dosage

arthritis or osteoarthritis (osteoarthritis)

Use 30mg or 60mg every day.

rheumatoid arthritis

Use 90mg every day.

Low vertebrae

Use 90mg every day.

Acute phosphorus arthritis (acute gout)

Use 120mg once a day.

Acute pain and abnormal dysmenorrhea

Use 120mg once a day.

Chronic pain

Use 60mg once a day.

Should only use 120mg dose in the period with acute symptoms and maximum treatment time is 8 days.

Because cardiovascular risks can increase according to the dose and time of using COX -2 selective inhibitors, so the medication should be used in the shortest time and the lowest daily daily dosage. Should re -evaluate periodic symptoms and response to patient treatment.

Elderly

No dose adjustment.

Hepatic failure

Mild liver failure (Child -Pugh from 5 - 6): Do not use more than 60mg/day.

medium liver failure (Child -Pugh from 7 - 9): Do not use more than 30mg/day.

Severe liver failure (Child-Pugh ≥ 10): Contraindications.

Renal failure

Creatinine clearance ≥ 30ml/minute: No dose adjustment.

Creatinine clearance

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.

What to do when overdose? The most common side effects are suitable for the safety of Etoricoxib (for example, the effect on the digestive, the effect on the heart - kidney).

In case of an overdose, it is necessary to use common support measures, for example, removal removal is not absorbed from the gastrointestinal tract, monitoring and treating symptoms.

Etoricoxib cannot be removed by dialysis, the removal of Etoricoxib with unknown peritoneal fertilizer.

What to do when forgetting 1 dose? Do not use additional drugs to compensate for the forgotten dose to avoid overdose.

Side Effects

When using Atocib 90, you may experience unwanted effects (ADR).

Very common, ADR ≥ 1/10

Gastrointestinal disorders: abdominal pain.

Common, ADR> 1/100

Infections and parasites: alveolar bone.

Metabolic and nutritious disorders: edema, keeping fluid.

Neurological disorders: dizziness, headache.

heart disorders: arrhythmia, tachycardia.

Pleeing disorders: hypertension.

Respiratory disorders, chest area, mediastinum: bronchospasm.

Digestive disorders: constipation, flatulence, gastritis, gastroesophageal reflux, diarrhea, indigestion, discomfort, nausea, vomiting, esophagitis, mouth ulcers.

Liver disorders: AST liver enzymes, ALT.

Skin and subcutaneous tissue disorders: bruises.

Systemic and local disorders: weakness, influenza disease.

Uncommon, 1/1000

Infections and parasites: gastritis, upper respiratory tract infections, urinary tract.

Disorders of blood and leukemia: Anemia (often accompanied by gastrointestinal bleeding), leukopenia, thrombocytopenia.

Immune disorders: hypersensitivity.

Disorders of metabolism and nutrition: taste disorders, weight gain.

Mental disorders: Anxiety, depression, reduced sensitivity, hallucinations.

neurological disorders: taste disorders, insomnia, abnormalities, drowsiness.

eye disorders: blurred vision, conjunctivitis.

Disorders of ear and inner ears: tinnitus, dizziness.

heart disorders: Atrial arrhythmia, tachycardia, congestive heart failure, unclear ECG changes, angina, myocardial infarction.

Vascular disorders: red face, stroke, transient ischemia, hypertension, vasculitis.

Respiratory disorders, chest area, mediastinum: cough, shortness of breath, nosebleeds.

Gastrointestinal disorders: abdominal stretch, changing intestinal motility, dry mouth, duodenal ulcer, intestinal perforation with bleeding, irritable bowel syndrome, pancreatitis.

Skin and subcutaneous tissue disorders: Facial swelling, itching, rash, erythema, urticaria.

Musculoskeletal and connective tissue disorders: cramped, musculoskeletal pain.

Renal and urinary disorders: Protein, increased serum creatinine, renal failure.

Systemic and topical disorders: chest pain.

Biochemical disorders: Hypermath of blood nitrogen, hyperninery phosphokinase, hyperkalemia, hyperuricemia.

Rare, ADR

Immune disorders: Vascular inflammation, sensitivity, anaphylaxis.

Mental disorders: Disorders, restlessness.

Hepatitis disorders: hepatitis, liver failure, jaundice.

Skin and subcutaneous tissue disorders: Stevens - Johnson syndrome, poisoning epithelial necrosis, fixed erythematosus.

Biochemical disorders: Hemati sodium.

The following serious unwanted effect is reported in combination with NSAIDs and cannot be excluded due to Etoricoxib: Kidney toxicity including interstitial nephritis and nephrotic syndrome.

Instructions on how to handle ADR

When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

ATOCIB 90 drugs contraindicated in the following cases:

allergies to any ingredients of the drug.

Stomach ulcer, progressive duodenum, stomach bleeding, intestinal inflammation.

Not for patients with allergies to aspirin and other NSAIDs.

Patients with a history of bronchospasm, bronchial asthma, acute rhinitis, nasal polyps, quincke edema, urticaria and allergic reactions after use of aspirin and other NSAIDs.

Patients with severe liver failure (serum albumin

Severe renal failure (Creatinine clearance

Sound blood failure, ischemia heart disease, peripheral artery disease or cerebrovascular disease have been defined.

Patients with hypertension whose blood pressure is continuously raised over 140/90mmHg and has not been fully controlled.

NYHA II-IV).

Children and teenagers under 16 years old.

Precautions when using

Caution should be careful when treating patients at risk of developing digestive tract complications with NSAIDs, patients using separately or in combination with any other NSAID or acetylsalicylic acid, patients with a history of gastrointestinal diseases such as ulcers and gastrointestinal bleeding.

Be careful to use Etoricoxib for patients with myocardial infarction, congestive heart failure, or stroke, hypertension, hyperlipidemia, diabetes, smoking.

Thinkle of kidney, cirrhosis.

Elderly

There have been reports of severe sensitivity reactions (such as anaphylactic reactions) in patients using Etoricoxib.

Risk of cardiovascular thrombosis: nonsteroidal anti -inflammatory drugs (NSAIDs), non -aspirin, using systemic tract, may increase the risk of cardiovascular thrombosis, including myocardial infarction and stroke, which can lead to death. This risk can appear early in the first few weeks of taking the drug and can increase over time. The risk of cardiovascular thrombosis is recorded mainly at high doses.

Doctors need to periodically evaluate the appearance of cardiovascular events, even if the patient has no previous cardiovascular symptoms. Patients need to be warned of symptoms of serious cardiovascular events and need to see a doctor as soon as they appear. In order to minimize the risk of adverse incidents, Atocib 90 is required at the lowest daily daily dose in the shortest possible time.

The ability to drive and operate machinery

When using Etoricoxib is likely to be dizzy, dizziness or drowsiness, should limit driving, operate machinery, work on high and other cases.

Pregnancy

Etoricoxib is contraindicated for pregnant women.

Breastfeeding period

depending on the importance of the drug for the mother that decides or stops breastfeeding or stops using the drug.

Drug interaction

Etoricoxib increases about 13% of the international standardized ratio of prothrombin when used with Warfarin.

Rifampicin reduces Etoricoxib level in plasma.

Plasma concentrations of methotrexate, lithium, ethinyl estradiol contraceptives, conjugated estrogen will increase when used with Etoricoxib.

Etoricoxib reduces the effectiveness of hypertension of diuretics, angiotensin transfer enzymes and angiotensin II antagonists.

Etoricoxib increases the effect of gastrointestinal ulcers when used with aspirin.

Etoricoxib has no important effect on the pharmacokinetics of Prednison, Prednisolon, Digoxin, antacids, ketoconazol.

Storage

In a dry place, the temperature does not exceed 300C, avoiding light.

Other drugs

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