Celecoxib

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Selective cyclooxygenase inhibitor (COX-2 inhibitor).

Indication
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Symptoms in irritable states of degenerative joint diseases (activated arthroses) or chronic polyarthritis (rheumatoid arthritis).

Pregnancy/nursing period
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Contraindicated in pregnancy and lactation!

Complication(s)
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Cave! Oral anticoagulants (phenprocoumon, warfarin): Bleeding with sometimes fatal outcome! ACE inhibitors: Risk of acute renal failure!

Dosage and method of use
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  • Irritation in degenerative joint diseases (activated arthroses): 200 mg p.o. once/day, if necessary 200 mg p.o. twice/day. Maximum daily dose 400 mg.
  • Rheumatoid arthritis: 1-2 times/day 200 mg p.o., maximum daily dose 400 mg.

Notice! Dose adjustment necessary in elderly patients (≥ 65 yrs.) as well as in patients with liver or kidney dysfunction!

Contraindication
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Cave!

Sulfamide allergy! Adverse drug reaction after ingestion of acetylsalicylic acid, COX-2 inhibitors or other NSAIDs, active peptic ulcers, gastrointestinal bleeding, inflammatory bowel disease.

Notice! Do not use on children!

Preparations
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Celebrex Hartkps.

Literature
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  1. El Hajjaji H et al (2003) Celecoxib has a positive effect on the overall metabolism of hyaluronan and proteoglycans in human osteoarthritic cartilage. J Rheumatol 30: 2444-2451
  2. Nikolaus T et al (2004) Pharmacological treatments for persistent non-malignant pain in older persons. Drugs Aging 21: 19-41
  3. Wolfe F et al (2004) Longer use of COX-2-specific inhibitors compared to nonspecific nonsteroidal antiinflammatory drugs: a longitudinal study of 3639 patients in community practice. J Rheumatol 31: 355-358

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Last updated on: 29.10.2020