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Bextra
valdecoxib (val deh COCK sib) |
What is the most important information I should know about Bextra?
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Do not take Bextra without first talking to your doctor
if you have experienced asthma, hives, or an allergic
reaction after taking a sulfa-based medication such as
sulfamethoxazole (Bactrim, Septra, Gantanol, and others) or
sulfisoxazole (Gantrisin); aspirin
or another NSAID such as celecoxib (Celebrex), rofecoxib (Vioxx),
ibuprofen (Motrin, Advil, Nuprin, and others), naproxen (Aleve,
Naprosyn, Anaprox), ketoprofen (Orudis KT, Orudis, Oruvail),
diclofenac (Voltaren, Cataflam), diflunisal (Dolobid), etodolac (Lodine,
Lodine XL), fenoprofen (Nalfon), flurbiprofen (Ansaid),
indomethacin (Indocin), ketorolac (Toradol), meloxicam (Mobic),
nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene),
sulindac (Clinoril), or tolmetin (Tolectin). You may experience a
similar reaction to Bextra. |
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Notify your doctor immediately if you develop abdominal pain,
tenderness, or discomfort; nausea; bloody vomit; bloody, black, or
tarry stools; unexplained weight gain; swelling or water
retention; fatigue or lethargy; a skin rash; itching;
yellowing of the skin or eyes;"flu-like" symptoms; or
unusual bruising or bleeding. These symptoms could be early signs
of dangerous side effects. |
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Stop taking Bextra and contact your doctor immediately if you
develop a skin rash; hives; itching; difficulty breathing;
swelling of the lips, tongue or face; or other symptoms of an
allergic reaction. |
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Bextra is in a class of drugs called nonsteroidal
anti-inflammatory drugs (NSAIDs). Bextra works by reducing
substances in the body that cause inflammation, pain, and fever. |
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Bextra is used to reduce pain, inflammation, and stiffness
caused by osteoarthritis and adult rheumatoid arthritis. Bextra is
also used to treat painful menstruation. |
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Bextra may also be used for purposes other than those listed in
this medication guide. |
What should I discuss with my healthcare provider before
taking Bextra?
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Do not take Bextra without first talking to your doctor if you
have experienced asthma, hives, or an allergic reaction after
taking a sulfa-based medication such as sulfamethoxazole (Bactrim,
Septra, Gantanol, and others) or sulfisoxazole (Gantrisin);
aspirin; or another NSAID such as celecoxib (Celebrex), rofecoxib
(Vioxx), ibuprofen (Motrin, Advil, Nuprin, and others), naproxen (Aleve,
Naprosyn, Anaprox), ketoprofen (Orudis KT, Orudis, Oruvail),
diclofenac (Voltaren, Cataflam), diflunisal (Dolobid), etodolac (Lodine,
Lodine XL), fenoprofen (Nalfon), flurbiprofen (Ansaid),
indomethacin (Indocin), ketorolac (Toradol), meloxicam (Mobic),
nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene),
sulindac (Clinoril), or tolmetin (Tolectin). You may experience a
similar reaction to Bextra. |
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Before taking Bextra, tell your doctor if you have |
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a history of stomach ulcers or bleeding in the stomach; |
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congestive heart failure; |
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high blood pressure; or |
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a coagulation (bleeding) disorder or are taking an anticoagulant
(blood thinner) such as warfarin (Coumadin). |
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You may not be able to take Bextra, or you may require a dosage
adjustment or special monitoring during treatment if you have any
of the conditions, or are taking any of the medicines, listed
above. |
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Bextra is in the FDA pregnancy category C. This means that it is
not known whether it will be harmful to an unborn baby. Bextra
should not be taken late in pregnancy (the third trimester)
because it may affect the formation of the baby's heart. Do not
take Bextra without first talking to your doctor if you are
pregnant or could become pregnant during treatment. |
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It is not known whether Bextra passes into breast milk. Do
not take Bextra without first talking to your doctor if you
are breast-feeding a baby. |
How should I take Bextra?
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Take Bextra exactly as directed by your doctor. If you do not
understand these instructions, ask your pharmacist, nurse, or
doctor to explain them to you. |
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Take each dose with a full glass of water. |
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Bextra can be taken with or without food or milk. Your doctor
may recommend taking higher doses of Bextra with food. Follow your
doctor's instructions. |
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Store Bextra at room temperature away from moisture and heat. |
What happens if I miss a dose?
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Take the missed dose as soon as you remember. If it is almost
time for the next dose, skip the dose you missed and take only the
next regularly scheduled dose as directed. Do not take a
double dose of this medication unless otherwise directed by your
doctor. |
What happens if I overdose?
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Seek emergency medical attention. |
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Symptoms of a Bextra overdose include drowsiness, nausea,
vomiting, and stomach pain. |
What should I avoid while taking Bextra?
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There are no restrictions on food, beverages, or activity while
taking Bextra unless otherwise directed by your doctor. |
What are the possible side effects of Bextra?
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Notify your doctor immediately if you develop abdominal pain,
tenderness, or discomfort; nausea; bloody vomit; bloody, black, or
tarry stools; unexplained weight gain; swelling or water retention;
fatigue or lethargy; a skin rash; itching; yellowing of the skin
or eyes;"flu-like" symptoms; or unusual bruising or
bleeding. These symptoms could be early signs of dangerous side
effects. |
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Stop taking Bextra and contact your doctor immediately if you
develop a skin rash; hives; itching; difficulty breathing;
swelling of the lips, tongue or face; or other symptoms of an
allergic reaction. |
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If you experience any of the following serious side effects,
stop taking Bextra and seek medical treatment or contact your
doctor immediately: |
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abdominal pain, tenderness, or discomfort; |
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bloody, black, or tarry stools; |
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unexplained weight gain; |
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swelling or water retention; |
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unusual fatigue or lethargy; |
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yellowing of the skin or eyes; |
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"flu-like" symptoms; or |
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unusual bruising or bleeding. |
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Other, less serious side effects may be more likely to occur.
Continue to take Bextra and talk to your doctor if you experience |
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nausea or upset stomach; or |
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Side effects other than those listed here may also occur. Talk
to your doctor about any side effect that seems unusual or that is
especially bothersome. |
What other drugs will affect Bextra?
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Before taking Bextra, tell your doctor if you are taking any of
the following drugs: |
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aspirin or another salicylate (form of aspirin) such as
salsalate (Disalcid), choline salicylate-magnesium salicylate (Trilisate,
Tricosal, others), and magnesium salicylate (Doan's, Bayer Select
Backache Formula, others); |
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an over-the-counter cough, cold, allergy, or pain medicine that
contains aspirin, ibuprofen, naproxen, or ketoprofen; |
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a diuretic (water pill) such as furosemide (Lasix),
hydrochlorothiazide (HydroDiuril, others), chlorothiazide (Diuril,
others), chlorthalidone (Hygroton, Thalitone), and others; |
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an angiotensin-converting-enzyme inhibitor (ACE inhibitor) such
as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec),
lisinopril (Prinivil, Zestril), moexipril (Univasc), quinapril (Accupril),
and others; |
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a steroid medicine such as prednisone (Deltasone and others),
methylprednisolone (Medrol and others), prednisolone (Prelone,
Pediapred, and others), and others; |
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an anticoagulant (blood thinner) such as warfarin (Coumadin); |
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lithium (Eskalith, Lithobid, others); or |
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fluconazole (Diflucan) or ketoconazole (Nizoral). |
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You may not be able to take Bextra, or you may require a dosage
adjustment or special monitoring during treatment if you are
taking any of the medicines listed above. |
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Drugs other than those listed here may also interact with Bextra.
Talk to your doctor and pharmacist before taking any prescription
or over-the-counter medicines, including herbal products. |
Where can I get more information?
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Your pharmacist has additional information about Bextra written
for health professionals that you may read. |
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Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed. |
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Every effort has been made to ensure that the information
provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date,
and complete, but no guarantee is made to that effect. Drug
information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners
and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate,
unless specifically indicated otherwise. Multum's drug information
does not endorse drugs, diagnose patients or recommend therapy.
Multum's drug information is an informational resource designed to
assist licensed healthcare practitioners in caring for their
patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of
a warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not
assume any responsibility for any aspect of healthcare
administered with the aid of information Multum provides. The
information contained herein is not intended to cover all possible
uses, directions, precautions, warnings, drug interactions,
allergic reactions, or adverse effects. If you have questions
about the drugs you are taking, check with your doctor, nurse or
pharmacist.
Click here for more information on Bextra from the
manufacturer.
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