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Vioxx
This medicine is a nonsteroidal anti-inflammatory drug (NSAID) known as a
COX-2 inhibitor used to relieve the symptoms of osteoarthritis and to treat pain
and menstrual discomfort.
The usual dose of Vioxx for acute pain syndromes and menstrual cramps
(primary dysmenorrhea) is 50 mg once daily for no longer than 5 days. The usual
dose of Vioxx for treatment of osteoarthritis is 12.5 mg daily although some
patients may benefit from 25 mg daily. The maximum daily dose should not exceed
25 mg. This medicine may be taken on an empty stomach or with food.
Side effects that may occur while taking Vioxx include weakness or nausea. If
they continue or are bothersome, check with your doctor. Check with your doctor
as soon as possible if you experience itching or skin rash, swelling of the feet
or ankles, unexpected weight gain, vomiting material that looks like coffee
grounds, or blood in stool or vomit. Contact your doctor immediately if you
experience swelling of hands, face, lips, eyes, throat, or tongue; difficulty
swallowing or breathing; hoarseness; flu-like symptoms; sluggishness; yellowing
of the skin or eyes; stomach pain; dark urine or pale stools; or unusual
fatigue. If you notice other effects not listed above, contact your doctor,
nurse, or pharmacist.
Do not take vioxx if you have had a severe allergic reaction to aspirin or
any medicine containing aspirin or to a nonsteroidal anti-inflammatory drug
(such as Feldene, Motrin, Naprosyn, Clinoril). 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 or if a certain medicine is a
nonsteroidal anti-inflammatory drug, contact your doctor or pharmacist. If you
experience difficulty breathing; 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. Do
not exceed the recommend 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. Alcohol warning: If you consume 3 or more
alcoholic drinks every day, ask your doctor whether you should take this
medicine or other pain relievers/fever reducers. This medicine may cause 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 contain ibuprofen, naproxen, or ketoprofen. FOR WOMEN: If you
plan on becoming pregnant, discuss with your doctor the benefits and risks of
using this medicine during pregnancy. It is unknown if this medicine is excreted
in breast milk. Do not breast-feed while taking this medicine.
Some medicines or medical conditions may interact with Vioxx. Inform your doctor
or pharmacist of all prescription and over-the-counter medicine that you are
taking. Additional monitoring of your dose or condition may be needed if you are
taking an ACE inhibitor, an anticoagulant, furosemide, lithium, methotrexate,
rifampin, thiazide diuretics, or warfarin. Inform your doctor of any other
medical conditions including aspirin-sensitive asthma, allergies, pregnancy, or
breast-feeding. Contact your doctor or pharmacist if you have any questions or
concerns about taking this medicine.
Do not share this medicine with others for whom it was not prescribed. Do not
use this medicine for other health conditions. Keep this product out of the
reach of children. If using this medicine for an extended period of time, obtain
refills before your supply runs out.
If you miss a dose of this medicine and you are taking 1 dose daily, take the
missed dose if you remember the same day. Skip the missed dose if you do not
remember until the next day. Do NOT take 2 doses at once.
Store this medicine at room temperature at 77 degrees F (25 degrees C) in a
tightly-closed container, away from heat, moisture, and light.