Celesc Capsule 200 Milligrams (Celecoxib)

Adult dose

The minimum recommended dose of this medicine should be adjusted according to the patient and may be administered with or without food. ○ Adults : 1. Osteoarthritis (degenerative arthritis) : Take 200 mg of celecoxib once daily, or 100 mg per dose twice daily. 2. Rheumatoid arthritis : Take 100 mg or 200 mg of celecoxib per dose twice daily. 3. Ankylosing spondylitis (AS) : Administer 200 mg of celecoxib once daily, or 100 mg per dose twice daily. If no effect is observed after 6 weeks, the dose may be increased to 400 mg daily. If no effect is observed after 6 weeks at 400 mg daily, another treatment should be considered. 4. Acute pain and primary dysmenorrhea : The initial recommended dose is 400 mg of celecoxib; if needed, an additional 200 mg may be administered on the first day of treatment. From the second day of treatment, the recommended dose, if needed, is 200 mg per dose twice daily. ○ Patients with hepatic impairment : In patients with moderate hepatic impairment (Child-Pugh Class II), the dose should be reduced to approximately 50% of the recommended daily dose.

This medication should be discussed with a doctor or pharmacist if taken by individuals who consume alcohol daily. Otherwise, there is a risk of gastrointestinal bleeding. Additionally, this medication may increase the risk of cardiovascular issues such as heart attack or stroke, therefore, it should be used at the minimum effective dose for the shortest possible duration. Symptoms should be observed carefully even if there is no history of cardiovascular disease. There is a risk of developing ulcers or bleeding in the gastrointestinal tract, so any gastrointestinal symptoms should be reported to a healthcare professional immediately for assessment. Those who are elderly or have a history of gastrointestinal diseases should be especially cautious. This medication should not be used by patients with certain allergies, severely impaired liver or kidney function, women who are pregnant or breastfeeding, or patients with heart diseases. Patients with compromised liver and kidney function, asthma, or hypertension should exercise extra caution while using this medication and should have regular check-ups with their doctor. This medication can have various side effects, with common occurrences being indigestion, vomiting, headache, dizziness, skin rash, edema, and hypertension. Severe symptoms should be reported to a healthcare professional immediately. Furthermore, this medication may interact with other drugs, so if taking other medications, it is essential to inform your doctor or pharmacist, especially if you are taking blood pressure medications, diuretics, anticoagulants, or antidepressants. Women who are pregnant or planning to become pregnant should not take this medication, and those who are breastfeeding should avoid taking it or discontinue breastfeeding. This medication is not recommended for children or adolescents under 18 years as safety and effectiveness have not been established. Elderly patients are likely to have reduced liver, kidney, and heart function, so they need to be observed more carefully when taking this medication. If taking this medication for a prolonged period, regular blood tests and liver and kidney function tests should be done, and if abnormalities are detected, the medication should be discontinued. Dizziness or drowsiness may occur while taking this medication, so it is advisable to avoid driving or operating machinery. In case of overdose, symptoms such as vomiting, lethargy, and abdominal pain may occur, and immediate medical attention is required. Lastly, keep this medication out of the reach of children, and do not transfer it to another container.

Gastrointestinal bleeding, serious cardiovascular thrombotic reactions, myocardial infarction, stroke, perforation of the upper and lower gastrointestinal tract, ulcers, bleeding, bronchitis, sinusitis, upper respiratory infections, urinary tract infections, pharyngitis, rhinitis, anemia, thrombocytopenia, hypersensitivity, insomnia, anxiety, confusion, dizziness, muscle tension, drowsiness, blurred vision, tinnitus, palpitations, congestive heart failure, arrhythmia, tachycardia, hypertension, flushing, cough, vomiting, abdominal pain, diarrhea, dyspepsia, bloating, gastric ulcer, dental disease, duodenal ulcer, esophageal ulcer, intestinal perforation, pancreatitis, elevated liver enzymes, itching, rash, urticaria, angioedema, alopecia, blisters dermatitis, peripheral edema, facial edema, influenza-like illness, injury, taste disturbance, albuminuria, cystitis, hematuria, dysuria, polyuria, nephrolithiasis, urinary incontinence, urinary tract infection, visual disturbances, cataracts, conjunctivitis, eye pain, glaucoma, retinal artery or vein occlusion, increased serum creatinine, increased β2-microglobulin, increased NAG, positive urinary hematuria, positive urinary protein, renal dysfunction, acute renal failure, interstitial nephritis, headache, migraine, neuralgia, neuropathy, sensory disturbances, cerebral infarction, aseptic meningitis, ataxia, suicide, hyposmia, ageusia, back pain, allergy exacerbation, allergic reaction, weakness, chest pain, fluid retention, generalized edema, facial swelling, fatigue, lassitude, fever, facial flushing, influenza-like syndrome, pain, peripheral pain, sepsis, sudden death, anaphylaxis-like reaction, angioedema, anorexia, increased appetite, depression, neuroexcitability, drowsiness, fatal intracranial hemorrhage, hallucinations, epilepsy exacerbation, upper respiratory infection, herpes simplex, wound infection, gingivitis, herpes, shingles, bacterial infection, fungal infection, soft tissue infection, viral infection, moniliasis, genital moniliasis, otitis media, breast tenderness, menopausal symptoms, fibrocystic breast disease, thoracic neoplasm, chest pain, dysmenorrhea, menstrual disorders, vaginal bleeding, vulvitis, prostate disorders, ovarian cysts, hearing loss, ear abnormalities, otalgia, hearing impairment, liver dysfunction, increased ALT, increased AST, increased γ-GTP, increased ALP, positive urobilinogen, cholelithiasis, hepatitis, jaundice, liver failure, fulminant hepatitis, liver necrosis, increased sodium in the blood, increased potassium in the blood, increased BUN, increased CPK, diabetes, hypercholesterolemia, hyperglycemia, hypokalemia, hyperkalemia, increased NPN, increased creatinine, increased alkaline phosphatase, weight gain, increased LDH, hypoglycemia, hyponatremia, bursitis, arthralgia, arthropathy, skeletal abnormalities, myalgia, cervical dystonia, synovitis, tendinitis, myositis, leg cramps, fractures, tendon rupture, pain in the back, muscle rigidity, decreased hematocrit, increased hemoglobin, petechiae, epistaxis, thrombocytopathy, agranulocytosis, aplastic anemia, pancytopenia, leukopenia, bursitis, contact dermatitis, injection site reactions, skin nodules, visual disturbances, cataracts, conjunctivitis, eye pain, glaucoma, retinal artery or vein occlusion, increased serum creatinine, increased β2-microglobulin, increased NAG, positive urinary hematuria, positive urinary protein, renal dysfunction, acute renal failure, interstitial nephritis, menstrual disorders, chest pain, anaphylactic reaction, hallucinations, cerebral hemorrhage, aseptic meningitis, ageusia, hyposmia, conjunctivitis, vasculitis, pulmonary embolism, interstitial pneumonia, gastrointestinal bleeding, hepatitis, liver failure, fulminant hepatitis, liver necrosis, cholestasis, cholestatic hepatitis, jaundice, photosensitivity reactions, Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, drug rash with eosinophilia and systemic symptoms, acute generalized pustular rash, exfoliative dermatitis, generalized bullous fixed drug eruption, fixed drug eruption, acute renal failure, hyponatremia, tubular interstitial nephritis, nephrotic syndrome, focal segmental glomerulosclerosis, female infertility

This medication may be sensitive to air or moisture, so it should be stored in a tightly closed container. It is best to maintain a storage temperature between 15 and 30 degrees Celsius. This helps to preserve the drug's effectiveness over time.

Appearance

A white opaque hard capsule containing white to light yellow powder.

Package unit

30 capsules/bottle