Selicca Tablet 200 mg (Celecoxib)

Adult dose

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

This medication should be used with caution by those who consume large amounts of alcohol daily as it poses a risk of gastrointestinal bleeding; consultation with a doctor or pharmacist is essential. Patients with cardiovascular issues or risk factors should use this medication only at the minimum dosage and for a short duration, as it may increase the risk of cardiovascular complications such as myocardial infarction or stroke. Individuals with a history of ulcers or bleeding in the gastrointestinal tract should be cautious when taking this medication, as it increases the risk of gastrointestinal bleeding, ulceration, or perforation. This medication should not be administered to patients with an allergy to sulfonamide components or to those who have had hypersensitivity reactions to aspirin or other non-steroidal anti-inflammatory drugs. Patients with severe liver or kidney dysfunction, active gastric ulcers or inflammatory bowel disease, heart failure, pregnant or breastfeeding women, and patients with certain genetic diseases should not take this medication. Patients with mild liver or kidney dysfunction, asthma, a history of high blood pressure, elderly patients, etc., should be monitored closely when taking this medication. Various adverse reactions may occur with this medication, particularly dyspepsia, headache, dizziness, increased blood pressure, gastrointestinal bleeding, skin rashes, abnormal liver function, and cardiovascular issues. Regular blood tests, liver and kidney function tests, and ECGs should be conducted during the course of treatment to identify any abnormalities, and if any are found, consultation with a physician should be sought immediately. This medication can interact with many other drugs, so it's important to inform the doctor or pharmacist if any other medications are being taken, especially blood pressure medications, diuretics, anticoagulants, antidepressants, and antibiotics. Pregnant women or those with the potential for pregnancy should avoid this medication, and if pregnancy is confirmed during treatment, it should be discontinued immediately. Breastfeeding women are also advised to avoid this medication and should consider stopping breastfeeding or alternative treatments if necessary. Elderly patients should be observed more cautiously as they are at a higher risk for decreased kidney and liver function when using this medication. Dizziness or drowsiness may occur when taking this medication, so caution is advised while driving or operating machinery. In case of overdose, symptoms such as nausea, vomiting, drowsiness, and gastrointestinal bleeding may occur, and immediate medical attention should be sought.

Gastrointestinal bleeding, cardiovascular thrombotic reactions, myocardial infarction, stroke, perforation of the upper and lower gastrointestinal tract, ulcers, bleeding, bronchitis, sinusitis, upper respiratory tract infections, urinary tract infections, pharyngitis, rhinitis, anemia, thrombocytopenia, hypersensitivity, insomnia, anxiety, confusional state, dizziness, muscle rigidity, 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, petechiae, angioedema, alopecia, vesicular dermatitis, peripheral edema, facial swelling, influenza-like illness, injury, taste disturbance, albuminuria, cystitis, hematuria, dysuria, polyuria, nephrolithiasis, incontinence, visual disturbances, cataract, conjunctivitis, eye pain, glaucoma, ocular hemorrhage, retinal artery or vein occlusion, increased serum creatinine, increased NAG, positive urine hematuria, positive urine protein, renal dysfunction, acute renal failure, interstitial nephritis, anaphylactic reactions, hallucinations, intracerebral hemorrhage, aseptic meningitis, loss of taste, loss of smell, vasculitis, pulmonary embolism, interstitial pneumonia, hepatitis, liver failure, fulminant hepatitis, hepatic necrosis, cholestasis, cholestatic hepatitis, jaundice, photosensitivity reactions, Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, drug-induced rash with eosinophilia and systemic symptoms, acute generalized exanthematous pustulosis, exfoliative dermatitis, menstrual disorders, female infertility, chest pain, headache, dizziness, constipation, thirst, ulcerative stomatitis, gastritis, allergy, low back pain, hyperlipidemia, diabetes, weight gain, fractures, arthralgia, rheumatoid factor positive, herpes zoster, pneumonia, dyspnea, elevated ALT, hearing loss, weakness, chest pain, fluid retention, systemic edema, facial swelling, fatigue, malaise, fever, facial flushing, influenza-like syndrome, pain, peripheral pain, sepsis, sudden death, anaphylaxis-like reaction, angioedema, insomnia, loss of appetite, increased appetite, depression, neurogenic reactions, drowsiness, fatal intracranial hemorrhage, hallucinations, exacerbation of epilepsy, confusional state, hallucinations, bronchospasm, exacerbated bronchospasm, laryngitis, pneumonia, epistaxis, voice disturbances, vesicular dermatitis, dermatitis, nail diseases, photosensitivity reactions, pruritus, erythematous rash, papular rash, skin diseases, dry skin, increased sweating, erythema multiforme, exfoliative dermatitis, mucocutaneous syndrome, toxic epidermal necrolysis, drug-induced rash with eosinophilia and systemic symptoms, thrombocytopenic purpura, agranulocytosis, aplastic anemia, pancytopenia, leukopenia, folliculitis, contact dermatitis, injection site reactions, skin nodules, taste disturbance

This medication should be stored in a tightly sealed container to protect it from air and moisture. It is important to maintain a temperature between 1 degree and 30 degrees Celsius when storing, as this helps preserve the medication's effectiveness.

Appearance

White oblong film-coated tablet

Package unit

30 tablets/bottle, 100 tablets/bottle