Cereco Capsule 200mg (Celecoxib)

Adult dose

The minimum recommended dose of this drug should be adjusted for each patient. It may be administered without regard to meals. ○ Adults: 1. Osteoarthritis (degenerative joint disease): Administer celecoxib 200 mg once daily, or divide the dose into 100 mg twice daily. 2. Rheumatoid arthritis: Administer celecoxib 100 mg or 200 mg per dose, twice daily. 3. Ankylosing spondylitis (AS): Administer celecoxib 200 mg once daily, or divide the dose into 100 mg twice daily. If no effect is observed after 6 weeks, a dose of up to 400 mg daily may be administered. If no effect is observed after 6 weeks at 400 mg daily, consider another treatment option. 4. Acute pain and primary dysmenorrhea: The recommended initial dose is celecoxib 400 mg; if needed, an additional 200 mg may be administered on the first day of treatment. From the second day onward, 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.

Individuals who consume large amounts of alcohol daily should consult with a doctor or pharmacist before taking this medication. Otherwise, gastrointestinal bleeding may occur. This medication may increase the risk of cardiovascular thrombosis, myocardial infarction, and stroke, so it should only be used at the minimal effective dosage and for a short period of time. If cardiovascular symptoms occur, immediate medical attention is required. Serious issues such as gastrointestinal perforation, ulcers, and bleeding may arise, so hospitalization is necessary if gastrointestinal symptoms appear. This risk is particularly higher in the elderly. This medication should not be administered to patients with specific allergies or conditions and should be avoided by patients with severely impaired liver or kidney function, pregnant women, and nursing mothers. Patients with liver or kidney impairment, hypertension, heart failure, diabetes, etc. should be careful while taking this medication and may require regular testing. While taking this medication, various side effects such as headaches, indigestion, vomiting, dizziness, skin rashes, swelling, etc. may occur; if any abnormal symptoms appear, consult with medical personnel. This medication interacts with many other drugs, so be cautious when taking it with antihypertensives, anticoagulants, diuretics, and antidepressants, and inform the doctor of any currently taken medications. Women who are pregnant or planning to become pregnant should not take this medication; nursing mothers should also refrain from taking it. Elderly patients may have reduced kidney, liver, and heart function, so careful monitoring is necessary during use. If this medication is taken for an extended period, regular blood tests and liver and kidney function tests should be performed, and if any abnormalities are noted, use should be discontinued immediately. In case of overdose, symptoms such as nausea, vomiting, drowsiness, and gastrointestinal bleeding may appear, necessitating immediate medical treatment, as there is no specific antidote. This medication should be kept out of reach of children and should not be transferred to other containers, as this may negatively affect safety and quality.

Gastrointestinal bleeding, cardiovascular thrombotic reaction, myocardial infarction, stroke, perforation of the upper and lower gastrointestinal tract, ulcer, bleeding, bronchitis, sinusitis, upper respiratory infection, urinary tract infection, pharyngitis, rhinitis, anemia, thrombocytopenia, hypersensitivity, insomnia, anxiety, confused state, dizziness, muscle tension hypertonia, 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, liver enzyme elevation, itching, rash, urticaria, petechiae, angioedema, alopecia, vesicular dermatitis, peripheral edema, facial edema, influenza-like illness, damage, taste disturbance, albuminuria, cystitis, hematuria, dysuria, polyuria, kidney stones, urinary incontinence, urinary tract infection, visual disturbances, cataract, conjunctivitis, eye pain, glaucoma, ocular hemorrhage, retinal artery or vein occlusion, increased serum creatinine, increased β2-microglobulin, increased N-acetyl-β-D-glucosaminidase (NAG), positive urine hematuria, positive urine protein, kidney function impairment, acute kidney failure, interstitial nephritis, headache, leg cramps, hypertonia, decreased sensation, migraine, neuralgia, neuropathy, sensory disturbances, cerebral infarction, aseptic meningitis, ataxia, suicide, anosmia, ageusia, back pain, allergy exacerbation, allergic reaction, weakness, chest pain, fluid retention, systemic edema, facial edema, fatigue, malaise, fever, facial flushing, influenza syndrome, pain, peripheral pain, sepsis, sudden death, anaphylaxis-like reaction, angioedema, insomnia, loss of appetite, increased appetite, depression, neuroexcitability, somnolence, fatal intracranial hemorrhage, hallucination, exacerbation of epilepsy, upper respiratory infection, sinusitis, pharyngitis, rhinitis, bronchospasm, severe bronchospasm, dyspnea, laryngitis, pneumonia, nosebleed, voice disorder, vesicular dermatitis, dermatitis, nail disease, phototoxic reaction, pruritus, erythematous rash, maculopapular rash, skin disease, skin dryness, increased sweating, erythema multiforme, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, eczema, lipoma, allergic dermatitis, petechiae, dandruff, drug rash, arrhythmia, ventricular hypertrophy, angina, unstable angina, coronary disorder, myocardial infarction, heart failure, palpitations, tachycardia, cerebral hemorrhage, aortic valve insufficiency, hematoma, bradycardia, syncope, ventricular fibrillation, pulmonary embolism, cerebrovascular accident, peripheral gangrene, thrombophlebitis, vasculitis, deep vein thrombosis, wound infection, gingivitis, herpes simplex, shingles, bacterial infection, fungal infection, soft tissue infection, viral infection, candidiasis, genital candidiasis, otitis media, breast tenderness, menopausal symptoms, fibrocystic breast disease, thoracic neoplasm, chest pain, dysmenorrhea, menstrual disorder, vaginal bleeding, vaginitis, prostate disorder, ovarian cyst, hearing loss, ear abnormalities, otalgia, hearing impairment, liver dysfunction, elevated ALT, elevated AST, increased γ-GTP, elevated ALP, positive urobilinogen, cholelithiasis, hepatitis, jaundice, liver failure, fulminant hepatitis, liver necrosis, increased serum sodium, increased serum potassium, elevated BUN, increased CPK, diabetes, hypercholesterolemia, hyperglycemia, hypokalemia, hyperkalemia, elevated NPN, increased creatinine, increased alkaline phosphatase, weight gain, loss of appetite, increased LDH, hypoglycemia, hyponatremia, synovial cyst, arthralgia, arthrosis, skeletal anomaly, myalgia, cervical tension, synovitis, tendinitis, myositis, fracture, tendon rupture, back pain, muscle stiffness, decreased hematocrit, increased hemoglobin, petechiae, nosebleed, thrombocytopathy, anemia, agranulocytosis, aplastic anemia, pancytopenia, leukopenia, vasculitis, contact dermatitis, injection site reactions, skin nodules, visual disturbances, acute kidney failure, hyponatremia, tubulointerstitial nephritis, nephrotic syndrome, focal segmental glomerulosclerosis, menstrual disturbance, chest pain, anaphylactic reaction, hallucination, cerebral hemorrhage, aseptic meningitis, ageusia, anosmia, conjunctivitis, vasculitis, pulmonary embolism, interstitial pneumonia, gastrointestinal bleeding, hepatitis, phototoxic reaction, Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, drug rash, acute generalized pustular psoriasis, exfoliative dermatitis, generalized fixed drug eruption, fixed drug eruption, menstrual disorder, female infertility

This medication should be stored in a tightly sealed container to prevent air ingress and kept in a cool place between 15 and 30 degrees Celsius. Proper storage will help maintain the drug's effectiveness over time.

Appearance

Capsules with white to pale yellow powder filled inside, upper and lower parts are white

Package unit

30 capsules/bottle, 100 capsules/bottle