Cyclo-Capsule 200mg (Celecoxib)

Adult dose

The minimum recommended dose of this medicine should be adjusted according to the patient and may be administered regardless of meals. Osteoarthritis (degenerative arthritis): Take celecoxib 200 mg once daily, or 100 mg twice daily. Rheumatoid arthritis: Take celecoxib 100 mg or 200 mg twice daily. 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 at 400 mg per day, another treatment should be considered. Acute pain and primary dysmenorrhea: The initial recommended 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. For 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 physician or pharmacist if taken by someone who consumes a lot of alcohol daily, as it may increase the risk of gastrointestinal bleeding. This medication can cause cardiovascular issues and may increase the risk of heart attack or stroke, so it should be used at the lowest dose for the shortest duration necessary. Gastrointestinal ulcers or bleeding may occur, so symptoms should be monitored, especially in the elderly or those with a history of gastrointestinal diseases. This medication should not be taken by individuals with allergy reactions or severely impaired liver or kidney function, pregnant women, or breastfeeding women. Patients with liver or kidney disease, asthma, heart failure, hypertension, or diabetes must be particularly cautious when taking this medicine. Various side effects may occur with this medication, including dyspepsia, headache, dizziness, skin rash, hypertension, edema, and others. If any abnormal symptoms occur during treatment, consult a physician immediately. This medication can interact with other medications, so inform your healthcare provider of any other medications you are taking, especially when used with antihypertensives, anticoagulants, and antidepressants. Pregnant women or those planning to become pregnant should consult a physician before taking this medication, as it may affect reproductive ability. Elderly patients should have their conditions closely monitored when taking this medication, as kidney and heart functions may decline. Regular blood tests and liver and kidney function tests should be conducted during long-term use of this medication, and treatment should be discontinued if abnormal signs occur. In case of overdose, symptoms such as vomiting, drowsiness, increased blood pressure, or kidney failure may appear, and immediate medical attention is required as no specific antidote exists. Keep this medication out of reach of children and do not transfer it to other containers for safety.

Gastrointestinal bleeding, cardiovascular thrombotic reactions, myocardial infarction, stroke, perforation of the upper and lower gastrointestinal tracts, ulcers, bleeding, bronchitis, sinusitis, upper respiratory tract 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, petechiae, angioedema, alopecia, bullous dermatitis, peripheral edema, facial edema, influenza-like illness, damage, headache, leg cramps, tension, sensory disturbances, migraine, neuralgia, neuropathy, sensory abnormalities, cerebral infarction, aseptic meningitis, ataxia, suicide, loss of smell, loss of taste, allergy exacerbation, allergic reaction, weakness, chest pain, fluid retention, systemic edema, facial edema, fatigue, lethargy, fever, facial flushing, influenza-like syndrome, pain, peripheral pain, sepsis, sudden death, anaphylaxis-like reactions, angioedema, loss of appetite, increased appetite, depression, nervous hyperreactivity, drowsiness, fatal intracranial hemorrhage, hallucinations, exacerbation of epilepsy, upper respiratory tract infections, bronchospasm, exacerbated bronchospasm, dyspnea, laryngitis, pneumonia, nosebleeds, voice disorders, vesicular dermatitis, dermatitis, nail disorders, photosensitivity reactions, pruritus, erythematous rash, papular rash, skin disorders, skin dryness, increased sweating, erythema multiforme, exfoliative dermatitis, mucocutaneous syndrome, toxic epidermal necrolysis, eczema, lipoma, drug rash, arrhythmia, ventricular hypertrophy, angina, unstable angina, coronary artery disorders, heart failure, palpitations, tachycardia, aortic valve insufficiency, hematoma, bradycardia, syncope, ventricular fibrillation, pulmonary embolism, cerebrovascular accident, peripheral gangrene, thrombotic venous inflammation, vasculitis, deep vein thrombosis, cerebral hemorrhage, solitary lesions, wound infections, gingivitis, herpes simplex, shingles, bacterial infections, fungal infections, soft tissue infections, viral infections, moniliasis, genital moniliasis, otitis media, breast tenderness, menopausal symptoms, fibrocystic changes of the breast, thoracic neoplasms, dysmenorrhea, menstrual disorders, vaginal bleeding, vaginitis, prostate disorders, ovarian cysts, hearing loss, ear abnormalities, otalgia, deafness, liver function abnormalities, elevated ALT, elevated AST, increased γ-GTP, increased ALP, positive urobilinogen, cholelithiasis, hepatitis, jaundice, liver failure, fulminant hepatitis, hepatic necrosis, increased serum sodium, increased serum potassium, elevated BUN, increased CPK, diabetes mellitus, hypercholesterolemia, hyperglycemia, hypokalemia, hyperkalemia, increased NPN, elevated creatinine, increased alkaline phosphatase, weight gain, loss of appetite, elevated LDH, hypoglycemia, hyponatremia, synovial cysts, arthralgia, arthritis, skeletal abnormalities, myalgia, cervical dystonia, synovitis, tendinitis, myositis, fractures, tendon ruptures, pain in the back, muscle stiffness, decreased hematocrit, increased hemoglobin, petechiae, nosebleeds, thrombocytopathy, agranulocytosis, aplastic anemia, pancytopenia, leukopenia, granulomatous inflammation, contact dermatitis, injection site reactions, skin nodules, ageusia, albuminuria, cystitis, hematuria, dysuria, polyuria, nephrolithiasis, urinary incontinence, urinary tract infections, blurred vision, cataracts, conjunctivitis, eye pain, glaucoma, ocular hemorrhage, retinal artery or vein occlusion, increased serum creatinine, increased β2-microglobulin, increased NAG, positive urine hematuria, positive urine protein, kidney function impairment, acute renal failure, interstitial nephritis, anaphylactic reactions, vasculitis, interstitial pneumonia, hepatitis, photosensitive reactions, Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, drug rash, acute generalized pustular dermatitis, exfoliative dermatitis, acute renal failure, hyponatremia, tubular interstitial nephritis, nephrotic syndrome, focal segmental glomerulosclerosis, female infertility, chest pain, lethargy, drowsiness, upper abdominal pain

This medication should be stored in a sealed container to prevent air or moisture from entering, ideally at room temperature between 15 degrees and 30 degrees. Storing it this way helps maintain its effectiveness for a longer period.

Appearance

A white capsule filled with a white to slightly yellow powder with yellow stripes on the upper and lower parts

Package unit

30 capsules/bottle, 100 capsules/bottle