Icelcock 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. 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 daily. If no effect is observed after 6 weeks of treatment at 400 mg daily, another treatment method should be considered. 4. 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. ○ Patients with hepatic impairment 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 may lead to serious side effects such as gastrointestinal bleeding if taken by individuals who regularly consume more than three alcoholic drinks per day; thus, consultations with a physician or pharmacist are essential. Additionally, this medication may increase the risk of serious cardiovascular thrombotic events such as myocardial infarction or stroke, and should only be used at the lowest effective dose and for the shortest duration necessary, with immediate medical consultation if any cardiovascular symptoms occur. This drug increases the risk of ulcers, bleeding, and perforation in the gastrointestinal tract, requiring caution particularly in elderly patients or those with a history of gastrointestinal diseases. This medication should not be administered to specific populations, such as those with a history of certain allergies, severe liver or kidney function impairment, pregnant or nursing women, and some patients with cardiovascular diseases. Patients with liver or kidney issues, asthma, hypertension, heart failure, or diabetes should use this medication cautiously and require regular monitoring. This drug may interact with a variety of other medications; therefore, it is crucial to inform healthcare providers of all other medications being taken, particularly blood pressure medications, anticoagulants, diuretics, and antidepressants. Women who are pregnant or planning to become pregnant should avoid taking this medication, and if pregnancy occurs while on this medication, it should be discontinued immediately and medical advice sought. Elderly patients have an increased risk of gastrointestinal bleeding or renal function decline, necessitating close monitoring and caution during administration. Dizziness or drowsiness may occur during treatment; thus, activities requiring alertness, such as driving or operating machinery, should be avoided. Long-term use may require regular blood tests, liver function tests, and kidney function tests to monitor for abnormalities; any unusual symptoms must be immediately reported to medical personnel. Overdosage of this medication may lead to symptoms such as lethargy, nausea, vomiting, abdominal pain, elevated blood pressure, and renal failure; thus, it is vital to adhere to prescribed dosages and seek medical attention if unusual symptoms arise. The safety of this medication has not been established in children; therefore, it is advisable not to use it in minors or adolescents under 18 years of age. Lastly, this medication should be stored out of reach of children and not transferred to other containers to maintain its quality.

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, confusion, dizziness, muscle tone enhancement, drowsiness, blurred vision, tinnitus, palpitations, congestive heart failure, arrhythmia, tachycardia, hypertension, flushing, cough, vomiting, abdominal pain, diarrhea, indigestion, bloating, gastric ulcer, dental diseases, duodenal ulcer, esophageal ulcer, intestinal perforation, pancreatitis, elevated liver enzymes, itching, rash, urticaria, petechiae, angioedema, alopecia, blistering dermatitis, peripheral edema, facial edema, influenza-like illness, injury, headache, leg cramps, tension enhancement, sensory decline, migraine, neuralgia, neuropathy, sensory anomalies, cerebral infarction, aseptic meningitis, ataxia, suicide, loss of smell, loss of taste, back pain, allergy exacerbation, allergic reactions, weakness, chest pain, fluid retention, systemic edema, facial swelling, fatigue, malaise, fever, facial flushing, influenza syndrome, pain, peripheral pain, sepsis, sudden death, anaphylactic-like reaction, angioedema, loss of appetite, increased appetite, depression, neuro-excitability, drowsiness, fatal intracranial hemorrhage, hallucinations, exacerbation of epilepsy, upper respiratory tract infections, sinusitis, pharyngitis, rhinitis, bronchitis, bronchospasm, exacerbation of bronchospasm, difficulty breathing, laryngitis, pneumonia, nosebleed, voice disorders, vesicular dermatitis, dermatitis, nail diseases, photosensitivity reactions, pruritus, erythematous rash, papular rash, skin diseases, skin dryness, increased sweating, erythema multiforme, desquamating dermatitis, mucocutaneous syndrome, toxic epidermal necrolysis, eczema, lipoma, allergic dermatitis, petechiae, dandruff, drug rash with eosinophilia and systemic symptoms, arrhythmia, left ventricular hypertrophy, angina, unstable angina, coronary artery disorder, heart failure, palpitations, tachycardia, aortic valve insufficiency, hematoma, bradycardia, syncope, ventricular fibrillation, pulmonary embolism, cerebrovascular accident, peripheral necrosis, thrombophlebitis, 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 breast disease, thoracic neoplasm, chest pain, dysmenorrhea, menstrual disorders, vaginal bleeding, vaginitis, prostate disorders, ovarian cysts, hearing loss, ear abnormalities, otalgia, hearing impairment, abnormal liver function, elevated ALT, elevated AST, increased γ-GTP, increased ALP, positive urobilinogen, cholelithiasis, hepatitis, jaundice, hepatic failure, fulminant hepatitis, liver necrosis, increased serum sodium, increased serum potassium, increased BUN, elevated CPK, diabetes mellitus, hypercholesterolemia, hyperglycemia, hypokalemia, hyperkalemia, increased NPN, increased creatinine, increased alkaline phosphatase, weight gain, loss of appetite, increased LDH, hypoglycemia, hyponatremia, bursa, arthralgia, arthrosis, skeletal abnormalities, myalgia, cervical tension syndrome, synovitis, tendinitis, myositis, fractures, tendon rupture, back pain, muscle rigidity, decreased hematocrit, increased hemoglobin, petechiae, nosebleed, thrombocytopenic purpura, agranulocytosis, aplastic anemia, pancytopenia, leukopenia, eosinophilic pneumonia, contact dermatitis, injection site reactions, skin nodules, taste impairment, 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 urinary hematuria, positive urinary protein, renal dysfunction, acute renal failure, interstitial nephritis, menstrual disorders, chest pain, anaphylactic reactions, hallucinations, cerebral hemorrhage, aseptic meningitis, loss of taste, loss of smell, conjunctivitis, vasculitis, pulmonary embolism, interstitial pneumonia, gastrointestinal bleeding, hepatitis, hepatic failure, fulminant hepatitis, liver necrosis, bile stasis, bile stasis hepatitis, jaundice, photosensitivity reactions, Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, drug eruption with eosinophilia and systemic symptoms, acute generalized exanthematous pustulosis, desquamating dermatitis, acute renal failure, hyponatremia, tubular interstitial nephritis, nephrotic syndrome, microvascular glomerulonephritis, female infertility

This medication should be stored in a tightly sealed container to prevent exposure to air and moisture. It is advisable to maintain storage temperatures between 15 to 30 degrees Celsius.

Appearance

A white capsule with a yellow stripe on top and bottom filled with white to pale yellow powder.

Package unit

30, 100 capsules