E-Cox Tablet
Etoricoxib
              60mg  
              
              Nepal Pharmaceuticals Pvt. Ltd.
                  
              
              | Pack size | 100's | 
|---|---|
| Dispensing mode | |
| Source | |
| Agent | |
| Retail Price | 13.00 NPR | 
Available as:
Indications
E-Cox Tablet is used for: 
 Rheumatoid arthritis, Osteoarthritis, Gout
                                              
                        Adult Dose
Oral
Osteoarthritis
Adult: 30 mg once daily, increased to 60 mg once daily if needed.
Ankylosing spondylitis; Rheumatoid arthritis
Adult: 90 mg once daily.
Acute gout
Adult: 120 mg once daily. Max duration: 8 days. 
Hepatic impairment: Mild (Child-Pugh score of 5-6): 60 mg once daily. 
Moderate (Child-Pugh 7-9): Max 60 mg every other day or 30 mg once daily. 
Severe (Child-Pugh >10): Avoid.
                                              
                        Child Dose
Child: <16 yr Contraindicated.
                                              
                        Renal Dose
Administration
May be taken with or without food.
                                              
                        Contra Indications
Inflammatory bowel disease, severe congestive heart failure, active peptic ulceration, cerebrovascular disease, CrCL <30 ml/min; lactation. Children and adolescent < 16 yr.
                                              
                        Precautions
Allergic disorders, coagulation defects; history of cardiac failure, left ventricular dysfunction, hypertension, or in patients with oedema due to other reasons; elderly, renal, cardiac or hepatic impairment. Withdraw treatment if GI lesions develop; caution when admin to dehydrated patients. Regular BP monitoring is advisable. May mask fever and other signs of infection. Pregnancy.
                                              
                        Pregnancy-Lactation
Interactions
May increase INR w/ oral anticoagulants. May decrease effects of ACE inhibitors, angiotensin II antagonist and diuretics. May increase lithium plasma concentrations. May reduce plasma levels w/ rifampicin. Increased serum concentrations of ethinylestradiol.
                                              
                        Adverse Effects
Side effects of Etoricoxib : 
 GI disorders; ischemic cardiac events; hypersensitivity reactions, headache, dizziness, nervousness, depression, drowsiness, insomnia, vertigo, tinnitus, photosensitivity; blood disorders, fluid retention, hypertension; dry mouth, taste disturbance, mouth ulcers; appetite and wt changes; chest pain, fatigue, paraesthesia, influenza-like syndrome, myalgia. Renal toxicity.
                                              
                        Mechanism of Action
Etoricoxib is a selective cyclooxygenase-2 (COX-2) inhibitor primarily responsible to reduce mediators of pain and inflammation. Its action is due to inhibition of prostaglandin synthesis via inhibition of COX-2.
                                              
                        Note
E-Cox 60mg Tablet manufactured by Nepal Pharmaceuticals Pvt. Ltd.. Its generic name is Etoricoxib. E-Cox is availble in Nepal.
 Farmaco Nepal drug index information on E-Cox Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.