Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
Etoricoxib
UNIMED SDN BHD
Etoricoxib
3 x 10 Tablets
USV Private Limited
ECOXI FILM COATED TABLET Etoricoxib Film Coated Tablets 60mg, 90mg & 120mg 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What ECOXI tablet is used for 2. How ECOXI tablet works 3. Before you use ECOXI tablet 4. How to use ECOXI tablet 5. While you are using it 6. Side effects 7. Storage and Disposal of ECOXI tablet 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision 11. Serial Number WHAT ECOXI TABLET IS USED FOR Your doctor has prescribed ECOXI tablet for: • treatment of osteoarthritis • treatment of rheumatoid arthritis • treatment of ankylosing spondylitis • treatment of acute pain after minor dental procedures • treatment of menstrual pain • treatment of gout Osteoarthritis is a joint disease. It results from the gradual breakdown of the cartilage that cushions the ends of the bones, resulting in pain, inflammation, tenderness, stiffness, and physical disability. Rheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling and loss of function in the joints and inflammation in other body organs. Ankylosing spondylitis is an inflammatory disease of the spine and large joints. Gout is a disorder characterized by sudden, recurring attacks of pain and inflammation in one or more joints. You may obtain further information from your doctor or pharmacist, who have more detailed information. HOW ECOXI TABLET WORKS ECOXI tablet is a member of a group of medicines called selective COX-2 inhibitors that are used to reduce pain and inflammation. ECOXI tablet is not a narcotic. BEFORE YOU USE ECOXI TABLET - _When you must not use it _ Do not use ECOXI tablet if: • are allergic to etoricoxib or any of other ingredients of this medicine. • have had heart failure, a heart attack, bypass surgery, chest pain, narrow or blocked arteries of the extremities, a stroke or mini stroke • have high blood pressure that has not been controlled by treatment - _Before you start to use it _ Tell your doctor about any medical proble Baca dokumen lengkap
PHARMACOLOGY Pharmacotherapeutic group: Anti-inflammatory and antirheumatic products, non-steroids, coxibs, ATC code: M01 Ah05 Mechanism of Action Etoricoxib is an oral, selective cyclo-oxygenase-2 (COX-2) inhibitor within the clinical dose range. Across clinical pharmacology studies, Etoricoxib produced dose-dependent inhibition of COX-2 without inhibition of COX-1 at doses up to 150 mg daily. Etoricoxib did not inhibit gastric prostaglandin synthesis and had no effect on platelet function. Cyclooxygenase is responsible for generation of prostaglandins. Two isoforms, COX-1 and COX-2, have been identified. COX-2 is the isoform of the enzyme that has been shown to be induced by pro-inflammatory stimuli and has been postulated to be primarily responsible for the synthesis of prostanoid mediators of pain, inflammation, and fever. COX-2 is also involved in ovulation, implantation and closure of the ductus arteriosus, regulation of renal function, and central nervous system functions (fever induction, pain perception and cognitive function). It may also play a role in ulcer healing. COX-2 has been identified in tissue around gastric ulcers in man but its relevance to ulcer healing has not been established. PHARMACOKINETICS Absorption Orally administered etoricoxib is well absorbed. The absolute bioavailability is approximately 100%. Following 120 mg once-daily dosing to steady state, the peak plasma concentration (geometric mean Cmax = 3.6 μg/ml) was observed at approximately 1 hour (Tmax) after administration to fasted adults. The geometric mean area under the curve (AUC0-24hr) was 37.8 μghr/ml. The pharmacokinetics of etoricoxib are linear across the clinical dose range. Dosing with food (a high-fat meal) had no effect on the extent of absorption of etoricoxib after administration of a 120-mg dose. The rate of absorption was affected, resulting in a 36% decrease in Cmax and an increase in Tmax by 2 hours.These data are not considered clinically significant. In clinical trials, etoricoxib was administered Baca dokumen lengkap