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Vioxx
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This medicine is a nonsteroidal
anti-inflammatory drug (NSAID) known as a COX-2 inhibitor used
to relieve the symptoms of osteoarthritis and to treat pain
and menstrual discomfort.
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The usual dose of Vioxx for
acute pain syndromes and menstrual cramps (primary dysmenorrhea)
is 50 mg once daily for no longer than 5 days. The usual dose
of Vioxx for treatment of osteoarthritis is 12.5 mg daily although
some patients may benefit from 25 mg daily. The maximum daily
dose should not exceed 25 mg. This medicine may be taken on
an empty stomach or with food.
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Side effects that may occur
while taking Vioxx include weakness or nausea. If they continue
or are bothersome, check with your doctor. Check with your doctor
as soon as possible if you experience itching or skin rash,
swelling of the feet or ankles, unexpected weight gain, vomiting
material that looks like coffee grounds, or blood in stool or
vomit. Contact your doctor immediately if you experience swelling
of hands, face, lips, eyes, throat, or tongue; difficulty swallowing
or breathing; hoarseness; flu-like symptoms; sluggishness; yellowing
of the skin or eyes; stomach pain; dark urine or pale stools;
or unusual fatigue. If you notice other effects not listed above,
contact your doctor, nurse, or pharmacist.
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Do not take vioxx if you have had a severe allergic reaction
to aspirin or any medicine containing aspirin or to a nonsteroidal
anti-inflammatory drug (such as Feldene, Motrin, Naprosyn,
Clinoril). A severe reaction includes a severe rash, hives,
breathing difficulties, or dizziness. If you have a question
about whether you are allergic to this medicine or if a certain
medicine is a nonsteroidal anti-inflammatory drug, contact
your doctor or pharmacist. If you experience difficulty breathing;
tightness of chest; swelling of eyelids, face, or lips; or
if you develop a rash or hives, tell your doctor immediately.
Do not take any more doses of this medicine unless your doctor
tells you to do so. Do not exceed the recommend dose or take
this medicine for longer than prescribed without checking
with your doctor. Keep all doctor and laboratory appointments
while you are using this medicine. Alcohol warning: If you
consume 3 or more alcoholic drinks every day, ask your doctor
whether you should take this medicine or other pain relievers/fever
reducers. This medicine may cause stomach bleeding. Before
you begin taking any new medicine, either prescription or
over-the-counter, check with your doctor or pharmacist. This
includes any medicines that contain ibuprofen, naproxen, or
ketoprofen.
FOR WOMEN: If you plan on becoming pregnant, discuss with
your doctor the benefits and risks of using this medicine
during pregnancy. It is unknown if this medicine is excreted
in breast milk. Do not breast-feed while taking this medicine.
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Some medicines or medical conditions
may interact with Vioxx. Inform your doctor or pharmacist of
all prescription and over-the-counter medicine that you are
taking. Additional monitoring of your dose or condition may
be needed if you are taking an ACE inhibitor, an anticoagulant,
furosemide, lithium, methotrexate, rifampin, thiazide diuretics,
or warfarin. Inform your doctor of any other medical conditions
including aspirin-sensitive asthma, allergies, pregnancy, or
breast-feeding. Contact your doctor or pharmacist if you have
any questions or concerns about taking this medicine.
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Do not share this medicine with
others for whom it was not prescribed. Do not use this medicine
for other health conditions. Keep this product out of the reach
of children. If using this medicine for an extended period of
time, obtain refills before your supply runs out.
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If you miss a dose of this medicine
and you are taking 1 dose daily, take the missed dose if you
remember the same day. Skip the missed dose if you do not remember
until the next day. Do NOT take 2 doses at once.
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Store this medicine
at room temperature at 77 degrees F (25 degrees C) in a tightly-closed
container, away from heat, moisture, and light.
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