Skip to Content
Is your RA under control? Take an assessment and find out

celecoxib

Pronunciation

Generic Name: celecoxib (SEL e KOX ib)
Brand Name: CeleBREX

What is celecoxib?

Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID). Celecoxib works by reducing hormones that cause inflammation and pain in the body.

Celecoxib is used to treat pain or inflammation caused by many conditions such as arthritis, ankylosing spondylitis, and menstrual pain. Celecoxib is used to treat juvenile rheumatoid arthritis in children who are at least 2 years old. Celecoxib is also used in the treatment of hereditary polyps in the colon.

Celecoxib may also be used for purposes not listed in this medication guide.

What is the most important information I should know about celecoxib?

Celecoxib can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Celecoxib may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using celecoxib, especially in older adults. You should not take this medicine if you already have bleeding in your stomach or intestines.

What should I discuss with my healthcare provider before taking celecoxib?

Celecoxib can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.

Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Celecoxib may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using celecoxib, especially in older adults.

You should not use celecoxib if you are allergic to it, or if you have:

  • bleeding in your stomach or intestines;

  • an allergy to sulfa drugs; or

  • a history of asthma attack or severe allergic reaction after taking aspirin or an NSAID.

To make sure celecoxib is safe for you, tell your doctor if you have:

  • heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;

  • a history of heart attack, stroke, or blood clot;

  • a history of stomach ulcers or bleeding;

  • asthma;

  • liver or kidney disease; or

  • fluid retention.

Taking celecoxib during the last 3 months of pregnancy may harm the unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using celecoxib.

Celecoxib can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Celecoxib is not approved for use by anyone younger than 2 years old.

How should I take celecoxib?

Follow all directions on your prescription label. Do not take this medicine in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.

You may take celecoxib with or without food.

Take with food if celecoxib upsets your stomach.

To make swallowing easier, you may open the celecoxib capsule and sprinkle the medicine into a spoonful of applesauce. Swallow right away without chewing. Discard the empty capsule. If you do not take the mixture right away, keep it in the refrigerator and take it within 6 hours.

If you use this medicine long-term, you may need frequent medical tests.

Store at room temperature away from moisture and heat.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

What happens if I miss a dose?

Since celecoxib is sometimes used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking celecoxib?

Avoid drinking alcohol. It may increase your risk of stomach bleeding.

Avoid taking aspirin or other NSAIDs while you are taking celecoxib.

Ask a doctor or pharmacist before using any cold, allergy, or pain medication. Many medicines available over the counter contain aspirin or other medicines similar to celecoxib. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen.

Celecoxib side effects

Get emergency medical help if you have signs of an allergic reaction: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat.

Get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.

Stop using celecoxib and call your doctor at once if you have:

  • the first sign of any skin rash, no matter how mild;

  • shortness of breath (even with mild exertion);

  • swelling or rapid weight gain;

  • signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;

  • liver problems--nausea, upper stomach pain, itching, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

  • kidney problems--little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;

  • low red blood cells (anemia)--pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or

  • severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Common side effects may include:

  • stomach pain, indigestion, gas, diarrhea;

  • swelling in your hands or feet;

  • dizziness;

  • rash; or

  • cold symptoms such as stuffy nose, sneezing, sore throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Celecoxib dosing information

Usual Adult Dose for Pain:

Day 1: 400 mg orally once followed by an additional 200 mg orally if needed
Usual dose: 200 mg orally twice a day as needed

Comment: The lowest effective dose for the shortest duration consistent with individual patient treatment goals should be used.

Use: For the management of acute pain.

Usual Adult Dose for Dysmenorrhea:

Day 1: 400 mg orally once followed by an additional 200 mg orally if needed
Usual dose: 200 mg orally twice a day as needed

Comment: Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.

Use: For the treatment of primary dysmenorrhea.

Usual Adult Dose for Osteoarthritis:

Usual dose: 200 mg orally once a day OR 100 mg orally twice a day

Comment: Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.

Use: For the relief of the signs and symptoms of osteoarthritis.

Usual Adult Dose for Rheumatoid Arthritis:

Usual dose: 100 or 200 mg orally twice a day

Comment: Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.

Use: For the relief of the signs and symptoms of rheumatoid arthritis.

Usual Adult Dose for Ankylosing Spondylitis:

Usual dose: 200 mg orally once a day OR 100 mg orally twice a day
-If no effect after 6 weeks, consider increasing dose to 400 mg orally daily
Maximum dose: 400 mg per day

Comments:
-If no effect is observed after 6 weeks at 400 mg per day, alternative treatments should be considered as a response is not likely.
-Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.

Use: For the relief of the signs and symptoms of ankylosing spondylitis.

Usual Pediatric Dose for Juvenile Rheumatoid Arthritis:

Age: 2 years or older:

Weight: 10 kg to 25 kg: 50 mg orally twice a day
Weight: Greater than 25 kg: 100 mg orally twice a day

Comments:
-The lowest effective dose for the shortest duration consistent with individual patient treatment goals should be used.
-For pediatric patients who are poor metabolizers of CYP450 2C9, consider alternative treatment.

Use: For the relief of the signs and symptoms of juvenile rheumatoid arthritis in patients 2 years or older.

What other drugs will affect celecoxib?

Ask your doctor before using celecoxib if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • fluconazole;

  • lithium;

  • a blood thinner (warfarin, Coumadin, Jantoven);

  • heart or blood pressure medication, including a diuretic or "water pill"; or

  • steroid medicine (such as prednisone).

This list is not complete. Other drugs may interact with celecoxib, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

  • Your pharmacist can provide more information about celecoxib.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 14.01. Revision Date: 2015-09-08, 10:43:02 AM.

Hide