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Active substance(s): ETORICOXIB

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Patient Information Leaflet: information for the user
Arcoxia® 60mg film-coated tablets / Etoricoxib 60mg film-coated
tablets / Tauxib 60mg film-coated tablets
Arcoxia® 90mg film-coated tablets / Etoricoxib 90mg film-coated
tablets / Tauxib 90mg film-coated tablets
Arcoxia® 120mg film-coated tablets / Etoricoxib 120mg
film-coated tablets / Tauxib 120mg film-coated tablets
This product is available in the above names and strengths, but will be
referred to as Arcoxia throughout the remainder of this leaflet.
This product is available in multiple strengths and all strengths will be
referred to throughout this leaflet
Read all of this leaflet carefully before you start taking this
medicine because it contains important information for you.
 Keep this leaflet. You may need to read it again.
 If you have any further questions, ask your doctor or pharmacist.
 This medicine has been prescribed for you only. Do not pass it on
to others. It may harm them, even if their signs of illness are the
same as yours.
 If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See
section 4.
What is in this leaflet
1. What Arcoxia is and what it is used for
2. What you need to know before you take Arcoxia
3. How to take Arcoxia
4. Possible side effects
5. How to store Arcoxia
6. Contents of the pack and other information

What Arcoxia is and what it is used for

What is Arcoxia?
 Arcoxia contains the active substance etoricoxib. Arcoxia is one of
a group of medicines called selective COX-2 inhibitors. These
belong to a family of medicines called non-steroidal antiinflammatory drugs (NSAIDs).
What is Arcoxia used for?
 Arcoxia helps to reduce the pain and swelling (inflammation) in the
joints and muscles of people 16 years of age and older with
osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout.
 Arcoxia is also used for the short term treatment of moderate pain
after dental surgery in people 16 years of age and older.
What is osteoarthritis?
Osteoarthritis is a disease of the joints. It results from the gradual
breakdown of cartilage that cushions the ends of the bones. This
causes swelling (inflammation), pain, tenderness, stiffness and
What is rheumatoid arthritis?
Rheumatoid arthritis is a long term inflammatory disease of the joints. It
causes pain, stiffness, swelling, and increasing loss of movement in the
joints it affects. It may also cause inflammation in other areas of the
What is gout?
Gout is a disease of sudden, recurring attacks of very painful
inflammation and redness in the joints. It is caused by deposits of
mineral crystals in the joint.
What is ankylosing spondylitis?
Ankylosing spondylitis is an inflammatory disease of the spine and
large joints.

What you need to know before you take Arcoxia

Do not take Arcoxia:
 if you are allergic (hypersensitive) to etoricoxib or any of the other
ingredients of this medicine (listed in section 6)
 if you are allergic to non-steroidal anti-inflammatory drugs
(NSAIDs), including aspirin and COX-2 inhibitors (see Possible
Side Effects, section 4)
 if you have a current stomach ulcer or bleeding in your stomach or
 if you have serious liver disease
 if you have serious kidney disease
 if you are or could be pregnant or are breast-feeding (see
‘Pregnancy, breast feeding and fertility’)
 if you are under 16 years of age
 if you have inflammatory bowel disease, such as Crohn’s Disease,
Ulcerative Colitis, or Colitis
 if you have high blood pressure that has not been controlled by
treatment (check with your doctor or nurse if you are not sure
whether your blood pressure is adequately controlled)
 if your doctor has diagnosed heart problems including heart failure
(moderate or severe types), angina (chest pain)
 if you have had a heart attack, bypass surgery, peripheral arterial
disease (poor circulation in legs or feet due to narrow or blocked
 if you have had any kind of stroke (including mini-stroke, transient
ischaemic attack or TIA). Etoricoxib may slightly increase your risk
of heart attack and stroke and this is why it should not be used in
those who have already had heart problems or stroke.
If you think any of these are relevant to you, do not take the tablets
until you have consulted your doctor.
Warnings and precautions
Talk to your doctor or pharmacist before taking Arcoxia if:
 You have a history of stomach bleeding or ulcers.
 You are dehydrated, for example by a prolonged bout of vomiting or
 You have swelling due to fluid retention.
 You have a history of heart failure, or any other form of heart

 You have a history of high blood pressure. Arcoxia can increase
blood pressure in some people, especially in high doses, and your
doctor will want to check your blood pressure from time to time.
 You have any history of liver or kidney disease.
 You are being treated for an infection. Arcoxia can mask or hide a
fever, which is a sign of infection.
 You have diabetes, high cholesterol, or are a smoker. These can
increase your risk of heart disease.
 You are a woman trying to become pregnant.
 You are over 65 years of age.
If you are not sure if any of the above apply to you, talk to your
doctor before taking Arcoxia to see if this medicine is suitable for
Arcoxia works equally well in older and younger adult patients. If you
are over 65 years of age, your doctor will want to appropriately keep a
check on you. No dosage adjustment is necessary for patients over 65
years of age.
Children and adolescents
Do not give this medicine to children and adolescents under 16 years
of age.
Other medicines and Arcoxia
Tell your doctor or pharmacist if you are taking, have recently taken or
might take any other medicines, including medicines obtained without a
In particular if you are taking any of the following medicines, your
doctor may want to monitor you to check that your medicines are
working properly, once you start taking Arcoxia:
 medicines that thin your blood (anticoagulants), such as warfarin
 rifampicin (an antibiotic)
 methotrexate (a drug used for suppressing the immune system, and
often used in rheumatoid arthritis)
 ciclosporin or tacrolimus (drugs used for suppressing the immune
 lithium (a medicine used to treat some types of depression)
 medicines used to help control high blood pressure and heart
failure called ACE inhibitors and angiotensin receptor blockers,
examples include enalapril and ramipril, and losartan and valsartan
 diuretics (water tablets)
 digoxin (a medicine for heart failure and irregular heart rhythm)
 minoxidil (a drug used to treat high blood pressure)
 salbutamol tablets or oral solution (a medicine for asthma)
 birth control pills (the combination may increase your risk of side
 hormone replacement therapy (the combination may increase your
risk of side effects)
 aspirin, the risk of stomach ulcers is greater if you take Arcoxia with
 aspirin for prevention of heart attacks or stroke:
Arcoxia can be taken with low-dose aspirin. If you are currently
taking low-dose aspirin to prevent heart attacks or stroke, you
should not stop taking aspirin until you talk to your doctor
 aspirin and other non-steroidal anti-inflammatory drugs
do not take high dose aspirin or other anti-inflammatory
medicines while taking Arcoxia.
Arcoxia with food and drink
The onset of the effect of Arcoxia may be faster when taken without
Pregnancy, breast-feeding and fertility
Arcoxia tablets must not be taken during pregnancy. If you are
pregnant or think you could be pregnant, or if you are planning to
become pregnant, do not take the tablets. If you become pregnant,
stop taking the tablets and consult your doctor. Consult your doctor if
you are unsure or need more advice.
It is not known if Arcoxia is excreted in human milk. If you are breastfeeding, or planning to breast-feed, consult your doctor before taking
Arcoxia. If you are using Arcoxia, you must not breast-feed.
Arcoxia is not recommended in women attempting to become
Driving and using machines
Dizziness and sleepiness have been reported in some patients taking
Do not drive if you experience dizziness or sleepiness.
Do not use any tools or machines if you experience dizziness or
Arcoxia contains lactose
If you have been told by your doctor that you are unable to tolerate
some sugars, contact your doctor before taking this medicinal product.

How to take Arcoxia

Always take this medicine exactly as your doctor has told you. You
should check with your doctor or pharmacist if you are not sure.
Do not take more than the recommended dose for your condition.
Your doctor will want to discuss your treatment from time to time. It
is important that you use the lowest dose that controls your pain and
you should not take Arcoxia for longer than necessary. This is because
the risk of heart attacks and strokes might increase after prolonged
treatment, especially with high doses.
There are different strengths available for this medicinal product and
depending on your disease your doctor will prescribe the tablet
strength that is appropriate for you.
The recommended dose is 30 mg once a day, increase to a maximum
of 60 mg once a day if needed.

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