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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.
 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. Do not pass it on to
others. It may harm them, even if their symptoms are the same as
 If any of the side effects gets serious, or if you notice any side effects
not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet:
1. What ARCOXIA is and what it is used for
2. Before you take ARCOXIA
3. How to take ARCOXIA
4. Possible side effects
5. How to store ARCOXIA
6. Further information


 ARCOXIA is one of a group of medicines called selective COX-2

inhibitors. These belong to a family of medicines called non-steroidal
anti-inflammatory drugs (NSAIDs).
 ARCOXIA helps to reduce the pain and swelling (inflammation) in the
joints and muscles of people with osteoarthritis, rheumatoid arthritis,
ankylosing spondylitis and gout.
 ARCOXIA is also used for the short term treatment of moderate pain
after dental surgery.
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 disability.
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 body.

Children and Adolescents
Do not give this medicine to children and adolescents under 16 years of
Other medicines and ARCOXIA
Please 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)
 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
 lithium (a medicine used to treat some types of depression)
 diuretics (water tablets)
 ciclosporin or tacrolimus (drugs used for suppressing the immune
 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
 hormone replacement therapy
 aspirin, the risk of stomach ulcers is greater if you take ARCOXIA with
- 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
- do not take high dose aspirin or other anti-inflammatory medicines
while taking ARCOXIA
Pregnancy and breast-feeding
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 with food and drink
The onset of the effect of ARCOXIA may be faster when taken without

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

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 sleepiness.

What is ankylosing spondylitis?
Ankylosing spondylitis is an inflammatory disease of the spine and large

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.




Do not take ARCOXIA:
 if you are allergic (hypersensitive) to etoricoxib or any of the other

ingredients of ARCOXIA (see Further information, 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
and breast feeding’)
 if you are under 16 years of age
 if you have inflammatory bowel disease, such as Crohn’s Disease,
Ulcerative Colitis, or Colitis
 if your doctor has diagnosed heart problems including heart failure
(moderate or severe types), angina (chest pain) or if you have had a
heart attack, bypass surgery, peripheral arterial disease (poor
circulation in legs or feet due to narrow or blocked arteries), or 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 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 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 are a woman trying to become pregnant.
 You are elderly (i.e., over 65 years of age).
 You have diabetes, high cholesterol, or are a smoker. These can
increase your risk of heart disease.
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 you.
ARCOXIA works equally well in older and younger adult patients. If you
are elderly (i.e., over 65 years of age), your doctor will want to
appropriately keep a check on you. No dosage adjustment is necessary
for elderly patients.


Always take this medicine exactly as your doctor has told you. You should
check with your doctor or pharmacist if you are not sure.
ARCOXIA Tablets should not be taken by children or adolescents under
16 years of age.
Take ARCOXIA Tablets by mouth once a day. ARCOXIA can be taken
with or without food.
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.
The recommended dose is 30 mg once a day, increase to a maximum of
60 mg once a day if needed.
Rheumatoid arthritis
The recommended dose is 90 mg once a day.
Ankylosing spondylitis
The recommended dose is 90 mg once a day.
Acute pain conditions
Etoricoxib should be used only for the acute painful period.
The recommended dose is 120 mg once a day which should only be used
for the acute painful period, limited to a maximum of 8 days treatment.
Postoperative dental surgery pain
The recommended dose is 90 mg once daily, limited to a maximum of 3
days treatment.
People with liver problems
 If you have mild liver disease, you should not take more than 60 mg a


 If you have moderate liver disease, you should not take more than 30

mg a day.
If you take more ARCOXIA than you should
You should never take more tablets than the doctor recommends. If you
do take too many
ARCOXIA tablets, you should seek medical attention immediately.
If you forget to take ARCOXIA
It is important to take ARCOXIA as your doctor has prescribed. If you miss
a dose, just resume your usual schedule the following day. Do not take a
double dose to make up for the forgotten tablet.
If you have any further questions on the use of this product, ask your
doctor or pharmacist.



Like all medicines, ARCOXIA can cause side effects, although not
everybody gets them.
If you develop any of these signs you should stop ARCOXIA and talk
to your doctor immediately:
 shortness of breath, chest pains, or ankle swelling appear or if they get
 yellowing of the skin and eyes (jaundice) – these are signs of liver
 severe or continual stomach pain or your stools become black
 an allergic reaction- which can include skin problems such as ulcers or
blistering, or swelling of the face, lips, tongue, or throat which may
cause difficulty in breathing
The frequency of possible side effects listed below is defined using the
following convention:
Very common (affects more than 1 user in 10)
Common (affects 1 to 10 users in 100)
Uncommon (affects 1 to 10 users in 1,000)
Rare (affects 1 to 10 users in 10,000)
Very rare (affects less than 1 user in 10,000).
The following side effects can occur during treatment with ARCOXIA:
Very Common:
 stomach pain
 dry socket (inflammation and pain after a tooth extraction)
 swelling of the legs and/or feet due to fluid retention (oedema)
 dizziness, headache
 palpitations (fast or irregular heartbeat), irregular heart rhythm
 increased blood pressure
 wheezing or shortness of breath (bronchospasms)
 constipation, wind (excessive gas), gastritis (inflammation of the lining
of the stomach), heartburn, diarrhoea, indigestion (dyspepsia)/stomach
discomfort, nausea, being sick (vomiting), inflammation of the
oesophagus, mouth ulcers
 changes in blood tests related to your liver
 Bruising
 weakness and fatigue, flu-like illness
 gastroenteritis (inflammation of the gastrointestinal tract that involves


both the stomach and small intestine/stomach flu), upper respiratory
infection, urinary tract infection
decreased number of red blood cells, decreased number of white
blood cells, platelets decreased
hypersensitivity (an allergic reaction including hives which may be
serious enough to require immediate medical attention
appetite increases or decreases, weight gain
anxiety, depression, decreases in mental sharpness; seeing, feeling or
hearing things that are not there (hallucinations)
taste alteration, inability to sleep, numbness or tingling, sleepiness
blurred vision, eye irritation and redness
ringing in the ears, vertigo (sensation of spinning while remaining still)
abnormal heart rhythm (atrial fibrillation), fast heart rate, heart failure,
feeling of tightness, pressure or heaviness in the chest (angina
pectoris), heart attack
flushing, stroke, mini-stroke (transient ischaemic attack), severe
increase in blood pressure, inflammation of the blood vessels
cough, breathlessness, nose bleed
stomach or bowel bloating, changes in your bowel habits, dry mouth,
stomach ulcer, inflammation of the stomach lining that can become
serious and may lead to bleeding, irritable bowel syndrome,
inflammation of the pancreas
swelling of the face, skin rash or itchy skin, redness of the skin
muscle cramp/spasm, muscle pain/stiffness
high levels of potassium in your blood, changes in blood or urine tests
relating to your kidney, serious kidney problems
chest pain

 angioedema (an allergic reaction with swelling of the face, lips, tongue


and/or throat which may cause difficulty in breathing or swallowing,
which may be serious enough to require immediate medical attention)/
anaphylactic/anaphylactoid reactions including shock (a serious
allergic reaction that requires immediate medical attention)
confusion, restlessness
liver problems (hepatitis)
low blood levels of sodium
liver failure, yellowing of the skin and/or eyes (jaundice)
severe skin reactions

Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at: By reporting side effects, you can help
provide more information on the safety of this medicine.

Keep your tablets out of the sight and reach of children.
Do not put the tablets into another container, as they might get mixed
Store in the original blister pack and do not remove the tablet from its
blister until you are ready to take it, as the tablets are moisture
There are no other special storage conditions required for this
Do not take the tablets if they are past the expiry date which is clearly
marked on the pack.
If your doctor tells you to stop taking this medicine, return any unused
tablets to your doctor or pharmacist for safe disposal. Only keep the
tablets if your doctor tells you to.
If your tablets have become discoloured or show any other signs of
deterioration, consult your doctor or pharmacist who will tell you what
to do.
Medicines should not be disposed of via wastewater or household
waste. Ask your pharmacist how to dispose of medicines that are no
longer required. These measures will help to protect the environment.



What ARCOXIA contains
The active ingredient in Arcoxia is etoricoxib.
Other ingredients: calcium hydrogen phosphate (anhydrous),
carnauba wax, croscarmellose sodium, hypromellose, lactose
monohydrate, magnesium stearate, microcrystalline cellulose, titanium
dioxide (E171) and glycerol triacetate.


What ARCOXIA looks like and contents of the pack
Arcoxia 60mg Tablets: Green coloured, apple-shaped, biconvex
film-coated tablets marked ‘200’ on one side and plain on the other side.
Each film-coated tablet contains 60mg of etoricoxib.
Arcoxia 90mg Tablets: White coloured, apple-shaped, biconvex
film-coated tablets marked ‘202’ on one side and plain on the other side.
Each film-coated tablet contains 90mg of etoricoxib.
Arcoxia 120 mg Tablets: Pale-green coloured, apple-shaped, biconvex
film-coated tablets marked ‘204’ on one side and plain on the other side.
Each film-coated tablet contains 120mg of etoricoxib.
Arcoxia 60mg Tablets and Arcoxia 120mg Tablets also contain yellow iron
oxide (E172) and indigo carmine lake (E132).
Arcoxia 60mg Tablets and Arcoxia 90mg Tablets are available in blister
packs containing 20 or 30 tablets. Arcoxia 120mg Tablets are available in
packs containing 5, 10 or 30 tablets.
This product is manufactured by:
Merck Sharp & Dohme B.V. Haarlem, Netherlands.
Frosst Iberica SA. Alcala De Henares, Madrid, Spain.

Merck & Co., Inc., Merck Manufacturing Division (MMD), Elkton, USA.

It is procured from within the EU. Parallel Import Product Licence holder:
G Pharma Ltd, Salford M50 2PU.
PL 16369/1299 Arcoxia 60 mg Film Coated Tablets
PL 16369/1300 Arcoxia 90 mg Film Coated Tablets
PL 16369/1301 Arcoxia 120 mg Film Coated Tablets
Leaflet revision date: 30/06/2014
Arcoxia is a registered trademark of Merck & Co Inc


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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.