Etoricoxib Viatris
Etoricoxib Viatris is a medicine that helps reduce pain and swelling in joints and muscles caused by conditions like osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, gout, and after dental surgery for people aged 16 and older.
How to Use
Dosage
Take once a day. For osteoarthritis, the usual dose is 30 mg, possibly up to 60 mg. For rheumatoid arthritis and ankylosing spondylitis, the usual dose is 60 mg, possibly up to 90 mg. For gout, take 120 mg for a maximum of 8 days. For pain after dental surgery, take 90 mg for a maximum of 3 days. If you have mild liver disease, do not take more than 60 mg per day; if moderate, do not take more than 30 mg per day.
Method
Take the tablets by mouth once a day. You can take them with or without food. If you need fast pain relief, take the medicine without food.
Do not take more than the dose your doctor has recommended. Always use the lowest effective dose for the shortest time needed to control your pain to reduce the risk of heart attack or stroke, especially with high doses.
Possible Side Effects
- •Abdominal pain
- •Inflammation in the tooth socket after tooth extraction
- •Swelling in legs and/or feet due to fluid retention
- •Dizziness, headache
- •Fast or irregular heartbeat (palpitations, arrhythmia)
- •High blood pressure
- •Constipation, gas, stomach inflammation (gastritis), heartburn, diarrhea, indigestion, nausea, vomiting, inflammation of the esophagus
- •Changes in liver function blood tests
- •Bruising
- •Weakness, fatigue, flu-like symptoms
- •Upper respiratory tract infection
- •Pain or burning sensation when urinating (may be a sign of urinary tract infection)
- •Fatigue, shortness of breath, cold hands and feet, pale skin (may be signs of low red blood cells)
- •Unexplained bruising or more frequent/prolonged bleeding (may be signs of low blood platelets)
- •Increased or decreased appetite, weight gain
- •Anxiety, depression, reduced mental sharpness, seeing or hearing things that are not there (hallucinations)
- •Taste changes, sleeplessness, numbness or tingling in hands or feet, reduced skin sensation, sleepiness
- •Blurred vision, eye irritation and redness
- •Ringing in the ears, dizziness (feeling of spinning while standing still)
- •Changes in the heart's electrical activity
- •Flushing, inflammation of blood vessels
- •Cough, nosebleed
- •Changes in bowel habits, dry mouth, irritable bowel syndrome
- •Muscle cramps/spasms, muscle pain or stiffness
- •High levels of potassium in the blood, changes in kidney function blood or urine tests
- •Confusion, restlessness
- •Low sodium levels in the blood
Important Warnings
- An allergic reaction, which may include rash, hives, itching, or swelling of the face, lips, mouth, tongue, or throat, potentially causing breathing or swallowing difficulties.
- Shortness of breath, severe chest pain, severe headache with increasing confusion, or blurred vision with ankle swelling. These can be signs of dangerously high blood pressure or serious heart problems.
- Yellow skin and eyes, dark urine, fatigue, fever, nausea, weakness, drowsiness, and stomach pain. These can be signs of severe liver problems.
- Severe or persistent stomach pain, black tarry stools or bloody stools, vomiting which may contain blood, swollen stomach, loss of appetite, or nausea. These can be signs of severe stomach, intestinal, or pancreas problems.
- A severe skin condition with severe blistering and bleeding in the lips, eyes, mouth, and nose (Stevens-Johnson syndrome) or severe skin reactions starting with painful red areas, continuing with large blisters, and ending with peeling skin. This may also come with fever, chills, muscle aches, and a general feeling of being unwell (toxic epidermal necrolysis).
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- Increased number of infections, which may appear as fever, severe chills, sore throat, or mouth sores. These can be signs of low white blood cell count.
- Abnormally or dangerously fast heart rhythm.
- Sudden loss of consciousness, numbness or weakness in arms or legs, headache, dizziness and confusion, vision problems, difficulty swallowing, slurred or unclear speech, or loss of ability to speak. These can be signs of a stroke or mini-stroke caused by a blood clot or bleeding affecting blood flow to a part of the brain.
- Feeling of pressure or tightness in the chest, with chest pain and shortness of breath during exercise. These can be signs of angina.
- Sudden chest pain that can spread to the neck or arm, with shortness of breath and cold sweat. These can be signs of a heart attack or other heart problems.
- Worsening heart function, which can cause fatigue, weakness and/or fluid retention, such as swelling in the legs and ankles, and breathing difficulties, possibly with foamy or watery phlegm.
- Reduced or complete cessation of urine output, cloudy urine or blood in the urine, painful urination, or lower back pain. These can be signs of severe kidney problems.
Use in Elderly Patients
Suitable for older adults, with specific precautions. For short-term use only. Consider adverse renal effect in chronic kidney disease. Do not use in severe renal impairment. May increase swelling, worsen renal and cardiac failure and cause cardiovascular events. Risk of gastrointestinal bleeding less than with traditional NSAIDs. Consider potential interactions especially with preparations that increase risk of bleeding. (updated 16.9.2024)