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Pregnancy and breastfeeding
The safety of celecoxib when administered to a pregnant or lactating woman has not been evaluated.
Pregnancy Category C
Animal reproduction studies have not been conducted with the topical formulation of celecoxib. A decision should be made whether the drug is for use in pregnant or lactating women.
Pregnancy Category D
Not appropriate for use in women who
Acheter fradexam pommade may become pregnant.
No pregnancies occurring during a 3-year follow up period.
Pregnancy Category E
Excipient and other ingredients are toxic, rapidly excreted, and might be carcinogenic. The drug should used during pregnancy only if clearly needed (based
diclofenac gel 1 generic on clinical benefit to be determined in clinical trials).
Fetal/Neonatal Adverse Reactions
Teratogenic Effects: The potential of celecoxib has not been evaluated.
Neutropenia and Lactation: No teratogenic effects due to the use of oral celecoxib have been identified.
Adverse Reactions Due to Serum Levels
Acute Renal Failure:
Serum creatinine increased, and the clearance decreased. Renal failure occurred at doses of 500 mg/day or greater.
Frequency not reported in clinical trials:
Neutropenia and Lactation: The risk of pregnancy in setting therapy with oral celecoxib in pregnant women should be considered. A teratogenic effect of oral celecoxib has not been identified.
Seizure Disorder
Seizure: The probability of seizure occurrence during therapy was similar in patients with and without epilepsy.
No significant effects on seizure frequency of celecoxib were observed in the diclofenac generic for clinical trials with doses up to
Diclofenac 100mg $41.72 - $0.46 Per pill 100 mg/day in the acute phase of treatment, although the frequency seizures appears to be increased with the use of higher doses.
Conversion of Metabolic Bone Disease to Osteoporosis:
As a result of the conversion metabolic bone disease to osteoporosis, patients who receive oral celecoxib have a significantly increased risk of hip fractures compared with a non-obese subjects [see ADVERSE REACTIONS].
A case
Generic brand of reactine of osteopenia associated with a history of treatment oral celecoxib was reported during an 8-year follow up period. This patient developed osteopenia that was not due to an adverse event. The patient did not have evidence of osteoporosis at baseline in the clinical surveillance studies. She also had no obvious risk factors for osteoporosis. As the result of conversion metabolic bone disease to osteoporosis, she developed a low bone mineral density (BMD) of.13. In addition, she developed a right hip dislocation resulting in the fracture of humerus.
The risk of osteoporosis associated with therapy oral celecoxib should be considered. She advised to refrain from strenuous physical exercise and to take osteoporosis medications at a dose lower than the recommended for condition. clinician should also recommend a reduction in the volume of physical and occupational exposure that is necessary to offset potential risks and benefits associated with this drug.
In patients with risk factors for osteoporosis, oral celecoxib has the potential to increase risk of osteoporosis. These patients should be advised to have their BMD assessed determine whether oral celecoxib therapy poses a risk of osteoporosis.
Other Adverse Reactions
The following adverse reactions, other than anaphylaxis, have been observed in clinical trials with oral celecoxib: abdominal pain, chills, constipation, diarrhea, drowsiness, edema, euphoria, flushing, hot flushes, headache, lethargy, nausea, nasal dryness, pain, prostaglandin release syndrome, restlessness, shivering, sweating, tremor, and vasodilation.
In postmarketing experience, serious adverse reactions occasionally occurring after concomitant administration of oral celecoxib with other serotonergic drugs including serotonin reuptake inhibitors (SSRIs) have not been identified.
Drug Interactions
Some medications may be metabolized by CYP2D6 and may decrease the serum concentrations of celecoxib or may adversely affect response to the drug or decrease drug's therapeutic effect. Other medications that decrease the serum concentrations of celecoxib include corticosteroids, certain drugs used for treatment of hepatic impairment, and drugs that inhibit sulfotransferase.
Certain medications, including herbal products, have been shown to inhibit the metabolism of drugs that increase the serum concentrations of celecoxib.
Other medications that may affect the metabolism or bioavailability of celecoxib include.
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