Brand Name: Vioxx

Generic Name: Rofecoxib

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Brand Name: Vioxx

Most Common Medical Uses
Vioxx is a nonsteroidal anti-inflammatory drug (NSAID) known as a COX-2 inhibitor used to reduce pain, inflammation, and stiffness caused by osteoarthritis and rheumatoid arthritis; to manage pain in adults; and to treat menstrual pain. It may also be used to treat other conditions as determined by your doctor.

How to Take This Medication
Take each dose with a full glass of water. Vioxx can be taken with or without food or milk.The usual dose of Vioxx for acute pain syndromes and menstrual cramps (primary dysmenorrhea) is 50 mg once daily for no longer than 5 days. The usual dose of Vioxx for treatment of osteoarthritis is 12.5 mg daily although some patients may benefit from 25 mg daily. The maximum daily dose should not exceed 25 mg.

Possible Side Effects
Possible side effects that may occur while taking Vioxx include weakness or nausea. Do not take Vioxx without first talking to your doctor if you have experienced asthma, hives, or an allergic reaction after taking aspirin or another NSAID product. If symptoms continue or are bothersome, check with your doctor. If you experience itching or skin rash, swelling of the feet or ankles, unexpected weight gain, vomiting material that looks like coffee grounds, or blood in stool or vomit, check with your doctor. Contact your doctor immediately if you experience swelling of hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; hoarseness; flu-like symptoms; sluggishness; yellowing of the skin or eyes; stomach pain; dark urine or pale stools; or unusual fatigue. If you experience other effects not listed above, contact your doctor, nurse, or pharmacist.

Precautions
Do not take Vioxx if you have had a severe allergic reaction to aspirin or any medicine containing aspirin or to a nonsteroidal anti-inflammatory drug (such as Feldene, Motrin, Naprosyn, Clinoril). A severe reaction includes a severe rash, hives, breathing difficulties, or dizziness. Do not take any more doses of this medicine unless your doctor tells you to do so. Do not exceed the recommended dose or take this medicine for longer than prescribed without checking with your doctor. ALCOHOL WARNING: If you consume 3 or more alcoholic drinks every day, ask your doctor whether you should take this medicine or other pain relievers/fever reducers. This medicine may cause stomach bleeding. FOR WOMEN: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. Do not breast feed while taking this medicine. It is unknown if this medicine is excreted in breast milk.

Drug Interactions
Talk to your doctor and/or pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Missed Dose
If you miss a dose of this medicine and you are taking 1 dose daily, take the missed dose if you remember the same day. Skip the missed dose if you do not remember until the next day. DO NOT take a double dose of this medication unless instructed by your doctor.

Storage
Store this medicine at room temperature - 77 degrees F (25 degrees C) in a tightly-closed container, away from heat, moisture, and light. Keep this and all medications out of the reach of children.

Notes
Do not share Ultram with others for whom it was not prescribed, since they may have a problem that is not effectively treated by this drug.