Generic Vioxx - Rofecoxib

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What is Generic Vioxx?
Generic Vioxx is a nonsteroidal anti-inflammatory drug (NSAID) that is used to reduce pain and inflammation (swelling and soreness) and is available in tablet form.

What is Generic Vioxx used for?
Generic Vioxx is used to relieve: Signs and symptoms of osteoarthritis, Acute pain in adults and Painful menstrual cycles.

Who should not take Vioxx?
You should not take Vioxx if you have experienced asthma, hives, or allergic-type reactions after taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs). A few examples of other NSAIDs are ibuprofen, naproxen, diclofenac, nabumetone, and ketoprofen.

Special Warnings with Vioxx:
Serious problems from stomach ulcers, such as bleeding, are well-known complications in people treated with NSAIDs. Similar problems have occurred in people treated with Vioxx, although very rarely. The likelihood of stomach problems increases the longer you take drugs like Vioxx. However, even short-term treatment is not without risk. These problems can happen without any warning, but in some people may cause symptoms such as gnawing or burning stomach pain, black or tarry stools, or vomiting. If this happens, stop taking Vioxx and call your health care provider right away.

Check with your health care provider. Vioxx may not be right for you, if you:
· have had ulcers or stomach bleeding
· have had asthma, hives, or allergic-type reactions after taking aspirin or other NSAIDs
· have severe kidney problems
· have severe liver problems
· are pregnant

General Precautions with Vioxx:

Do not stop taking any medications that you have been prescribed without first talking to your doctor.

Serious problems such as liver damage have occurred in people treated with NSAIDs. Some of the warning signs of liver damage can be nausea, vomiting, fatigue, loss of appetite, itching, yellow coloring of skin or eyes, "flu-like" symptoms and dark urine. If you experience any of these symptoms, call your health care provider right away.

Vioxx can cause your body to retain fluid and swell. Your health care provider will decide if Vioxx is right for you, if you:
· retain fluids
· have high blood pressure
· have heart failure

If you have asthma, you may have aspirin-sensitive asthma. If an aspirin-sensitive asthmatic takes aspirin it can cause severe narrowing of the airway (bronchospasm), and even death. Since this type of reaction to aspirin and other NSAIDs have occurred in aspirin-sensitive patients, Vioxx should not be given to aspirin-sensitive patients.

The safety and effectiveness of Vioxx in patients below the age of 18 years has not been determined.

What should I tell my doctor or health care provider?

Tell your health care provider if you are trying to become pregnant, are already pregnant, or are breast-feeding. Because certain other medications can interact with Vioxx, review all medications that you are taking with your health care provider, including those that you take without a prescription.

Your health care provider may have to adjust your dose or monitor you more closely if you take:
· certain blood pressure medications called ACE-inhibitors
· furosemide
· lithium
· methotrexate
· rifampin
· warfarin
· aspirin

Avoid taking Vioxx with antacids that contain calcium carbonate and magnesium/aluminum combination products, because they may reduce the amount of Vioxx your body absorbs.

What are some possible side effects of Vioxx?
(This is NOT a complete list of side effects reported with Vioxx. Your health care provider can discuss with you a more complete list of side effects.)

Serious but rare side effects that have been reported in patients taking Vioxx and/or related medicines have included:
Serious stomach problems, such as stomach and intestinal bleeding, can occur with or without warning symptoms. These problems, if severe, could lead to hospitalization or death. Although this happens rarely, you should watch for signs that you may have this serious side effect and tell your doctor right away.
Serious allergic reactions including swelling of face, lips, tongue, and/or throat which may cause difficulty breathing or swallowing occur rarely but may require treatment right away.

Serious kidney problems occur rarely, including acute kidney failure and worsening of chronic kidney failure.
Severe liver problems occur rarely in patients taking NSAIDs. Tell your doctor if you develop symptoms of liver problems. These include nausea, tiredness, itching, tenderness in the right upper abdomen, and flu-like symptoms.
In addition, the following side effects have been reported: hallucinations, unusual headache with stiff neck (aseptic meningitis).

More common, but less serious side effects reported with VIOXX have included the following:
· Upper and/or lower respiratory infection and/or inflammation
· Headache
· Dizziness
· Diarrhea
· Nausea and/or vomiting
· Heartburn, stomach pain and upset
· Swelling of the legs and/or feet
· High blood pressure
· Back pain
· Tiredness
· Urinary tract infection.

These side effects were reported in at least 2% of osteoarthritis patients receiving daily doses of VIOXX 12.5 mg to 25 mg in clinical studies.

The side effects described above do not include all of the side effects reported with VIOXX. Do not rely on this document alone for information about side effects. Your doctor or pharmacist can discuss with you a more complete list of side effects. Any time you have a medical problem you think may be related to VIOXX, talk to your doctor.

IMPORTANT NOTICE
This information is for educational purposes only. Not every known side effect, adverse effect, or drug interaction is in this database. If you have questions about your medicines, talk to your healthcare provider.