is a nonsteroidal anti-inflammatory
drug (NSAID) that is used to reduce pain and inflammation
(swelling and soreness).
VIOXX is a medicine for:
Relief of osteoarthritis (the arthritis
caused by age-related wear and tear on bones and
Management of acute pain in adults (like the short-term pain
you can get after a dental or surgical operation)
Treatment of menstrual pain (pain during womens monthly
BEFORE USING: Some medicines or medical conditions may
interact with Vioxx. INFORM YOUR DOCTOR OR PHARMACIST of all
prescription and over-the-counter medicine that you are taking.
ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed
if you are taking an ACE inhibitor, an anticoagulant, furosemide,
lithium, methotrexate, rifampin, thiazide diuretics, or warfarin.
Inform your doctor of any other medical conditions including
aspirin-sensitive asthma, allergies, pregnancy, or breast-feeding.
Contact your doctor or pharmacist if you have any questions
or concerns about taking this medicine.
DIRECTIONS: 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. This medicine may be taken
on an empty stomach or with food. STORE THIS MEDICINE at room
temperature at 77 degrees F (25 degrees C) in a tightly-closed
container, away from heat, moisture, and light. 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
2 doses at once.
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. If you have a question about whether you are
allergic to this medicine or if a certain medicine is a nonsteroidal
anti-inflammatory drug, contact your doctor or pharmacist.
IF YOU EXPERIENCE difficulty breathing; tightness of chest;
swelling of eyelids, face, or lips; or if you develop a rash
or hives, tell your doctor immediately. 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.
KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are
using this medicine. 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. BEFORE YOU BEGIN
TAKING ANY NEW MEDICINE, either prescription or over-the-counter,
check with your doctor or pharmacist. This includes any medicines
that contain ibuprofen, naproxen, or ketoprofen. FOR WOMEN:
IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor
the benefits and risks of using this medicine during pregnancy.
IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk.
DO NOT BREAST-FEED while taking this medicine.
SIDE EFFECTS: SIDE EFFECTS that may
occur while taking Vioxx include weakness or nausea. If they
continue or are bothersome, check with your doctor. CHECK
WITH YOUR DOCTOR AS SOON AS POSSIBLE 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. 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 notice other effects not listed above, contact
your doctor, nurse, or pharmacist.
NOTES: DO NOT SHARE THIS MEDICINE
with others for whom it was not prescribed. DO NOT USE THIS
MEDICINE for other health conditions. KEEP THIS PRODUCT out
of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED
PERIOD OF TIME, obtain refills before your supply runs out.