Analgesic
Celecoxib
search
Celecoxib
, Celebrex
Class
NSAID
:
COX2 Inhibitor
Similar to
Rofecoxib
(
Vioxx
)
Diaryl-substituted pyrazole
Advantages
Less gastrointestinal adverse effects than other
NSAID
s
See
NSAID Gastrointestinal Adverse Effects
Metabolism
Oral
Bioavailability
: 22 to 40%
Half Life: 11 hours
Liver
metabolism by
Cytochrome P450
:
CYP2C9
Levels raised with
Accolate
,
Diflucan
, and
Lescol
Inhibits
Cytochrome P450
:
CYP2D6
Increases levels of
Beta Blocker
s and psychotropics
Contraindications
Sulfonamide Allergy
Consider alternative agent:
Rofecoxib
(
Vioxx
)
Dosing
Osteoarthritis
: 200 mg PO qd (or 100 mg po bid)
Rheumatoid Arthritis
: 200 mg PO qd to bid
Familial Adenoma Polyposis: 400 mg PO bid
Adverse Effects
Celebrex appears safer than
Ibuprofen
in terms of
Cardiovascular Risk
Ruschitzka (2017) Eur Heart J +PMID:29020251 [PubMed]
Abdominal Pain
Diarrhea
Dyspepsia
Peptic Ulcer Disease
risk (see
COX2 Inhibitor
)
Does not increase
Bleeding Time
References
Michalets (1998) Pharmacotherapy 18:84 [PubMed]
(1999) Med Lett Drugs Ther 41(1045): 11-14 [PubMed]
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