Kostarox 120 mg. 7 tablets

What Kostarox is and what it is used for

What is Kostarox 
•Kostarox  contains the active substance etoricoxib. Cistarox is a medicine from a group of medicines called selective COX-2 inhibitors. They belong to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).

What is it used for?
•Kostarox   helps to reduce the pain and edema (inflammation) in the joints and muscles in people over 16 years of age for osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout.
• Cistarox is also used for short-term treatment of moderate pain after dental surgery in people over 16 years of age.

What is osteoarthritis?
Osteoarthritis is a disease of the joints. It occurs as a result of the continuous degradation of the cartilage that covers the ends of the bones. This causes swelling (inflammation), pain, tenderness, stiffness and immobilization.

What is rheumatoid arthritis?
Rheumatoid arthritis is a prolonged inflammatory disease of the joints. It causes pain, stiffness, swelling, and increased loss of movement in affected joints. It can also cause inflammation in other parts of the body.

What is Ankylosing Sondanitis?
Ankylosing spondylitis is an inflammatory disease of the vertebrae and large joints.

What is gout?
Gout is a disease with sudden, recurrent attacks of severe pain and redness of the joints. It is caused by the deposition of mineral crystals in the joints.

2. What you need to know before you take Kostarox 

Do not take Kostarox 

if you are allergic to etoricoxib or any of the other ingredients of this medicine (listed in section 6);
if you are allergic to non-steroidal anti-inflammatory drugs (NSAIDs), including acetylsalicylic acid and COX-2 inhibitors (see section 4 "Possible side effects");
if you have active stomach ulcer or gastrointestinal bleeding;
if you have severe liver disease;
if you have severe kidney disease;
if you are pregnant, you are likely to be pregnant or breast-feeding (see "Pregnancy, breast-feeding and fertility");
if you are under the age of 16;
if you have an inflammatory bowel disease such as Crohn's disease, ulcerative colitis or colitis;
if you have high blood pressure uncontrolled with treatment (talk to your doctor if you are not sure if your blood pressure is adequately controlled);
if your doctor has diagnosed heart problems including heart failure (moderate or severe), angina (chest pain), or if you have had a heart attack or a bypass surgery;
if you have had peripheral arterial disease (impaired blood supply to the legs due to narrowing or blockage of the arteries);
if you have had a type of stroke (including a mini stroke or a transient ischemic attack [PIA]). Etoricoxib may slightly increase the risk of heart attack and stroke and therefore should not be used by people who have had heart problems or have had a stroke;
If you think any of the above applies to you, do not take this medicine before consulting a doctor.

Warnings and precautions
Talk to your doctor or pharmacist before taking Costa Rica if:

you have stomach bleeding or ulcer;
you are dehydrated, for example due to prolonged vomiting or diarrhea;
you have edema due to fluid retention;
have heart failure or any other form of heart disease;
you have had high blood pressure. Cistarox may increase your blood pressure in some people, especially in high doses, so your doctor will tell you that it is necessary to check your blood pressure regularly;
you have had liver or kidney disease;
you are treating an infection. Cistarox may mask or mask a fever, which is a sign of infection;
you have diabetes, high cholesterol or you smoke. This can increase the risk of heart disease.
You are a woman trying to get pregnant;
You are over 65 years of age.
If you are not sure if any of the above apply to you, talk to your doctor before taking Costistax if this medicine is right for you.

Cistarox works equally well in adults and young patients. If you are elderly (ie over 65 years of age), your doctor will tell you that it is necessary to see you regularly. No dose adjustment is necessary in patients over 65 years of age.

Children and adolescents
Do not use this medicine in children and adolescents under 16 years of age.

Other Medicines and Kostarox 
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Your doctor will tell you that it is necessary to monitor your condition to make sure that the medicine works well after you start taking Costa Rats, especially if you are taking any of the following medicines:
• anti-blood clotting (anticoagulants) such as warfarin;
Fertility
Etoricoxib may make conception difficult. Therefore, it is not recommended for women attempting to conceive.
You should inform your doctor if you are planning a pregnancy or have problems getting pregnant.

Driving and using machines
Dizziness and somnolence have been reported in some patients taking Kostarox
Do not drive if you feel dizzy or drowsy.
Do not work with appliances or machines if you feel dizzy or drowsy.

Kostarox contains lactose
If your doctor has told you that you have an intolerance to some sugars, talk to your doctor before taking this medicine.

3. How to take Kostarox

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.

Do not take more than the recommended dose for your condition. Your doctor will tell you that it is necessary to periodically discuss your treatment with you. It is important to use the lowest dose to control pain, and you should not take Costa Rats longer than necessary. This is due to the risk of a heart attack or stroke that can increase after prolonged treatment, especially with high doses.

Dose forms of varying concentrations are available from this medicine, and depending on your condition, your doctor will prescribe the tablets with a concentration that is right for you.

The recommended dose is:

Osteoarthritis
The recommended dose is 30 mg once a day, which can be increased to a maximum of 60 mg once a day, if necessary.

Rheumatoid arthritis
The recommended dose is 60 mg once a day, which can be increased to a maximum of 90 mg once a day, if necessary.

Ankylosing spondylitis
The recommended dose is 60 mg once a day, which can be increased to a maximum of 90 mg once a day, if necessary.

Conditions with acute pain
Cistarox should only be used during periods of pain.

Gagged

The recommended dose is 120 mg once a day, which should only be used in periods of severe pain, and the treatment is limited to up to 8 days.
Postoperative pain after dental surgery

The recommended dose is 90 mg once a day and treatment is limited to up to 3 days.
Elderly

No dose adjustment is necessary in elderly patients. As with other medicines, caution should be exercised in the elderly.

People with liver problems
• If you have a mild liver disease, you should not take more than 60 mg daily.
• If you have moderate hepatic disease, you should not take more than 30 mg daily.

Application method
Cistarox is for oral use.
Take the tablets once a day.
Cistarox may be taken with or without food. The onset of the action of Costa Rats may be faster when taken in the fasted state.

If you take more than the required dose of Costa Rica
You should never take more tablets than the number prescribed by your doctor. If you take too many tablets, you should immediately seek medical attention.

If you forget to take Kostarox
It is important that you take Costa Rica as prescribed by your doctor. If you miss a dose, simply continue with the normal schedule the next day. Do not take a double dose to make up for the missed dose.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.

If you notice any of the following, you should stop taking Cistarox and tell your doctor immediately:
• shortness of breath, chest pain or swelling of the ankle or worsening;
• yellowing of the skin and eyes (jaundice) - this is a sign of liver problems;
• Strong and persistent stomach pain or black stools;
• an allergic reaction that may include skin problems such as an ulcer or bubbles, or swelling of the face, lips, tongue or throat that may make breathing difficult.

The following side effects may occur with Kostarox

Very common (may affect more than 1 in 10 people):

stomach ache.
Common (may affect up to 1 in 10 people):

dry alveolitis (inflammation and pain after tooth extraction);
swelling of the feet and / or feet due to fluid retention (edema);
dizziness, headache;
feeling of heart attacks, irregular heartbeat;
increased blood pressure;
wheezing or shortness of breath (bronchospasm);
constipation, gas (increased gas), inflammation of the stomach lining (gastritis), heartburn, diarrhea, indigestion (dyspepsia) / stomach upset, nausea, vomiting, inflammation of the esophagus, mouth ulcers;
changes in blood tests related to the liver;
bruising;
weakness and fatigue, a flu-like condition;
Uncommon (may affect up to 1 in 100 people):

inflammation of the gastrointestinal tract
How to store Kostarox
Keep out of the reach and sight of children.

Do not use this medicine after the expiry date which is stated on the pack after EXP. The expiry date refers to the last day of that month.

This medicine does not require any special storage conditions.

Do not dispose of medicines in the sewer or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

6. Package Contents and Additional Information

What Asthma contains

- The active substance is etoricoxib (etoricoxib).
- KOSTAROX 30 mg: Each film-coated tablet contains 30 mg etoricoxib.
- KOSTAROX 60 mg: Each film-coated tablet contains 60 mg etoricoxib.
- KOSTAROX 90 mg: Each film-coated tablet contains 90 mg etoricoxib.
- KOSTAROX 120 mg: Each film-coated tablet contains 120 mg etoricoxib.

- The other ingredients are: anhydrous calcium hydrogen phosphate, microcrystalline cellulose, povidone K29-32, magnesium stearate, croscarmellose sodium, hypromellose, lactose monohydrate, titanium dioxide (E171), triacetin.

The 30, 60 and 120 mg tablets also contain indigo carmine aluminum lacquer (E 132) and yellow iron oxide (EI 72).

What Asthma looks like and what the package contains
Castorax film-coated tablets are available in four concentrations.

The 30 mg tablets are blue-green, round, biconvex film-coated tablets.
The 60 mg tablets are dark green, round, biconvex film-coated tablets.
The 90 mg tablets are white, round, biconvex film-coated tablets.
The 120 mg tablets are light green, round, biconvex film-coated tablets.

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