arixib 90 tablet - Etoricoxib (90mg) medicine

Arixib 90 Tablet: Uses, Side Effects, Dosage, and Safety Guide

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🏭 Pulse Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 20, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Not established from the available information.
Reviewed by
SaathiMed Expert Panel | Sep 20, 2026

What is arixib 90 tablet used for?

Arixib 90 tablet contains Etoricoxib 90 mg, a selective COX-2 inhibitor used to relieve pain and inflammation in conditions like osteoarthritis, rheumatoid arthritis, and acute gout. It is taken orally once daily as prescribed.

  • Generic Name: Etoricoxib
  • Manufacturer: Pulse Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 arixib 90 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एटोरिकॉक्सिब 90 मिलीग्राम युक्त एक प्रिस्क्रिप्शन टैबलेट है। इसका उपयोग ऑस्टियोआर्थराइटिस, रूमेटॉइड आर्थराइटिस, और तीव्र गाउट में दर्द और सूजन को कम करने के लिए किया जाता है। यह दांत की सर्जरी के बाद होने वाले दर्द के इलाज के लिए भी उपयोग की जाती है।

साइड इफेक्ट्स: सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, पेट दर्द, अपच, मतली और दस्त शामिल हैं। गंभीर दुष्प्रभावों में पेट के अल्सर या रक्तस्राव, गुर्दे की समस्याएं, यकृत की समस्याएं, और उच्च रक्तचाप शामिल हो सकते हैं।

सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। खुराक या उपचार की अवधि से अधिक न लें। इसे पानी के साथ लें, भोजन के साथ या बिना। इस दवा के साथ शराब का सेवन न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से परामर्श लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 arixib 90 tablet Uses & Benefits

[{"condition":"Osteoarthritis","description":"This medicine is used to relieve pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness in joints caused by osteoarthritis."},{"condition":"Rheumatoid arthritis","description":"This medicine helps reduce pain and inflammation in rheumatoid arthritis."},{"condition":"Acute gouty arthritis","description":"This medicine is used for short-term relief of pain and inflammation during acute gout attacks."},{"condition":"Acute musculoskeletal pain","description":"This medicine may be used for short-term management of moderate musculoskeletal pain."},{"condition":"Postoperative dental pain","description":"This medicine is used for short-term relief of moderate pain following dental surgery."}]

Off-label uses: []

Primary treatment for: Osteoarthritis

Also treats: Rheumatoid arthritis, Acute gouty arthritis, Postoperative dental pain, Acute musculoskeletal pain

📋 Drug Information

Generic Name(s)Etoricoxib
Brand NameArixib 90 Tablet
ManufacturerPulse Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassNSAID's -Selective COX-2 Inhibitors
Route of AdministrationOral
StorageStore at room temperature (below 30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionEtoricoxib is well absorbed after oral administration. The absolute bioavailability is approximately 100%.
DistributionEtoricoxib is highly bound to plasma proteins. It distributes into body tissues, but specific volume of distribution data are not established from the available information.
Protein BindingApproximately 92% bound to plasma proteins, primarily albumin.
MetabolismEtoricoxib is extensively metabolized in the liver, primarily by cytochrome P450 enzymes, including CYP3A4. Several metabolites are formed, but they are not known to have significant COX-2 inhibitory activity.
Half-LifeThe elimination half-life is approximately 22 hours.
ExcretionEtoricoxib and its metabolites are excreted primarily in the urine (about 70%) and to a lesser extent in feces (about 20%).
BioavailabilityApproximately 100%.
Onset of ActionPain relief may begin within 30 to 60 minutes after oral administration, but the full anti-inflammatory effect may take several days.
Peak Plasma TimePeak plasma concentrations are reached approximately 1 hour after oral administration in fasting conditions.
Duration of ActionThe analgesic and anti-inflammatory effects last for about 24 hours, allowing once-daily dosing.

How It Works

Etoricoxib selectively inhibits the enzyme cyclooxygenase-2 (COX-2), which is responsible for the production of prostaglandins that mediate pain, inflammation, and fever. By blocking COX-2, this medicine reduces the formation of these prostaglandins, thereby decreasing pain and swelling. Unlike non-selective NSAIDs, it has less effect on COX-1, which is involved in protecting the stomach lining and maintaining normal platelet function.

Mechanism Steps

1
Selective COX-2 inhibition: Etoricoxib binds to and inhibits the cyclooxygenase-2 (COX-2) enzyme, which is induced during inflammation.
2
Reduced prostaglandin synthesis: Inhibition of COX-2 leads to decreased production of prostaglandins, which are mediators of pain, inflammation, and fever.
3
Decreased inflammation and pain: The reduction in prostaglandins results in less inflammation, swelling, and pain at the site of injury or disease.
4
Minimal COX-1 effect: Because etoricoxib has little effect on COX-1, it is less likely to cause stomach ulcers and bleeding compared to non-selective NSAIDs, but it still carries some risk.

💡 How to Take arixib 90 tablet

Strength: 90 mg

1Take the tablet by mouth with a glass of water.
2You can take it with or without food. If it upsets your stomach, take it with food.
3Swallow the tablet whole. Do not crush, chew, or break it.
4Take it at the same time each day to help you remember.
5Do not take more than the prescribed dose or for longer than recommended.

Dosage Information

Adult DosageThe usual adult dose for osteoarthritis and rheumatoid arthritis is 60 mg once daily. For acute gouty arthritis, the dose is 120 mg once daily for the shortest duration. For postoperative dental pain, the dose is 90 mg once daily for up to 7 days. The dose may be adjusted based on the condition and response. Do not exceed the recommended dose.
Pediatric DosageThe safety and efficacy of etoricoxib in children under 16 years of age have not been established. Dose must be determined by a qualified clinician based on indication, age, weight, and renal/hepatic function.
Elderly DosageNo specific dose adjustment is required for elderly patients, but caution is advised due to increased risk of cardiovascular, kidney, and gastrointestinal side effects. Use the lowest effective dose for the shortest duration.
Renal ImpairmentIn patients with mild to moderate kidney impairment (creatinine clearance 30-60 mL/min), no dose adjustment is needed. In severe kidney impairment (creatinine clearance <30 mL/min), etoricoxib is contraindicated.
Hepatic ImpairmentIn patients with mild liver impairment (Child-Pugh A), no dose adjustment is needed. In moderate liver impairment (Child-Pugh B), the dose should not exceed 60 mg once daily. In severe liver impairment (Child-Pugh C), etoricoxib is contraindicated.
Maximum Daily DoseThe maximum recommended daily dose is 120 mg for acute gouty arthritis, and 90 mg for other indications. Do not exceed 120 mg per day.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⚠️ Side Effects of arixib 90 tablet

✅ Common Side Effects

Headache (Common)
Rest and stay hydrated. If headache persists or is severe, contact your doctor.
Dizziness (Common)
Avoid driving or operating machinery until you know how this medicine affects you.
Stomach pain or indigestion (Common)
Take the tablet with food or milk to reduce stomach upset. If symptoms continue, consult your doctor.
Nausea (Common)
Take with food. If nausea is persistent, inform your doctor.
Diarrhoea (Common)
Stay hydrated. If diarrhoea is severe or lasts more than a few days, seek medical advice.

🚨 Serious Side Effects

Stomach ulcers or bleeding (Uncommon)
Seek immediate medical attention if you notice black, tarry stools, vomit blood, or severe stomach pain.
Kidney problems (Uncommon)
Contact your doctor if you experience decreased urination, swelling in ankles or feet, or unusual fatigue.
Liver problems (Rare)
Report symptoms like yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
Increased blood pressure (Uncommon)
Monitor blood pressure regularly. If readings are consistently high, consult your doctor.
Heart failure or cardiovascular events (Rare)
Seek emergency care if you experience chest pain, shortness of breath, or swelling in legs.
Severe allergic reaction (Rare)
Get emergency help if you have rash, itching, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Stevens-Johnson syndrome
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.
Toxic epidermal necrolysis
Go to the emergency room if you experience severe skin peeling or blistering.
Aseptic meningitis
Report severe headache, stiff neck, fever, or sensitivity to light to your doctor immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Minor
Minor
Minor
Minor
Minor

🚨 Major Interactions

  • Warfarin and other anticoagulants
  • ACE inhibitors and angiotensin receptor blockers (ARBs)
  • Diuretics
  • Lithium
  • Methotrexate

⚡ Moderate Interactions

  • Corticosteroids
  • Other NSAIDs
  • Cyclosporine
  • Digoxin

🍷 Alcohol Interaction

Alcohol may increase the risk of gastrointestinal bleeding and ulcers when taken with etoricoxib. It is advisable to avoid alcohol while taking this medicine.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to etoricoxib or any component of the formulation.","Active peptic ulcer or gastrointestinal bleeding.","Severe heart failure (NYHA class II-IV).","Uncontrolled hypertension.","Established ischemic heart disease, peripheral arterial disease, or cerebrovascular disease.","Severe liver impairment (Child-Pugh C).","Severe kidney impairment (creatinine clearance

⚠️ Warnings & Precautions

[{"warning":"Cardiovascular risk","reason":"Etoricoxib may increase the risk of serious cardiovascular events.","action":"Use the lowest effective dose for the shortest duration. Avoid in patients with established cardiovascular disease."},{"warning":"Gastrointestinal risk","reason":"Etoricoxib can cause ulcers and bleeding in the stomach and intestines.","action":"Monitor for signs of bleeding. Consider gastroprotective agents in high-risk patients."},{"warning":"Kidney risk","reason":"Etoricoxib can impair kidney function.","action":"Monitor kidney function. Avoid in severe kidney disease."},{"warning":"Liver risk","reason":"Etoricoxib can cause liver injury.","action":"Monitor liver enzymes. Discontinue if signs of liver failure occur."},{"warning":"Hypertension","reason":"Etoricoxib can increase blood pressure.","action":"Monitor blood pressure. Use with caution in patients with hypertension."},{"warning":"Allergic reactions","reason":"Serious allergic reactions can occur.","action":"Discontinue and seek immediate medical help if allergic symptoms occur."}]

🤱 Lactation Safety

Etoricoxib is excreted in human milk. It is not recommended during breastfeeding unless the potential benefit outweighs the risk. Consult your doctor.

💊 Overdose Management

Overdose of etoricoxib may cause symptoms such as nausea, vomiting, stomach pain, and drowsiness. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if the overdose is recent. Monitor vital signs and provide supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take the tablet with a glass of water, with or without food. Avoid alcohol while taking this medicine as it may increase the risk of stomach bleeding. Inform your doctor if you have a history of stomach ulcers, heart disease, high blood pressure, kidney or liver problems, or asthma. Do not use this medicine if you are pregnant, especially in the third trimester, or if you are breastfeeding without consulting your doctor. Regular monitoring of blood pressure, kidney function, and liver function may be required during long-term use. Store this medicine in a cool, dry place away from direct sunlight and out of reach of children.

🔄 Substitutes for arixib 90 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Arixib 90 tablet is a steroid.
    Fact: Arixib 90 tablet is not a steroid. It is a non-steroidal anti-inflammatory drug (NSAID) that selectively inhibits COX-2.
  • Myth: Arixib 90 tablet can be taken for any type of pain.
    Fact: Arixib 90 tablet is indicated for specific inflammatory conditions and should only be used as prescribed by a doctor.
  • Myth: Arixib 90 tablet is safe to take without a prescription.
    Fact: Arixib 90 tablet is a prescription medicine and should only be taken under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Etoricoxib 90 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Arixib 90 tablet","active_ingredient":"Etoricoxib","strength_or_form":"90 mg tablet","main_use":"Pain and inflammation in arthritis and gout","key_difference":"Selective COX-2 inhibitor with once-daily dosing."},{"medicine":"Celecoxib","active_ingredient":"Celecoxib","strength_or_form":"100 mg, 200 mg capsules","main_use":"Arthritis pain","key_difference":"Also a COX-2 inhibitor but may be dosed twice daily."},{"medicine":"Diclofenac","active_ingredient":"Diclofenac sodium","strength_or_form":"50 mg tablets","main_use":"Pain and inflammation","key_difference":"Non-selective NSAID, higher GI risk."}]

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