Alcoxia 60 Tablet (Etoricoxib 60 mg): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Unusual weight gain or swelling in legs
If experiencing severe symptoms, call emergency services immediately.
What is etorox 60mg tablet used for?
This medicine contains Etoricoxib 60 mg, a selective COX-2 inhibitor used to treat pain and inflammation in conditions like osteoarthritis, rheumatoid arthritis, and gout. It is taken orally once daily with food, and it works by blocking the COX-2 enzyme to reduce prostaglandins. It is not recommended for people with heart disease or stomach ulcers.
- Generic Name: Etoricoxib (60mg)
- Manufacturer: Serwina Pharmaceuticals Private Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 etorox 60mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एटोरिकॉक्सिब 60 मिलीग्राम युक्त एक प्रिस्क्रिप्शन टैबलेट है। इसका उपयोग ऑस्टियोआर्थराइटिस, रूमेटॉइड आर्थराइटिस, एंकिलोज़िंग स्पॉन्डिलाइटिस और गाउट जैसी स्थितियों में दर्द और सूजन को कम करने के लिए किया जाता है। यह दवा शरीर में सूजन पैदा करने वाले एंजाइम को रोककर काम करती है। इसे डॉक्टर की सलाह के अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, पेट दर्द, मतली, अपच और दस्त शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट या आंतों में रक्तस्राव, दिल का दौरा, स्ट्रोक, गुर्दे की समस्या और एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि आपको काला मल, खून की उल्टी, सीने में दर्द, सांस लेने में कठिनाई, या चेहरे पर सूजन हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। पेट की परेशानी से बचने के लिए इसे भोजन या दूध के साथ लें। इस दवा के साथ शराब न लें। यदि आपको हृदय रोग, उच्च रक्तचाप, गुर्दे या यकृत की समस्या, या पेट के अल्सर की history है तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान इसका उपयोग न करें।
💊 etorox 60mg tablet Uses & Benefits
[{"condition":"Osteoarthritis","description":"Relieves pain and improves joint mobility in knee, hip, and hand osteoarthritis.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness in adults with rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Ankylosing spondylitis","description":"Helps alleviate pain and inflammation in the spine and sacroiliac joints.","evidence":"Well-established"},{"condition":"Acute gouty arthritis","description":"Provides short-term relief from acute gout attacks by reducing inflammation.","evidence":"Well-established"},{"condition":"Chronic low back pain","description":"May be used to manage chronic low back pain when other treatments are inadequate.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, but evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain, though other NSAIDs are more commonly used.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Rheumatoid arthritis, Ankylosing spondylitis, Acute gouty arthritis, Chronic low back pain
📋 Drug Information
| Generic Name(s) | Etoricoxib (60mg) |
| Brand Name | etorox 60mg tablet |
| Manufacturer | Serwina Pharmaceuticals Private Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | NSAID's -Selective COX-2 Inhibitors |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by selectively inhibiting the cyclooxygenase-2 (COX-2) enzyme. By blocking COX-2, it reduces the production of prostaglandins, which are chemicals that cause pain, inflammation, and fever. Unlike non-selective NSAIDs, it has less effect on COX-1, which helps protect the stomach lining and supports platelet function. This selectivity reduces the risk of gastrointestinal ulcers and bleeding compared to traditional NSAIDs, but it does not eliminate these risks entirely. The analgesic and anti-inflammatory effects are achieved through this targeted enzyme inhibition.
Mechanism Steps
💡 How to Take etorox 60mg tablet
Strength: Etoricoxib 60 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis is 60 mg once daily. For acute gouty arthritis, the dose is 120 mg once daily. For chronic low back pain, 60 mg once daily may be used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine. Use with caution and monitor kidney function, blood pressure, and gastrointestinal symptoms closely. Dose adjustment may be necessary based on renal function. |
| Renal Impairment | For patients with mild renal impairment (creatinine clearance 50-80 mL/min), no dose adjustment is necessary. For moderate renal impairment (creatinine clearance 30-49 mL/min), use with caution. This medicine is not recommended for patients with severe renal impairment (creatinine clearance <30 mL/min). |
| Hepatic Impairment | For patients with mild hepatic impairment (Child-Pugh score 5-6), the dose should not exceed 60 mg once daily. This medicine is contraindicated in patients with moderate to severe hepatic impairment (Child-Pugh score ≥7). |
| Maximum Daily Dose | The maximum recommended daily dose is 120 mg for acute gouty arthritis, and 60 mg for other indications. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of etorox 60mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| ACE inhibitors | Major | |
| Diuretics | Major | |
| Lithium | Major | |
| Methotrexate | Major | |
| Corticosteroids | Moderate | |
| SSRIs | Moderate | |
| Rifampicin | Moderate | |
| Antacids | Minor | |
| Aspirin | Minor |
🚨 Major Interactions
- Warfarin
- ACE inhibitors
- Diuretics
- Lithium
- Methotrexate
⚡ Moderate Interactions
- Corticosteroids
- SSRIs
- Rifampicin
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal bleeding and liver problems when taken with this medicine. It is advisable to avoid alcohol or limit its consumption while on this medication.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to etoricoxib or any component of the formulation","Active peptic ulcer or gastrointestinal bleeding","Severe heart failure","Uncontrolled hypertension","Established ischemic heart disease, peripheral arterial disease, or cerebrovascular disease","Severe liver impairment","Severe kidney impairment","Pregnancy (third trimester)","Breastfeeding"]
⚠️ Warnings & Precautions
["Use the lowest effective dose for the shortest duration possible to minimize risks.","Avoid in patients with a history of cardiovascular disease or risk factors.","Monitor blood pressure regularly, as this medicine can cause hypertension.","Use with caution in patients with kidney or liver impairment.","May increase the risk of gastrointestinal bleeding and ulcers.","Do not use concurrently with other NSAIDs.","May mask signs of infection, such as fever.","Elderly patients are at higher risk of side effects and should be monitored closely."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Because of potential risks to the infant, breastfeeding is not recommended while taking this medicine. Consult your doctor for alternative options.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as nausea, vomiting, stomach pain, dizziness, and drowsiness. In severe cases, it can lead to gastrointestinal bleeding, kidney failure, or liver damage. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Do not induce vomiting unless instructed by a healthcare professional.
⏰ 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
Always take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take it with food or milk to reduce the risk of stomach upset. Avoid alcohol while taking this medicine, as it can increase the risk of gastrointestinal bleeding. Inform your doctor if you have a history of heart disease, high blood pressure, kidney or liver problems, or stomach ulcers. Do not take 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 enzymes may be required during long-term use. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use with caution, monitor kidney function and blood pressure closely, and use the lowest effective dose for the shortest duration.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy, especially in the third trimester. If you are planning pregnancy, consult your doctor to discuss alternative pain management options. Use effective contraception while taking this medicine.
🏥 Post-Surgery Considerations
This medicine is contraindicated for peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery. For other surgeries, consult your surgeon and anesthesiologist before taking this medicine, as it may increase bleeding risk.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it may increase bleeding risk. Your dentist may advise you to stop it temporarily before surgery.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can exercise as tolerated, but avoid high-impact activities that may strain your joints. Listen to your body and stop if you experience pain or dizziness. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It should not significantly impact your ability to work, but take precautions if you feel dizzy or drowsy.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if you experience serious side effects such as chest pain, difficulty breathing, severe stomach pain, or signs of an allergic reaction. Do not stop abruptly without consulting your doctor if you have been on long-term therapy.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of cardiovascular events, gastrointestinal bleeding, and kidney problems. Regular monitoring of blood pressure, kidney and liver function is recommended. Use the lowest effective dose for the shortest duration possible. Discuss with your doctor if you need to take it for more than a few weeks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve joint function.
Evidence: Well-establishedReduces stress on weight-bearing joints and improves osteoarthritis symptoms.
Evidence: Well-establishedMay help with pain relief in some patients with chronic pain.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may mask signs of infection, including fever, which could affect the assessment of vaccine reactions. There are no specific vaccine interactions, but consult your doctor before vaccination if you are on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from moisture. If crossing time zones, continue taking it at the same time each day as prescribed. Check local customs regulations for carrying prescription medicines. Always carry enough supply for your trip and a few extra days in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine typically starts relieving pain within 30 to 60 minutes after taking it, with peak effects in about 1 to 2 hours.
A: It is best taken with food or milk to reduce the risk of stomach upset.
A: Do not take it with other NSAIDs unless prescribed by your doctor, as it can increase the risk of side effects.
A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for etorox 60mg tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia etoricoxib 60mg tabletDavaindia Generic Pharmacy ₹30.00 62% CHEAPER
-
eldoflam 60mg tabletTorrent Pharmaceuticals Ltd ₹35.16 55.5% CHEAPER
-
evaxx 60mg tabletAlkem Laboratories Ltd ₹35.72 54.8% CHEAPER
-
vader 60mg tabletSunrise Remedies Pvt Ltd ₹38.44 51.3% CHEAPER
-
Torcoxia 60mg TabletTorrent Pharmaceuticals Ltd ₹39.90 49.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is completely safe for the stomach.
Fact: While it has a lower risk of stomach ulcers compared to non-selective NSAIDs, it can still cause gastrointestinal bleeding and ulcers. - Myth: This medicine can be taken without a prescription.
Fact: This medicine is a prescription drug and should only be taken under a doctor's supervision. - Myth: This medicine is safe for everyone.
Fact: It is not recommended for people with heart disease, kidney problems, or stomach ulcers.
🔄 Alternative Options
Generic Alternatives
- Etoricoxib 60 mg tablet
Brand Alternatives
- Alcoxia 60 Tablet