Ncox 90mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
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
- Severe allergic reaction with rash and itching
- Weakness on one side of the body or difficulty speaking
If experiencing severe symptoms, call emergency services immediately.
What is ncox 90mg tablet used for?
This medicine is a 90 mg tablet containing etoricoxib, a selective COX-2 inhibitor used to treat pain and inflammation in conditions like osteoarthritis, rheumatoid arthritis, and gout. It works by blocking the COX-2 enzyme, reducing pain and swelling. It is taken once daily with food, and it is not recommended for people with heart disease, stomach ulcers, or kidney problems.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ncox 90mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा 90 मिलीग्राम की गोली है जिसमें एटोरिकॉक्सिब नामक सक्रिय तत्व होता है। यह दर्द और सूजन को कम करने के लिए इस्तेमाल की जाती है, खासकर गठिया (ऑस्टियोआर्थराइटिस), रूमेटॉइड आर्थराइटिस, गाउट और रीढ़ की सूजन जैसी स्थितियों में। यह शरीर में सूजन पैदा करने वाले एंजाइम को रोककर काम करती है। इसे डॉक्टर की सलाह पर ही लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, पेट खराब होना, जी मिचलाना और दस्त शामिल हैं। कुछ लोगों में पैरों में सूजन, ब्लड प्रेशर बढ़ना या फ्लू जैसे लक्षण भी हो सकते हैं। गंभीर दुष्प्रभावों में पेट में अल्सर या रक्तस्राव, दिल का दौरा, स्ट्रोक, गुर्दे की समस्या और एलर्जी प्रतिक्रिया शामिल हैं। अगर 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 लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं, खासकर दिल की बीमारी, स्ट्रोक, उच्च रक्तचाप, पेट के अल्सर, गुर्दे या यकृत की बीमारी, या अस्थमा। अगर आप गर्भवती हैं या स्तनपान करा रही हैं, तो इस दवा का इस्तेमाल न करें। शराब का सेवन न करें। इस दवा को भोजन के साथ लें ताकि पेट खराब न हो। दवा की खुराक या अवधि न बढ़ाएं। अगर आपको कोई असामान्य लक्षण दिखे, तो तुरंत डॉक्टर से संपर्क करें।
💊 ncox 90mg tablet Uses & Benefits
[{"condition":"Osteoarthritis","description":"Relieves pain, stiffness, and inflammation" class="semantic-link" title="Medicines for swelling">swelling in joints affected by osteoarthritis, improving mobility and quality of life.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint pain, swelling, and inflammation in patients with rheumatoid arthritis, helping to maintain joint function.","evidence":"Well-established"},{"condition":"Acute gouty arthritis","description":"Provides rapid relief from the severe pain and inflammation associated with acute gout attacks.","evidence":"Well-established"},{"condition":"Ankylosing spondylitis","description":"Helps alleviate pain and stiffness in the spine and improves physical function in patients with ankylosing spondylitis.","evidence":"Well-established"},{"condition":"Chronic musculoskeletal pain","description":"Used for short-term management of moderate to severe musculoskeletal pain, such as that following injury or surgery.","evidence":"Established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, but evidence is limited and it is not a first-line option.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain, though other NSAIDs are more commonly recommended.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Rheumatoid arthritis, Acute gouty arthritis, Ankylosing spondylitis, Chronic musculoskeletal pain
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | ncox 90mg tablet |
| Manufacturer | Multiple manufacturers |
| 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). Keep away from moisture and heat. Store in the original container, tightly closed. Do not refrigerate unless specified. |
| 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, which is induced during inflammation and is responsible for the production of prostaglandins that cause pain, swelling, and fever. By blocking COX-2, it reduces the formation of these inflammatory mediators at the site of injury or disease. Unlike non-selective NSAIDs, it has less effect on COX-1, an enzyme that is always present in the stomach and kidneys and helps protect the stomach lining and maintain kidney function. This selectivity is thought to reduce the risk of gastrointestinal ulcers and bleeding compared to traditional NSAIDs, although it does not eliminate the risk entirely. The pain-relieving and anti-inflammatory effects are achieved without significantly affecting platelet function, which is why it may be preferred in some patients who cannot take other NSAIDs.
Mechanism Steps
💡 How to Take ncox 90mg tablet
Strength: 90 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 90 mg taken orally once daily. For osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, the recommended dose is 90 mg once daily. For acute gouty arthritis, the recommended dose is 120 mg once daily for the duration of the attack, but this should not exceed 8 days. For chronic musculoskeletal pain, the dose may be 60 mg once daily. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and other medications. Do not exceed the prescribed 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 side effects of this medicine, especially gastrointestinal bleeding, kidney problems, and cardiovascular events. Use with caution and monitor closely. The dose may need to be adjusted based on kidney function. |
| Renal Impairment | For patients with mild to moderate kidney impairment (creatinine clearance 30-60 mL/min), no dose adjustment is needed. For severe kidney impairment (creatinine clearance <30 mL/min), this medicine is contraindicated. Monitor kidney function regularly. |
| Hepatic Impairment | For patients with mild liver impairment (Child-Pugh A), no dose adjustment is needed. For moderate liver impairment (Child-Pugh B), the dose should not exceed 60 mg once daily. For severe liver impairment (Child-Pugh C), this medicine is contraindicated. Monitor liver function tests. |
| Maximum Daily Dose | The maximum recommended daily dose is 90 mg for most indications, except for acute gouty arthritis where 120 mg once daily may be used for up to 8 days. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ncox 90mg 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 | |
| Antacids | Moderate | |
| Rifampicin | Moderate | |
| Cyclosporine | Moderate |
🚨 Major Interactions
- Warfarin
- ACE inhibitors (e.g., lisinopril)
- Diuretics (e.g., furosemide)
- Lithium
- Methotrexate
⚡ Moderate Interactions
- Corticosteroids
- SSRIs
- Antacids
- Rifampicin
- Cyclosporine
🍷 Alcohol Interaction
Avoid consuming alcohol while taking this medicine. Alcohol can increase the risk of stomach bleeding, ulcers, and liver problems. It may also increase drowsiness and dizziness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Allergy to etoricoxib or any component of the tablet","History of heart attack, stroke, or severe heart failure","Active stomach ulcer or gastrointestinal bleeding","Severe liver disease","Severe kidney disease (creatinine clearance
⚠️ Warnings & Precautions
["This medicine may increase the risk of serious cardiovascular events, including heart attack and stroke. Use with caution in patients with cardiovascular risk factors.","Gastrointestinal bleeding, ulceration, and perforation can occur, especially with long-term use. Monitor for signs and symptoms.","This medicine can cause fluid retention and increased blood pressure. Monitor blood pressure and manage accordingly.","Kidney function may be impaired, especially in dehydrated patients or those with pre-existing kidney disease. Monitor kidney function.","Liver function may be affected. Monitor liver enzymes periodically.","This medicine may cause serious skin reactions. Discontinue at the first sign of rash or other allergic reaction.","Do not use this medicine during pregnancy, especially in the third trimester, as it may cause premature closure of the ductus arteriosus.","Elderly patients are at higher risk of side effects. Use with caution and monitor closely.","This medicine may mask signs of infection, such as fever. Inform your doctor if you have an infection.","Avoid concomitant use with other NSAIDs, including aspirin, as it may increase the risk of side effects."]
🤱 Lactation Safety
This medicine is excreted in breast milk in small amounts. It is not recommended during breastfeeding unless the potential benefit outweighs the risk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as nausea, vomiting, stomach pain, dizziness, and drowsiness. In severe cases, it may lead to gastrointestinal bleeding, high blood pressure, and kidney failure. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be used if the overdose is recent. Monitor vital signs and provide supportive care.
⏰ Missed Dose
If you miss a dose of this medicine, 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
Before starting this medicine, inform your doctor about all your medical conditions, especially if you have a history of heart disease, stroke, high blood pressure, stomach ulcers, kidney or liver disease, or asthma. Do not take this medicine if you are allergic to etoricoxib or any other ingredients in the tablet. Avoid using this medicine during pregnancy, especially after 30 weeks, and do not breastfeed while taking it without consulting your doctor. This medicine can interact with many other drugs, including blood thinners, ACE inhibitors, diuretics, and lithium, so always provide a complete list of medications you are taking. Do not exceed the recommended dose or duration of treatment. Take the tablet with food to reduce stomach upset. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. Store this medicine at room temperature, away from moisture and heat. Keep out of reach of children. Regular monitoring of blood pressure, kidney function, and liver function may be needed during long-term use. Report any unusual symptoms, such as chest pain, shortness of breath, or severe headache, to your doctor immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients (above 65 years) are at higher risk of side effects from this medicine, including gastrointestinal bleeding, kidney problems, and cardiovascular events. Use with caution and monitor blood pressure, kidney function, and liver function regularly. The dose may need to be adjusted based on kidney function. Avoid long-term use unless absolutely necessary.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended for use during pregnancy or when planning to become pregnant. It may increase the risk of miscarriage and fetal harm, especially in the third trimester. If you are trying to conceive, consult your doctor for alternative pain management options. Use effective contraception while taking this medicine if you are of childbearing age.
🏥 Post-Surgery Considerations
This medicine may be used for post-surgical pain management, but it should be used with caution due to the risk of bleeding and kidney problems. Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may need to be stopped before certain surgeries to reduce the risk of bleeding. Follow your doctor's instructions regarding when to resume.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure, especially if it involves bleeding. This medicine may increase the risk of bleeding during dental work. Your dentist may recommend stopping it temporarily or taking precautions. Do not stop the medicine without consulting your prescribing doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may experience dizziness or fatigue. Avoid strenuous exercise or activities that require high levels of coordination until you know how this medicine affects you. If you have joint pain, choose low-impact exercises and avoid activities that put excessive stress on affected joints. Consult your doctor or physiotherapist for a personalized exercise plan.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause fatigue, so plan your work activities accordingly. If your job involves physical labor, take breaks and avoid overexertion. Communicate with your employer about any necessary accommodations. Most people can continue their normal daily activities while taking this medicine, but listen to your body and rest when needed.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as chest pain, difficulty breathing, severe stomach pain, or signs of an allergic reaction, stop taking it and seek immediate medical attention. Your doctor may advise you to stop if your kidney or liver function worsens, or if you develop cardiovascular complications. Always follow your doctor's guidance regarding the duration of treatment.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of serious cardiovascular events, including heart attack and stroke, as well as gastrointestinal bleeding, ulcers, and kidney problems. It may also cause fluid retention and increased blood pressure. Regular monitoring of blood pressure, kidney function, and liver function is recommended. The lowest effective dose should be used for the shortest duration possible. Discuss with your doctor if you need to use this medicine 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 by improving joint strength and flexibility.
Evidence: Well-establishedMay help reduce pain in some patients with osteoarthritis.
Evidence: ModerateReduces stress on weight-bearing joints and can significantly improve pain.
Evidence: Well-establishedMay provide localized pain relief with fewer systemic side effects.
Evidence: EstablishedCan temporarily relieve joint pain and stiffness.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor, as this medicine may mask signs of infection. There are no specific vaccination timing considerations for 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label clearly visible. Bring a copy of your prescription or a letter from your doctor, especially for international travel. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. Keep enough supply for your entire trip, and carry it in your hand luggage to avoid loss. Check local customs regulations regarding prescription medicines before you travel.
💰 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 1 hour, with peak effects in 3 to 4 hours. However, full anti-inflammatory effects may take a few days of regular use.
A: It is best taken with food to reduce the risk of stomach upset and ulcers. Taking it on an empty stomach may increase the chance of stomach irritation.
A: 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 double the dose.
A: Long-term use may increase the risk of cardiovascular events, kidney problems, and gastrointestinal bleeding. It should be used at the lowest effective dose for the shortest duration. Regular monitoring is required.
A: It is advisable to avoid alcohol while taking this medicine, as it can increase the risk of stomach bleeding, ulcers, and liver problems.
A: Yes, it can interact with blood thinners, ACE inhibitors, diuretics, lithium, and methotrexate, among others. Always inform your doctor about all medications you are taking.
A: This medicine is not recommended during pregnancy, especially in the third trimester, as it may harm the fetus. Consult your doctor if you are pregnant or planning to become pregnant.
A: This medicine is not typically used for headaches. It is prescribed for inflammatory conditions like arthritis and gout. Consult your doctor for appropriate headache treatment.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine is a simple painkiller like paracetamol.
Fact: This medicine is a selective COX-2 inhibitor with anti-inflammatory properties, not a simple analgesic. It carries specific risks and should be used under medical supervision. - Myth: This medicine is safe for everyone.
Fact: This medicine is not safe for people with heart disease, stomach ulcers, or kidney problems. It requires a prescription and medical supervision. - Myth: You can stop this medicine whenever you feel better.
Fact: You should only stop this medicine as advised by your doctor. Abrupt discontinuation may not be harmful, but the underlying condition may flare up. - Myth: This medicine can be taken on an empty stomach.
Fact: It is best taken with food to reduce the risk of stomach upset and ulcers.
🔄 Alternative Options
Generic Alternatives
- Etoricoxib 90 mg tablet
Brand Alternatives
- Nucoxia 90 mg tablet
- Etoshine 90 mg tablet
- Etova 90 mg tablet