Vextra

Vextra20mg

Type:Tablet

Generic Name:Valdecoxib

Manufacturer:Orion Pharma Ltd.

Price:0.00

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Indication

Osteoarthritis, Rheumatoid arthritis, Dysmenorrhoea

Administration

May be taken with or without food.

Adult Dose

Oral Osteoarthritis, Rheumatoid arthritis Adult: 10 mg once daily. Dysmenorrhoea Adult: 20 mg bid. Hepatic Impairment Child-Pugh scale 7-9: Initiate with caution. Child-Pugh scale >10: Avoid.

Renal Dose

Renal Impairment CrCl Dosage <30 Initiate with caution.

Contraindication

Hypersensitivity to sulfonamides, NSAIDs and other COX 2 inhibitors; asthma, urticaria; severe hepatic impairment; pregnancy (third trimester); lactation. Active GI bleed or ulceration, severe CHF, inflammatory bowel disease.

Mode of Action

Valdecoxib acts by selectively inhibiting prostaglandin synthesis primarily by blocking cyclooxygenase (COX-2) enzyme. It was withdrawn worldwide, following risk of serious skin reactions and cardiovascular side effects.

Precaution

Mild to moderate hepatic impairment; history of ulcer disease or GI bleeding; dehydration, hypertension, history of heart failure, left ventricular dysfunction, pre-existing oedema. Monitor Hb or haematocrit values for signs and symptoms of anaemia.

Side Effect

Hypertension, back pain, myalgia, peripheral oedema, influenza-like symptoms, dizziness, headache, abdominal fullness, abdominal pain, diarrhoea, dyspepsia, flatulence, nausea, myalgia, sinusitis. Potentially Fatal: Toxic epidermal necrolysis, exfoliative dermatitis.

Interaction

Concomitant admin of aspirin may result in an increased risk of GI ulceration and complications. It decreases the antihypertensive effect of antihypertensives e.g. ACE inhibitors. It increases plasma conc of dextromethorphan. It significantly decreases lithium serum clearance and renal clearance.

Alternative brand of Vextra

ValdolValdol

  • 20mg
  • Tablet
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Price: ৳5.00

Navana Pharmaceuticals Ltd.

VaxibVaxib

  • 10mg
  • Tablet
  • Valdecoxib

Price: ৳10.00

Novartis (Bangladesh) Ltd.

VextraVextra

  • 10mg
  • Tablet
  • Valdecoxib

Price: ৳0.00

Orion Pharma Ltd.

ValcoxValcox

  • 20mg
  • Tablet
  • Valdecoxib

Price: ৳5.00

Opsonin Pharma Limited

VaxibVaxib

  • 20mg
  • Tablet
  • Valdecoxib

Price: ৳8.00

Novartis (Bangladesh) Ltd.

ValdolValdol

  • 10mg
  • Tablet
  • Valdecoxib

Price: ৳3.00

Navana Pharmaceuticals Ltd.

ValcoxValcox

  • 10mg
  • Tablet
  • Valdecoxib

Price: ৳3.00

Opsonin Pharma Limited

VibVib

  • 20mg
  • Tablet
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Price: ৳5.00

The ACME Laboratories Ltd.