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Nonsteroidal anti-inflammatory drug (NSAID), COX-2 selective inhibitor

Celecoxib: uses, side effects & precautions

Also known as Celebrex.

Queste informazioni hanno carattere puramente orientativo e non costituiscono un parere medico. Consulta sempre un professionista sanitario qualificato per problemi medici personali. In caso di emergenza, chiama il numero di emergenza locale.

What it is used for

  • Pain and inflammation from osteoarthritis and rheumatoid arthritis
  • Ankylosing spondylitis (spinal arthritis)
  • Some types of acute pain
  • Period pain in some regions

How it works

Celecoxib mainly blocks the COX-2 enzyme involved in inflammation and pain, while having less effect on COX-1, which protects the stomach lining. This can mean a lower risk of stomach ulcers than older NSAIDs, though other risks remain.

How it is taken

Comes as capsules taken by mouth. Take it exactly as your doctor or the label directs, with water and with or without food. It is a prescription medicine in most countries, so use it only under a clinician's guidance.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Indigestion or stomach discomfort
  • Diarrhoea
  • Headache or dizziness
  • Swelling of the ankles or feet

Serious effects — get help

  • Heart attack or stroke warning signs (chest pain, breathlessness, one-sided weakness, slurred speech)
  • Stomach or gut bleeding or ulcers (black stools, vomiting blood, severe abdominal pain)
  • Serious allergic or skin reactions, including in people allergic to sulfonamides
  • Signs of liver or kidney problems (yellowing skin, dark urine, reduced urination, swelling)

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other NSAIDs and aspirin
  • Blood thinners such as warfarin
  • Some blood pressure medicines and diuretics
  • Certain antidepressants (SSRIs)
  • Lithium and fluconazole
  • Alcohol

Who should take care

  • Avoided in late pregnancy; use only on clinician advice otherwise
  • Not suitable for people with a sulfonamide allergy or significant heart disease in many cases
  • Tell your doctor about heart disease, high blood pressure, stroke history, ulcers, or kidney or liver problems
  • Use the lowest effective amount for the shortest time
  • Seek urgent care for chest pain, stroke symptoms or gut bleeding

Frequently asked questions

Is celecoxib easier on the stomach?
Because it targets COX-2, it tends to cause fewer stomach ulcers than older NSAIDs, but it does not remove the risk and still carries heart and kidney cautions.
Can I take it if I'm allergic to sulfa drugs?
Celecoxib contains a sulfonamide group and may not be suitable if you have a sulfonamide allergy. Tell your doctor about any drug allergies before starting.
Does celecoxib raise heart risk?
Like other NSAIDs, it can increase the risk of heart attack and stroke, especially with higher doses or longer use. Your doctor weighs this against the benefits.
Is it available without a prescription?
In most countries celecoxib is prescription-only, so it should be used under medical supervision.
Is Celecoxib safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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