INTRODUCTION

ETOTROY 60 TABLET contains Etoricoxib which belongs to the group of medicines called Non-Steroidal Anti-Inflammatory Drugs. It is used to reduce pain and swelling associated with inflammatory bone conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis (inflammation of the spine) and gout (joint pain caused due to excessive accumulation of uric acid in between the joints).

ETOTROY 60 TABLET can also be used to reduce pain following a dental surgery. It is suitable for use both in adults and in adolescents (aged 16 years or older).

Before taking ETOTROY 60 TABLET inform your doctor if you have any previous history of heart, liver or kidney problems. You must also inform your doctor if you have diabetes, high blood cholesterol levels, uncontrollable high blood pressure or severe dehydration.

ETOTROY 60 TABLET is strictly not recommended for use in patients with stomach problems (such as stomach ulcers, bleeding in the gut or inflammatory bowel diseases). It is also not suitable for use in patients with stroke or any severe form of heart problems, liver problems or kidney problems.

Do not take ETOTROY 60 TABLET if you are pregnant or breastfeeding without consulting your doctor. The most common side effects of taking ETOTROY 60 TABLET are stomach pain, bloating, constipation, mouth ulcers, headache and dizziness. Consult your doctor immediately if any of these side effect worsens.  

USES OF ETOTROY 60 TABLET

It is used in adults and in adolescents (aged 16 years or older) to

• Treat pain and swelling caused due to inflammation of bones and joints
• Treat pain following dental surgery

HOW ETOTROY 60 TABLET WORKS

ETOTROY 60 TABLET is a pain-relieving medicine. It works by blocking the release of certain chemicals (prostaglandins) in the body that causes pain, swelling and inflammation thereby reducing pain and inflammation associated with inflammatory conditions.

DIRECTIONS FOR USE

Take ETOTROY 60 TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. ETOTROY 60 TABLET can be taken with or without food.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF ETOTROY 60 TABLET

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

Take ETOTROY 60 TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache:  

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Constipation:

Eat plenty of fiber rich foods such as fresh fruits, vegetables and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Diarrhea:

Hydrate yourself by drinking plenty of fluids, such as water or fruit juices. Consuming ORS can also be beneficial. Do not self-treat diarrhea on your own. Consult your doctor if your diarrhea becomes uncontrollable.

WARNING & PRECAUTIONS

PREGNANCY

ETOTROY 60 TABLET should not be used during pregnancy. Therefore, inform your doctor before taking ETOTROY 60 TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you accidentally become pregnant while undergoing therapy with ETOTROY 60 TABLET, inform your doctor immediately.

BREASTFEEDING

It is not known whether ETOTROY 60 TABLET can pass through breast milk or not. Therefore, consult your doctor before taking ETOTROY 60 TABLET if you are breastfeeding or planning to breastfeed.

DRIVING AND USING MACHINES

Do not drive or operate any heavy tools or machines if you feel dizzy or sleepy after taking ETOTROY 60 TABLET.

ALCOHOL

Avoid consumption of alcohol while taking ETOTROY 60 TABLET as it may increase the risk of stomach discomfort.

KIDNEY

ETOTROY 60 TABLET is not recommended for use in patients with serious kidney diseases. Therefore, consult your doctor before taking it. You must also inform your doctor before taking ETOTROY 60 TABLET if you have any previous history of kidney problems.

LIVER

ETOTROY 60 TABLET is not recommended for use in patients with serious liver diseases. Therefore, consult your doctor before taking it. You must also inform your doctor before taking ETOTROY 60 TABLET if you have any previous history of liver problems.

ALLERGY

Do not take ETOTROY 60 TABLET if you are allergic to etoricoxib or to any other pain reliving medicines (such as aspirin, ibuprofen, celecoxib etc.).

HEART DISEASE

ETOTROY 60 TABLET is not recommended for use in patients who have or had heart failure, angina, heart attack, bypass surgery, blocked blood vessels or poor blood circulation in the body. Therefore, consult your doctor before taking it.

INTERACTIONS

A. Drug - Drug interactions:

Before taking ETOTROY 60 TABLET, inform your doctor if you are taking any of the following medicines such as:

• warfarin (a medicine used to treat blood clots)
• rifampicin (a medicine used to treat tuberculosis)
• methotrexate (a medicine used for suppressing the immune system and often used in rheumatoid arthritis)
• cyclosporin or tacrolimus (used to suppress immune system and to prevent graft rejection)
• lithium (a medicine used to treat depression)
• medicines used to treat high blood pressure and heart failure such as ACE inhibitors (Ex. enalapril, ramipril) and angiotensin receptor blockers (Ex. losartan, valsartan)
• diuretics (used to treat edema and high blood pressure) Ex. bumetanide, ethacrynic acid
• digoxin (a medicine used to treat heart failure and irregular heart rhythm)
• minoxidil (a medicine used to treat hair loss or high blood pressure)
• salbutamol (a medicine used to treat asthma)
• birth control pills (used to prevent pregnancy) Ex. mifepristone, drospirenone, ethinylestradiol
• hormone replacement therapy (used to treat hormonal imbalances) Ex. estradiol, dydrogesterone
• aspirin (used to reduce fever and pain)

Overdosage:

If you or anyone else accidentally took more ETOTROY 60 TABLET, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

MORE INFORMATION

• Keep ETOTROY 60 TABLET out of reach of children
• Store ETOTROY 60 TABLET at room temperature

FAQs ABOUT ETOTROY 60 TABLET

Is ETOTROY 60 TABLET safe to use in diabetic patients?

ETOTROY 60 TABLET may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before taking ETOTROY 60 TABLET as a precaution. Your doctor will closely monitor your blood sugar levels to avoid the risk of side effects.

Is ETOTROY 60 TABLET an anti-inflammatory medicine?

Yes. ETOTROY 60 TABLET is an anti-inflammatory medicine used to reduce pain and inflammation. It acts by blocking the release of certain chemicals (Ex. prostaglandins) in the body that causes pain and inflammation.

Who should not take ETOTROY 60 TABLET?

Generally, patients who have stomach problems such as stomach ulcers or other inflammatory stomach conditions such as ulcerative colitis, Crohn’s disease or perforations or bleeding in the gut should not use ETOTROY 60 TABLET. Consult your doctor before taking ETOTROY 60 TABLET if you are pregnant or trying to become pregnant. ETOTROY 60 TABLET is also not suitable for use in patients with stroke or severe liver, kidney or heart disease and in children aged below 16 years. Therefore, consult your doctor before taking.

Is ETOTROY 60 TABLET safe to use for long term?

ETOTROY 60 TABLET should be used under medical supervision. Research shows that, prolonged use of ETOTROY 60 TABLET can increase the risk of heart attack or stroke in patients. To avoid this, take ETOTROY 60 TABLET only as advised by your physician. Your doctor will regularly monitor your health condition while taking ETOTROY 60 TABLET to avoid these side effects.

Can I take other painkillers along with ETOTROY 60 TABLET?

No, it is not advisable to take other painkillers along with ETOTROY 60 TABLET without consulting your doctor, as it may increase the risk of ulcers and bleedings in the digestive system.

Is it safe to have ETOTROY 60 TABLET with alcohol?

No. Avoid consumption of alcohol while taking ETOTROY 60 TABLET as it increases the risk of unwanted gastrointestinal side effects.

Can ETOTROY 60 TABLET cause dizziness?

Yes. ETOTROY 60 TABLET may make you feel dizzy. If you experience dizziness, try to rest and relax. Get enough sleep. Avoid driving or operating any heavy tools or machines while you are feeling dizzy. Avoid consumption of alcohol as it can aggravate your dizziness. Consult your doctor if you continue to feel dizzy for a prolonged period.

Can I take a higher dose of ETOTROY 60 TABLET?

It is not safe to take a higher dose of ETOTROY 60 TABLET without consulting your doctor. If the prescribed dose is less effective for you, kindly consult your doctor for a suitable high dose or for alternative therapy.

How long will it take for ETOTROY 60 TABLET to reduce pain?

It may take around 20-30 minutes for ETOTROY 60 TABLET to start working. The maximum benefits can achieve after 2 hours of taking ETOTROY 60 TABLET. However, this period may vary from person to person depending upon the dose of etoricoxib that is administered.

What happens if I accidentally take more ETOTROY 60 TABLET?

If you or anyone else accidentally took more ETOTROY 60 TABLET, contact your doctor immediately or visit the nearby hospital. Symptoms of overdosage might include severe stomach problems such as stomach pain, bleeding in the gut and a fast heartbeat.

Can I take ETOTROY 60 TABLET daily?

Your doctor will evaluate your health condition and suggests whether you can take ETOTROY 60 TABLET every day or not.

Can I stop taking ETOTROY 60 TABLET once my pain reduces?

Take ETOTROY 60 TABLET for the stipulated duration recommended by your doctor to achieve maximum results. Do not stop therapy with ETOTROY 60 TABLET without consulting your doctor in between the therapy.

What are the uses of ETOTROY 60 TABLET?

ETOTROY 60 TABLET is used to reduce pain and swelling associated with inflammatory bone conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout. It can also be used to reduce pain following dental surgery.

Can ETOTROY 60 TABLET be used in children?

ETOTROY 60 TABLET should be used in adolescents aged 16 years or above only if prescribed by the physician. It should not be used in children and adolescents (aged below 16 years). Therefore, consult your doctor for advice.

How does ETOTROY 60 TABLET work?

ETOTROY 60 TABLET is a pain-relieving medicine. It works by blocking the release of certain chemicals (prostaglandins) in the body that causes pain, swelling and inflammation thereby reducing pain and inflammation associated with inflammatory conditions.

What are the side effects of ETOTROY 60 TABLET?

The most common side effects of taking ETOTROY 60 TABLET are stomach pain, bloating, constipation, mouth ulcers, headache and dizziness. Consult your doctor immediately if any of these side effects worsen.

What is the best time to take ETOTROY 60 TABLET?

ETOTROY 60 TABLET can be taken with or without meals. Your doctor will decide the best time for you to take ETOTROY 60 TABLET based on your age, body weight and disease condition.

What to do if I forgot to take a dose of ETOTROY 60 TABLET?

If you forgot to take a dose of ETOTROY 60 TABLET, take it as soon as you remember. However, if it is time for the next dose of ETOTROY 60 TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of ETOTROY 60 TABLET to compensate for the missed ones.

Will ETOTROY 60 TABLET alter the effects of birth control pills?

ETOTROY 60 TABLET may reduce the effects of birth control pills. Therefore, try to avoid taking birth control pills along with ETOTROY 60 TABLET. Consult your doctor for advice.

REFERENCES

1. KD. Tripathi. Nonsteroidal Anti-inflammatory Drugs and Antipyretic-Analgesics. Essentials of medical pharmacology. Seventh edition. 2013. Page – 206.

2. Wen-Nan Huang and Tim K. Tso. Etoricoxib improves osteoarthritis pain relief, joint function and quality of life in the extreme elderly. NIH National Library of medicine, National Center for Biotechnology Information. PMC PubMed Central. [Revised in February 2018] [Accessed on 8th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826680/

3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on 8th October 2022] https://www.medicines.org.uk/emc/files/pil.11761.pdf

4. Teva UK Limited. Etoricoxib. [Revised in August 2022] [Accessed on 8th October 2022]. https://products.tevauk.com/mediafile/id/52513.pdf

AUTHOR DETAILS

Written By Srilekha. R, B.Pharm
Last updated on 10 Oct 2022 | 06:39 PM(IST)