Nucoxia 90mg Injection 1ml

Introduction About NUCOXIA 90MG INJECTION

NUCOXIA 90MG INJECTION 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).

NUCOXIA 90MG INJECTION can also be used to reduce pain following dental surgery. It is suitable for use both in adults and adolescents (aged 16 years or older).

Before receiving NUCOXIA 90MG INJECTION 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.

NUCOXIA 90MG INJECTION 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.

Inform your doctor before receiving NUCOXIA 90MG INJECTION if you are pregnant or breastfeeding. The most common side effects of receiving NUCOXIA 90MG INJECTION are stomach pain, bloating, constipation, mouth ulcers, headache and dizziness. Consult your doctor immediately if any of these side effects worsen.

Uses Of NUCOXIA 90MG INJECTION

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

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

How NUCOXIA 90MG INJECTION Works

NUCOXIA 90MG INJECTION 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.

How to use NUCOXIA 90MG INJECTION

NUCOXIA 90MG INJECTION will be given to you only by a doctor or a nurse. 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 NUCOXIA 90MG INJECTION

How To Manage Side Effects

Nausea and vomiting:

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 fibre-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.

Diarrhoea:

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

Warning & Precautions

Pregnancy

NUCOXIA 90MG INJECTION should not be used during pregnancy. Therefore, inform your doctor before receiving NUCOXIA 90MG INJECTION if you are pregnant, think you may be pregnant or planning to have a baby. If you accidentally become pregnant while undergoing therapy with NUCOXIA 90MG INJECTION, inform your doctor immediately.

Breastfeeding

It is not known whether NUCOXIA 90MG INJECTION can pass through breast milk or not. Therefore, consult your doctor before receiving NUCOXIA 90MG INJECTION 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 receiving NUCOXIA 90MG INJECTION.

Alcohol

Avoid consumption of alcohol while receiving NUCOXIA 90MG INJECTION as it may increase the risk of stomach discomfort.

Kidney

NUCOXIA 90MG INJECTION is not recommended for use in patients with serious kidney diseases. Therefore, consult your doctor before receiving it. You must also inform your doctor before receiving NUCOXIA 90MG INJECTION if you have any previous history of kidney problems.

Liver

NUCOXIA 90MG INJECTION is not recommended for use in patients with serious liver diseases. Therefore, consult your doctor before receiving it. You must also inform your doctor before receiving NUCOXIA 90MG INJECTION if you have any previous history of liver problems.

Allergy

Talk to your doctor before receiving NUCOXIA 90MG INJECTION if you are allergic to etoricoxib or to any other pain reliving medicines (such as aspirin, ibuprofen, celecoxib etc.).

Heart Disease

NUCOXIA 90MG INJECTION 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 receiving it.

Interactions

A. Drug - Drug interactions:

Before receiving NUCOXIA 90MG INJECTION, inform your doctor if you are receiving any of the following medicines such as:

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

Overdosage:

NUCOXIA 90MG INJECTION will be given to you only by a doctor or a nurse, so it is unlikely to receive a higher dose. However, if you experience any unusual side effects, consult your doctor immediately or visit the nearby hospital.

Synopsis

More Information

• Keep this medicine out of reach of children
• Store this medicine at room temperature

FAQs About NUCOXIA 90MG INJECTION

Is NUCOXIA 90MG INJECTION safe to use in diabetic patients?

NUCOXIA 90MG INJECTION may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before receiving NUCOXIA 90MG INJECTION as a precaution. Your doctor will closely monitor your blood sugar levels to avoid the risk of side effects.

Is NUCOXIA 90MG INJECTION an anti-inflammatory medicine?

Yes. NUCOXIA 90MG INJECTION 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 receive NUCOXIA 90MG INJECTION?

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 NUCOXIA 90MG INJECTION. Consult your doctor before receiving NUCOXIA 90MG INJECTION if you are pregnant or trying to become pregnant. NUCOXIA 90MG INJECTION 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 receiving it.

Can I take other painkillers while receiving NUCOXIA 90MG INJECTION?

No, it is not advisable to take other painkillers while receiving NUCOXIA 90MG INJECTION without consulting your doctor, as it may increase the risk of ulcers and bleedings in the digestive system.

Is it safe to have NUCOXIA 90MG INJECTION with alcohol?

No. Avoid consumption of alcohol while receiving this medicine as it increases the risk of unwanted gastrointestinal side effects.

Can NUCOXIA 90MG INJECTION cause dizziness?

Yes. NUCOXIA 90MG INJECTION 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 the consumption of alcohol as it can aggravate your dizziness. Consult your doctor if you continue to feel dizzy for a prolonged period.

How long will it take for NUCOXIA 90MG INJECTION to reduce pain?

It may take around 20-30 minutes for NUCOXIA 90MG INJECTION to start working. The maximum benefits can achieve after 2 hours of receiving this medicine. However, this period may vary from person to person depending upon the dose of etoricoxib that is administered.

Can I receive NUCOXIA 90MG INJECTION daily?

Your doctor will evaluate your health condition and suggests whether can you receive NUCOXIA 90MG INJECTION every day or not.

Can I stop therapy with NUCOXIA 90MG INJECTION once by pain reduces?

Receive NUCOXIA 90MG INJECTION for the stipulated duration recommended by your doctor to achieve maximum results. Do not stop therapy with NUCOXIA 90MG INJECTION without consulting your doctor in between the therapy.

What are the uses of NUCOXIA 90MG INJECTION?

NUCOXIA 90MG INJECTION 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 NUCOXIA 90MG INJECTION be used in children?

NUCOXIA 90MG INJECTION 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 NUCOXIA 90MG INJECTION work?

NUCOXIA 90MG INJECTION 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 NUCOXIA 90MG INJECTION?

The most common side effects of receiving this medicine are stomach pain, bloating, constipation, mouth ulcers, headache and dizziness. Consult your doctor immediately if any of these side effects worsen.

Will NUCOXIA 90MG INJECTION alter the effects of birth control pills?

NUCOXIA 90MG INJECTION may reduce the effects of birth control pills. Therefore, try to avoid receiving birth control pills along with NUCOXIA 90MG INJECTION. 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

Etoricoxib 90ml Injection. Central Drugs Standard Control Organization. [Revised in March 2008]. [Accessed on 8th October 2022]. https://cdscoonline.gov.in/CDSCO/Drugs

Author Details

Written By Srilekha. R - B.Pharm

Reviewed For Accuracy By Dr. Sankara Babu Gorle - MBBS, MD (Pharmacology)

Last updated on 10 Oct 2022 | 06:43 PM(IST)