Substitute of Avtoxib 90mg Tablet

Cardiovascular Risk

HIGH ALERT.

Do not use if you have established ischemic heart disease (e.g., angina, previous heart attack), cerebrovascular disease (stroke), or uncontrolled high blood pressure. Stop immediately and call a doctor if you develop chest pain or sudden shortness of breath.

Gastrointestinal Risk

Use with caution if you have a history of GI ulcers or bleeding. Consider taking a protective agent (e.g., a Proton Pump Inhibitor) if prescribed by your doctor.

Pregnancy

FORBIDDEN (Especially in 3rd Trimester).

Avoid use during the last trimester, as NSAIDs can harm the foetus's circulatory system (premature closure of the ductus arteriosus). Consult your doctor immediately if pregnant or planning.

Breastfeeding

CONSULT DOCTOR.

Etoricoxib passes into breast milk. Use only if the benefit outweighs the risk, and monitor the infant for any adverse effects.

Alcohol

AVOID.

Alcohol consumption increases the risk of stomach irritation and gastrointestinal bleeding when combined with Etoricoxib.

Driving

USE CAUTION.

Some patients report dizziness or somnolence. If affected, avoid driving or operating heavy machinery.

Renal/Hepatic

DOSE ADJUSTMENT REQUIRED.

Patients with severe hepatic (liver) impairment require a reduced dose (max 60mg/day). Monitor kidney function carefully, especially in the elderly or those with heart failure, as NSAIDs can impair kidney function.