Common Uses: This medicine is a nonsteroidal anti-inflammatory drug (NSAID) known as a COX-2 inhibitor used to relieve pain and swelling (inflammation). It is used to treat arthritis, acute pain, and menstrual pain and discomfort. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling.

Generic Name: E: ROFECOXIB (ro-fa-COX-ib)

[Rofecoxib (generic Vioxx)]. Medications should only be taken in accordance with the advice of your medical professional.

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More about Rofecoxib (generic Vioxx) :

How to use this Medicine: Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES WITH A PATIENT INFORMATION LEAFLET. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. This medicine may be taken on an empty stomach or with food. To decrease the chance of stomach upset, this medicine is best taken with food. Take this medicine with a full glass of water (8 oz or 240 ml). Do not lie down for 30 minutes after taking this medicine. STORE THIS MEDICINE at room temperature below 77 degrees F (25 degrees C) in a tightly-closed container, away from heat, moisture, and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Do not store in the bathroom. IF YOU MISS A DOSE OF THIS MEDICINE and you are taking 1 dose daily, take the missed dose if you remember the same day. Skip the missed dose if you do not remember until the next day. DO NOT take 2 doses at once.

Mexican name is Rofecoxib

Cautions: DO NOT TAKE THIS MEDICINE IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to aspirin or any medicine containing aspirin or to a nonsteroidal anti-inflammatory medicine (such as piroxicam, ibuprofen, naproxen, sulindac). A severe reaction includes a severe rash, hives, breathing difficulties, or dizziness. If you have a question about whether you are allergic to this medicine or if a certain medicine is a nonsteroidal anti-inflammatory medicine, contact your doctor or pharmacist. IF YOU EXPERIENCE difficulty breathing; tightness of chest; swelling of eyelids, face, or lips; or if you develop a rash or hives, tell your doctor immediately. Do not take any more doses of this medicine unless your doctor tells you to do so. DO NOT EXCEED THE RECOMMENDED DOSE or take this medicine for longer than prescribed without checking with your doctor. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. ALCOHOL WARNING: If you consume 3 or more alcoholic drinks every day, ask your doctor whether you should take this medicine or other pain relievers/fever reducers. This medicine may cause stomach bleeding. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines that contain aspirin, ibuprofen, naproxen, or ketoprofen. Aspirin as prescribed by your doctor for reasons such as heart attack or stroke prevention (i.e., non-arthritis doses, between 81-325 mg per day) should be discussed with your doctor before combining with this medicine. Caution is advised when using this medicine in the elderly because they may be more sensitive to the side effects of this medicine, especially stomach bleeding and kidney effects. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during the first 6 months of pregnancy. It should not be used during the last 3 months of pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

Possible Side Effects: SIDE EFFECTS that may occur while taking this medicine include stomach upset, weakness or nausea. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience itching or skin rash, swelling of the feet or ankles, unexpected weight gain. CONTACT YOUR DOCTOR IMMEDIATELY if you experience swelling of hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; hoarseness; flu-like symptoms; sluggishness; yellowing of the skin or eyes; dark urine or pale stools; or unusual fatigue. CONTACT YOUR DOCTOR IMMEDIATELY AND STOP TAKING THIS MEDICINE if you notice any of the following unlikely but very serious side effects: black stools, persistent stomach/abdominal pain, or vomit that looks like coffee grounds, mental/mood changes, or very stiff neck. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

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For years, Americans living near Canada and Mexico have taken advantage of the low cost prescription drugs available across the border, allowing them to purchase brand name and generic medicines like Rofecoxib (generic Vioxx) at substantial savings compare to prices in the United States. You must only take medications in accordance with the advice of your doctor or medical professional and you must only take prescription drugs if you are in possession of a valid prescription.

[Rofecoxib (generic Vioxx)]

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Drug interactions with over-the-counter cough medicines : There are two general types of cough medicine that are available over the counter. (There are also some types of cough medicines with significant amounts of narcotics like codeine, but these stronger cough medicines are only available by prescription.) Some over-the counter cough medicines are antitussives. Dextromethorphan is one of the more common ingredients in antitussives. An antitussive is a cough suppressant. It works by partially blocking the cough reflex. It lessens your body’s tendency to allow a cough to be triggered involuntarily. Some common antitussive over-the-counter cough medicines include Triaminic Cold and Cough, and Vicks 44 Cough and Cold.

The other type of over-the-counter cough medicine is an expectorant. The main ingredient for over-the-counter expectorants is guaifenesin. Expectorants work by thinning the mucus that can clog your airway and cause you to cough to clear it. Some common expectorant over-the-counter cough medicines include Mucinex and Robitussin Chest Congestion. With any medication, including fairly tame over-the-counter medications, you always want to be aware of the risk of it interacting adversely with some other medication - over-the-counter or prescription - that you are taking. In the case of over-the-counter cough medicine, the primary risk is consuming too much of an ingredient because you’re not aware it’s in multiple medications you’re taking. This happens most often because some products are designed to treat multiple symptoms of, say, a cold. So you need to read your labels and check the ingredients.

For instance, you may be taking something you think of as a cough medicine, when in fact if you look closely you’ll see that it treats other symptoms as well. Then if you’re also taking something else for those other symptoms, you could be inadvertently doubling up. You might be taking, say, an antihistamine, a decongestant, and/or a pain reliever, and if one or more of these is also contained in your cough medicine, then you may exceed the recommended dose. Or, your cough medicine may indeed be solely a cough medicine, but you may be also taking a general cold remedy which itself contains cough medicine, thus exceeding the recommended dosage in that way. Beyond that, there is a small risk of an over-the-counter cough medicine interacting adversely with certain prescription drugs. If you are on any prescription medications, always ask your doctor before taking cough medicine, or any other medication. Specifically, some patients taking a monoamine oxidase inhibitor (MAOI), a prescription drug used to treat depression among other conditions, have had problematic interactions with over-the-counter cough medicines.