No dosage adjustment is necessary for older patients.Before you start to taking Arcoxia tell your doctor if:If you have not told your doctor about any of the above, tell them before you take any Arcoxia.Tell your doctor if you are taking any other medicines, including medicines that you buy without a prescription from your pharmacy, supermarket or health food shop.Some medicines and Arcoxia may interfere with each other. It should not be construed to indicate that the use of any medication in any country is safe, appropriate or effective for you. Talk to your doctor or pharmacist about these measures and for more information.Note: Arcoxia has not been approved by the FDA for the U.S. market.Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Arcoxia.Arcoxia helps most people with osteoarthritis, rheumatoid arthritis, menstrual pain, gout or other types of pain, but it may have unwanted adverse effects in a few people. It is important that you use the lowest dose that controls your pain and you should not take Arcoxia for longer than necessary. If you have moderate liver disease, you should not take more than 60 mg every other day.Follow all directions given to you by your doctor carefully. The manufacturer of Arcoxia received a non-approvalable letter from the FDA in April of 2007. It is important that you use the lowest dose that controls your pain and you should not take Arcoxia for longer than necessary. Tell your doctor if you notice any other effects.Do not be alarmed by this list of possible adverse effects. Do not leave it in the car or on window sills. A locked cupboard at least 1.5 meters (5 feet) above the ground is a good place to store medicines.If your doctor tells you to stop taking Arcoxia, or the tablets have passed their expiration date, ask your pharmacist what to do with any that are left over.Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. from sport).Rheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling and loss of function in the joints and inflammation in other body organs.Ankylosing spondylitis is an inflammatory disease of the spine and large joints.Gout is a disorder characterised by sudden, recurring attacks of pain and inflammation in one or more joints.Note: Arcoxia has not been approved by the FDA for the U.S. market.Arcoxia belongs to a group of medicines called cyclooxygenase-2 (COX-2) specific inhibitors (also known as coxibs).The body produces two similar enzymes called COX-1 and COX-2. Consult with your healthcare professional before taking any medication.Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. We comply with the HONcode standard for trustworthy health information - This is because the risk of heart attacks and strokes might increase after prolonged treatment, especially with high doses.Osteoarthritis is a joint disease. As South Africa has an excellent infrastructure in terms of roads, rail, telecommunication, airports, and seaports, etc., and faces resource shortages in the area of drug control, criminal groups exploit this situation. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Merck will continue to market Arcoxia outside the United States.Your doctor will prescribe Arcoxia for you only after you have used other medicines for your condition and they have not been suitable for you.Your doctor will want discuss your treatment with Arcoxia from time to time. Do not halve the tablet.Taking Arcoxia at the same time each day will have the best effect. Arcoxia may hide fever and may make you think, mistakenly, that you are better or that your infection is less serious than it might be.If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking Arcoxia.Do not give Arcoxia to anyone else, even if they have the same condition as you.Some self help measures suggested below may help your condition. This is because the risk of heart attacks and strokes might increase after prolonged treatment, especially with high doses.Depending on your condition, you may need to take Arcoxia for a few days or for a longer period.For osteoarthritis and rheumatoid arthritis Arcoxia helps relieve your symptoms but it does not cure it. Some people developed ulcers whether they were taking Arcoxia or placebo in these studies; however the rate was higher on Arcoxia.If any of the following symptoms: shortness of breath, chest pains or ankle swelling appear or worsen, stop your treatment with Arcoxia and consult a doctor, as soon as is practical.If you have kidney, liver or heart disease, your doctor will want to appropriately keep a check on you.If you develop any symptoms that could indicate a severe allergic reaction such as an inability to breathe or a serious skin reaction you must consult a doctor on an urgent basis.Your doctor will want to discuss your treatment from time to time.