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Celecoxib 10 mg/mL Oral Suspension

Celecoxib 10 mg/mL Oral Suspension is a liquid dosage form where celecoxib is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat conditions such as osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, providing effective relief from pain and inflammation associated with these disease states.

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Formula Information

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Celecoxib 10 mg/mL Oral Suspension is a compounded liquid formulation of the nonsteroidal anti-inflammatory drug (NSAID) celecoxib. This suspension is designed to provide uniform dispersion of the active ingredient throughout the liquid medium, ensuring consistent and accurate dosing with each administration. It offers an alternative for patients who may have difficulty swallowing capsules or tablets, such as pediatric patients or those with dysphagia.

Celecoxib works by selectively inhibiting the cyclooxygenase-2 (COX-2) enzyme, which plays a key role in the synthesis of prostaglandins responsible for pain and inflammation. By targeting COX-2, celecoxib reduces inflammation and alleviates pain without significantly affecting COX-1, an enzyme that protects the stomach lining. This selectivity potentially results in fewer gastrointestinal side effects compared to non-selective NSAIDs.

This oral suspension is utilized in the management of various inflammatory conditions, including osteoarthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, ankylosing spondylitis, and acute pain. It is also effective in treating primary dysmenorrhea. The liquid form allows for flexible dosing adjustments to meet individual patient needs, facilitating precise titration of the medication to achieve optimal therapeutic outcomes.

For patients, it is important to take this medication exactly as prescribed by a healthcare professional. The suspension should be shaken well before each use to ensure even distribution of the medication. Measuring devices provided by the pharmacist should be used to ensure accurate dosing. Patients should inform their healthcare provider of their full medical history, especially any history of heart disease, hypertension, gastrointestinal ulcers or bleeding, liver or kidney disease, and any allergies.

Prescribers should consider the patient's overall health status when prescribing celecoxib oral suspension. Monitoring for potential adverse effects, such as cardiovascular events, gastrointestinal bleeding, and renal impairment, is recommended. The liquid formulation allows for individualized dosing regimens, which can be particularly beneficial in managing pediatric patients or those requiring dose adjustments not available in commercial capsule forms.

If you have any questions, please reach out to us.

Drug Interactions

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Celecoxib 10 mg/mL Oral Suspension is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used to treat conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and acute pain. As with any medication, it is important to be aware of potential drug interactions that may affect the efficacy and safety of this formulation. Both patients and prescribers should be informed about these interactions to ensure optimal therapeutic outcomes and minimize adverse effects.

One of the primary concerns with celecoxib is its interaction with other medications that affect the cytochrome P450 2C9 (CYP2C9) enzyme, as celecoxib is metabolized predominantly by this pathway. Co-administration with drugs that inhibit CYP2C9, such as fluconazole, can lead to increased plasma concentrations of celecoxib, potentially enhancing its effects and increasing the risk of adverse reactions. Conversely, drugs that induce CYP2C9, like rifampin, may decrease celecoxib levels, reducing its therapeutic efficacy.

Patients taking anticoagulants, such as warfarin, should be closely monitored when using celecoxib, as NSAIDs can enhance the anticoagulant effects, increasing the risk of bleeding. Regular monitoring of INR levels is recommended to adjust the anticoagulant dosage as necessary. Additionally, celecoxib may interact with other NSAIDs or aspirin, potentially increasing the risk of gastrointestinal bleeding and ulceration. It is generally advised to avoid concurrent use of multiple NSAIDs unless specifically directed by a healthcare provider.

Celecoxib may also interact with antihypertensive medications, including ACE inhibitors, angiotensin II receptor blockers (ARBs), and diuretics. The concurrent use of celecoxib with these agents can reduce their antihypertensive effects, potentially leading to elevated blood pressure. Patients should have their blood pressure monitored regularly, and adjustments to their antihypertensive therapy may be necessary.

For patients with renal impairment or those taking medications that affect renal function, such as diuretics or ACE inhibitors, caution is advised when using celecoxib. NSAIDs, including celecoxib, can cause renal function deterioration, particularly in patients with pre-existing renal conditions or those who are elderly. Monitoring renal function periodically is recommended to prevent potential nephrotoxicity.

Patients with a history of cardiovascular disease or risk factors for cardiovascular events should use celecoxib with caution, as NSAIDs have been associated with an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke. This risk may be heightened when celecoxib is used in combination with other medications that affect cardiovascular health.

It is crucial for both patients and prescribers to be aware of these potential drug interactions when considering the use of Celecoxib 10 mg/mL Oral Suspension. Patients should inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe and effective use of this formulation. If you have any questions or concerns regarding drug interactions with celecoxib, please reach out to us for further assistance.

How Does it Work

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Celecoxib 10 mg/mL Oral Suspension is a specially compounded liquid formulation designed to deliver the active ingredient, celecoxib, in a convenient and easily administered form. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that selectively inhibits the enzyme cyclooxygenase-2 (COX-2). This enzyme plays a crucial role in the synthesis of prostaglandins, which are lipid compounds that contribute to inflammation, pain, and fever in the body. By selectively targeting COX-2, celecoxib reduces the production of these pro-inflammatory prostaglandins, thereby alleviating symptoms associated with various inflammatory conditions.

The oral suspension form of celecoxib provides a homogeneous mixture where the active ingredient is uniformly dispersed throughout the liquid medium. This ensures consistent dosing with each administration, which is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, such as pediatric or geriatric populations. The liquid form also allows for flexible dosing adjustments, making it easier for healthcare providers to tailor the treatment to the specific needs of each patient.

Celecoxib oral suspension is commonly used to manage pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and acute pain. By reducing inflammation and pain, celecoxib helps improve the quality of life for patients suffering from these chronic conditions. Additionally, its selective inhibition of COX-2 minimizes the gastrointestinal side effects often associated with traditional NSAIDs, which inhibit both COX-1 and COX-2 enzymes.

For prescribers, it is important to consider the patient's overall health status, including any history of cardiovascular disease, gastrointestinal issues, or renal impairment, as these factors may influence the suitability of celecoxib as a treatment option. Patients should be advised to take the suspension with food to enhance absorption and reduce the risk of gastrointestinal discomfort. Regular monitoring and follow-up are recommended to assess the effectiveness of the treatment and to make any necessary adjustments.

If you have any questions or need further information about Celecoxib 10 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Other Uses

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Celecoxib 10 mg/mL Oral Suspension is primarily used for the management of pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. However, this formulation may have other potential uses that could be beneficial for both patients and prescribers to consider. Celecoxib, a nonsteroidal anti-inflammatory drug (NSAID), works by inhibiting the enzyme cyclooxygenase-2 (COX-2), which plays a key role in the inflammatory process. This mechanism of action suggests that celecoxib could be useful in managing other conditions characterized by inflammation and pain.

One potential off-label use of celecoxib oral suspension is in the management of acute pain conditions, such as postoperative pain or dental pain, where a liquid formulation may be preferred for patients who have difficulty swallowing tablets or capsules. Additionally, celecoxib has been explored for its potential role in the management of certain types of cancer-related pain, given its anti-inflammatory properties and ability to reduce prostaglandin synthesis, which can contribute to pain and tumor growth. Furthermore, there is ongoing research into the use of celecoxib for the prevention of colorectal polyps in patients with familial adenomatous polyposis, a hereditary condition that significantly increases the risk of colorectal cancer.

For patients with chronic pain conditions who may be at risk of gastrointestinal complications from traditional NSAIDs, celecoxib's COX-2 selectivity offers a potentially safer alternative, as it is associated with a lower risk of gastrointestinal ulceration and bleeding. This makes the oral suspension formulation particularly advantageous for elderly patients or those with a history of gastrointestinal issues. Additionally, the liquid form allows for precise dosing adjustments, which can be crucial for pediatric patients or those requiring tailored dosing regimens due to renal or hepatic impairment.

It is important for prescribers to weigh the benefits and risks of using celecoxib for these alternative indications, considering the patient's overall health status and any potential contraindications, such as cardiovascular risk factors. Patients should be informed about the possible side effects, including cardiovascular and renal risks, and should be monitored regularly during treatment. As always, if you have any questions or need further information about the use of Celecoxib 10 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in making informed decisions about their medication therapy.

Frequently Asked Questions

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What is Celecoxib 10 mg/mL Oral Suspension?

Celecoxib 10 mg/mL Oral Suspension is a liquid dosage form of the medication Celecoxib, where the active ingredient is uniformly dispersed in a liquid medium to create a homogeneous mixture for easy administration.

What is Celecoxib used for?

Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and inflammation associated with conditions such as arthritis, menstrual pain, and other acute pain conditions.

How should I take Celecoxib Oral Suspension?

Take Celecoxib Oral Suspension exactly as prescribed by your healthcare provider. Shake the bottle well before each use to ensure the medication is evenly distributed. Use a proper measuring device to ensure accurate dosing.

Can Celecoxib Oral Suspension be taken with food?

Yes, Celecoxib Oral Suspension can be taken with or without food. However, taking it with food may help reduce the risk of stomach upset.

What should I do if I miss a dose of Celecoxib Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Celecoxib Oral Suspension?

Common side effects of Celecoxib may include stomach pain, diarrhea, indigestion, and headache. If you experience severe side effects such as chest pain, shortness of breath, or signs of an allergic reaction, seek medical attention immediately.

Can I use Celecoxib Oral Suspension if I am pregnant or breastfeeding?

It is important to consult your healthcare provider before using Celecoxib if you are pregnant or breastfeeding, as it may not be recommended due to potential risks to the baby.

How should I store Celecoxib Oral Suspension?

Store Celecoxib Oral Suspension at room temperature, away from direct sunlight and moisture. Keep the bottle tightly closed and out of reach of children.

Can Celecoxib Oral Suspension interact with other medications?

Yes, Celecoxib can interact with other medications, including blood thinners, other NSAIDs, and certain blood pressure medications. Inform your healthcare provider about all the medications you are taking to avoid potential interactions.

Is Celecoxib Oral Suspension suitable for children?

The suitability of Celecoxib Oral Suspension for children depends on the specific condition being treated and the child's age and weight. Consult a pediatrician for appropriate dosing and safety information.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.