Celebrex Information
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Are
you tired of arthritis pain, do you want effective arthritis relief so
you can resume your daily activities?
Today, there is a proven arthritis treatment
that gives relief from arthritis pain. Celebrex, provides
excellent 24 hour relief from arthritis pain. Celebrex is one of
the first nonsteroidal anti-inflammatory drugs (NSAIDs) to selectively
inhibit primarily the Cox-2 enzyme, while sparing the Cox-1 enzyme
that is responsible for protecting the delicate lining of the stomach.
This means relief from arthritic pain without disrupting the delicate
lining of the stomach.
Traditional NSAIDs, such as, Voltaren, Naprosyn,
Lodine, etc. target both of these enzyme, subsequently, these pain
relief medications are associated with a high incidence of
gastro-intestinal side effects including dyspepsia, bleeding, ulceration
and perforation of the stomach and/or small or large intestine.
Celebrex has shown to
be more effective as the traditional NSAIDs with a decreased potential
for the above mentioned side effects.
Celebrex has been shown
in numerous clinical studies to relieve the pain associated with
arthritis. In addition, Celebrex is prescribed by doctors for the
following conditions:
- Osteoarthritis pain (form of arthritis,
occurring mainly in older persons, that is characterized by chronic
degeneration of the cartilage of the joints).
- Rheumatoid arthritis pain (chronic autoimmune
disease with inflammation of the joints and marked deformities).
- Management of acute pain in adults (short term
pain secondary to dental procedure, surgery, etc.).
- Treatment of primary dysmenorrhea pain
(moderate to severe menstrual pain).

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Additional Information on Celebrex Arthritis Relief
The following
Celebrex arthritis
relief information has been compiled from a variety of resources in
order to give you details concerning the use of Celebrex for Arthritis
relief.
Why is Celebrex recommended by so many doctors for the treatment of
arthritis or arthritis relief?
Celebrex is a nonsteroidal anti-inflammatory
drug (NSAID) that exhibits anti-inflammatory, analgesic, and
antipyretic activities. Celebrex provides excellent arthritis relief
without damaging the sensitive lining of the stomach. Celebrex with
allow you to return to your daily activities without having arthritic
pain.

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Why is
Celebrex
sometimes referred to as celecoxib?
Celecoxib is the generic name for Celebrex. The
generic name represents the medications nonproprietary or chemical
name, whereas, the brand name is the name a pharmaceutical give to a
medication for marketing purposes.
How does
Celebrex
work?
NSAIDs target an enzyme called cyclooxegenase
that is responsible for much of the inflammation behind pain. However,
it turned out there are two types of this enzyme. Cox-2 was behind the
inflammation, while cox-1 actually protects the stomach lining.
Unfortunately, most NSAIDs target both which often can result in
ulcers in the stomach.
The mechanism of action of Celebrex is believed
to be due to inhibition of prostaglandin synthesis, primarily via
inhibition of cyclooxygenase-2 (COX-2), and at therapeutic
concentrations in humans, Celebrex does not inhibit the
cyclooxygenase-1 (COX-1) isoenzyme.
Scientists have shown that a more specific drug
that targeted just cox-2, would alleviate pain and inflammation while
not effecting the delicate lining of the stomach.

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What Celebrex clinical studies have been done?
In studies of about 13,000 patients, Celebrex
appeared to work much better than prescription-strength naproxen
in-patients with osteoarthritis. In rheumatoid arthritis sufferers,
Celebrex was even more beneficial in relieving arthritic pain than the
popular NSAIDs.
Clinical testing involving some 4,500
endoscopies - probing a tube into patients' stomachs to see if ulcers
were forming even before they experienced symptoms. Some 25 percent to
40 percent of patients taking ibuprofen or naproxen showed these
mini-ulcers, vs. 1 percent to 2 percent of patients taking Celebrex.
Celebrex has demonstrated significant
reduction in joint pain secondary to osteoarthritis (OA) compared to a
placebo (sugar pill). Celebrex was evaluated for treatment of the
signs and the symptoms of OA of the knee and hip in approximately
4,200 patients in placebo- and active-controlled clinical trials of up
to 12 weeks duration. In patients with OA, treatment with Celebrex 100
mg twice per day or 200 mg once per day resulted in improvement in
WOMAC (Western Ontario and McMaster Universities) osteoarthritis
index, a composite of pain, stiffness, and functional measures in OA.
In three 12-week studies of pain accompanying OA
flare, Celebrex doses of 100 mg twice per day and 200 mg twice per day
provided significant reduction of pain within 24-48 hours of
initiation of dosing. At doses of 100 mg twice per day or 200 mg twice
per day the effectiveness of Celebrex was shown to be similar to that
of naproxen 500 mg BID. Doses of 200 mg twice per day provided no
additional benefit above that seen with 100 mg twice per day. A total
daily dose of 200 mg has been shown to be equally effective whether
administered as 100 mg twice per day or 200 mg once per day.
Celebrex has demonstrated significant reduction in joint
tenderness/pain and joint swelling in Rheumatoid Arthritis compared to
placebo (sugar pill). Celebrex was evaluated for
treatment of the signs and symptoms of RA in approximately 2,100
patients in placebo- and active-controlled clinical trials of up to 24
weeks in duration. Celebrex was shown to be superior to placebo in
these studies, using the ACR20 Responder Index, a composite of
clinical, laboratory, and functional measures in RA. Celebrex doses of
100 mg twice per day and 200 mg twice per day were similar in
effectiveness and both were comparable to naproxen 500 mg twice per
day.
Conclusions,
some 90 percents of the individuals involved in these clinical studies
reported excellent relief from pain associated with use of Celebrex.
The medication allowed these individuals
resume the activities of daily life free from arthritic pain.
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Can I get Celebrex over the counter?
No, Celebrex is a prescription medication and
should only be taken when prescribed by a licensed physician.
However, secondary to the advent of the
internet individuals can now order lifestyle medication, such as,
Celebrex online. You are simply asked to complete a medical
questionnaire which is subsequently reviewed by a doctor, once
approved your Celebrex order will be shipped promptly to your home or
office.

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Should pregnant or nursing women take Celebrex?
There are no studies in
pregnant women or nursing mothers. Therefore, Celebrex should not used
during pregnancy or while nursing. In late pregnancy Celebrex may
cause premature closure of the ductus arteriosus. It is not known
whether this drug is excreted in human milk. Because many drugs are
excreted in human milk and because of the potential for serious
adverse reactions in nursing infants from Celebrex is not recommended
in this population.
What is the appropriate dose of Celebrex?
As with any medication, the lowest dose of
Celebrex should be sought for each patient.
For relief of the signs and symptoms of
osteoarthritis the recommended oral dose is 200 mg per day
administered as a single dose or as 100 mg twice per day (these doses
are only generalizations; doses may vary depending on the patient's
medical history).
For relief of the signs and symptoms of
rheumatoid arthritis the recommended oral dose is 100 to 200 mg twice
per day (these doses are only generalizations; doses may vary
depending on the patient's medical history).
For relief of the signs and symptoms of
menstrual cramps or acute pain the recommended dose for acute and
menstrual pain is 400 mg initially, followed by a 200-mg dose if
needed on the first day. On subsequent days, the recommended dose is
200 mg twice daily as needed (these doses are only generalizations;
doses may vary depending on the patient's medical history).

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Should Celebrex be prescribed in individuals with a history of
ulcers?
NSAIDs should be prescribed
with extreme caution in patients with a prior history of ulcer
disease or gastrointestinal bleeding. Most spontaneous reports of
fatal GI events are in elderly or debilitated patients and therefore
special care should be taken in treating this population. To
minimize the potential risk for an and who use NSAIDs, have a
greater than 10-fold higher risk for developing a GI bleed than
patients with neither of these risk factors.
In addition to a past history
of ulcer disease, pharmacoepidemiological studies have identified
several other co-therapies or co-morbid conditions that may increase
the risk for GI bleeding such as: treatment with oral
corticosteroids, treatment with anticoagulants, longer duration of
NSAID therapy, smoking, alcoholism, older age, and poor general
health status.
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