Details for: ACT CELECOXIB
Company: TEVA CANADA LIMITED
| DIN | DIN name | Active Ingredient(s) | Strength | Dosage Form | Route of Administration |
|---|---|---|---|---|---|
| 02420155 | ACT CELECOXIB | CELECOXIB | 100 MG | CAPSULE | ORAL |
| 02420163 | ACT CELECOXIB | CELECOXIB | 200 MG | CAPSULE | ORAL |
Summary Reports
Consumer Information
This information was provided by the drug’s manufacturer when this drug product was approved for sale in Canada. It is designed for consumers and care givers. It is a summary of information about the drug and will not tell you everything about the drug. Contact your doctor or pharmacist if you have any questions about the drug.
What the medication is used for
Your health care provider has prescribed ACT CELECOXIB for you for one or more of the following medical conditions:
- Osteoarthritis – relieve pain
- Rheumatoid Arthritis – relieve joint pain and swelling
- Ankylosing Spondylitis – relieve pain
- Sprains, After orthopaedic (bone and joint) surgery (NOT open heart surgery), dental extraction – to relieve short-term pain (maximum use of 7 days)
What it does
ACT CELECOXIB, as a nonsteroidal anti-inflammatory drug (NSAID), can reduce the type of prostaglandins (chemicals), produced by your body which cause joint swelling, redness and pain. At prescribed doses, ACT CELECOXIB does not affect the type of prostaglandins that helps maintain the protective layer of the stomach, and reduces the chances of bleeding from the stomach.
ACT CELECOXIB, as a nonsteroidal anti-inflammatory drug (NSAID), does NOT cure your illness or prevent it from getting worse. ACT CELECOXIB can only relieve pain and reduce swelling as long as you continue to take it.
When it should not be used
Do not take ACT CELECOXIB if you have any of the following medical conditions:
- Heart bypass surgery (planning to have or recently had)
- Severe, uncontrolled heart failure
- Allergy to celecoxib or any of the other ingredients in ACT CELECOXIB
- Allergy to sulfonamide drugs
- Allergy to ASA (Acetylsalicylic Acid) or other NSAIDs (Nonsteroidal Anti-Inflammatory Drugs)
- Pregnancy of more than 28 weeks (in your third trimester)
- Currently breastfeeding (or planning to breastfeed)
- Ulcer (active)
- Bleeding from the stomach or gut (active)
- Bleeding in the brain or other bleeding disorders
- Inflammatory bowel disease (Crohn’s Disease or Ulcerative Colitis)
- Liver disease (active or severe)
- Kidney disease (severe or worsening)
- High potassium in the blood
ACT CELECOXIB is NOT recommended for use in patients under 18 years of age since the safety and effectiveness of ACT CELECOXIB have NOT been established in these patients.
Patients who took a drug in the same class as ACT CELECOXIB after a type of heart surgery (coronary artery bypass grafting (CABG) were more likely to have heart attacks, strokes, blood clots in the leg(s) or lung(s), and infections or other complications than those who did NOT take that drug.
What the medicinal ingredient is
Celecoxib
What the non-medicinal ingredients are
Crospovidone, lactose monohydrate, magnesium stearate, povidone, and sodium lauryl sulphate. The capsule shell contains gelatin, titanium dioxide, and sodium lauryl sulphate. The imprinting ink used on the capsule shell contains shellac and FD&C Blue #2 Aluminum Lake (100 mg only) or yellow iron oxide (200 mg only).
What dosage form it comes in
Capsules, 100 mg and 200 mg
Warnings and precautions
Serious Warnings and Precautions
If you have, or previously had, any of the following medical conditions, see your health care provider to discuss treatment options to consider before taking ACT CELECOXIB:
- Heart Attack or Angina
- Stroke or Mini-stroke
- Loss of Vision
- Congestive heart failure
- Current Pregnancy (less than 28 weeks)
- Ulcer or bleeding from the gut
Also consult your healthcare provider if you are taking a dose of ACT CELECOXIB which is higher than 200 mg per day or if you have been taking ACT CELECOXIB regularly for over 18 months. Patients in this situation have an increased risk of a serious cardiovascular side effect such as the ones described above.
BEFORE you use ACT CELECOXIB talk to your doctor or pharmacist if you have any of the following:
- Disease of the heart or blood vessels (also called cardiovascular disease, including uncontrolled high blood pressure, congestive heart failure, established ischemic heart disease, or peripheral arterial disease)
- Risk factors for cardiovascular disease (see above) such as high blood pressure, abnormally high levels of fat (cholesterol, triglycerides) in your blood
- Diabetes mellitus or on a low sugar diet
- Atherosclerosis
- Poor circulation to your extremities
- Smoker or ex-smoker
- Kidney disease or urine problems
- Previous ulcer or bleeding from the stomach or gut
- Previous bleeding in the brain
- Bleeding problems
- Family history of allergy to sulfonamide drugs
- Family history of allergy to NSAIDs, such as acetylsalicylic acid (ASA), celecoxib, diclofenac, diflunisal, etodolac, fenoprofen, flurbiprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, mefenamic acid, meloxicam, nabumetone, naproxen, oxaprozin, piroxicam, rofecoxib, sulindac, tenoxicam, tiaprofenic acid, tolmetin, or valdecoxib (NOT a complete list)
- Family history of asthma, nasal polyp, long-term swelling of the sinus (chronic sinusitis) or hives
- Gastrointestinal problems (problems with your stomach and/or intestine)
- History of a severe drug hypersensitivity reaction including skin problems
- Current pregnancy
- Any other medical problem
Fertility may be decreased. The use of ACT CELECOXIB is not recommended in women who have difficulty conceiving.
Also, before taking this medication, tell your health care provider if you are planning to get pregnant.
While taking this medication
- tell any other doctor, dentist, pharmacist or other health care professional that you see, that you are taking this medication, especially if you are planning to have heart surgery;
- do NOT drink alcoholic beverages while taking this medication because you would be more likely to develop stomach problems;
- If you have cardiovascular disease or risks for cardiovascular disease, your doctor will periodically reevaluate whether you should continue treatment with ACT CELECOXIB. Patients with these conditions should not receive doses of ACT CELECOXIB higher than 200 mg per day.
If, at any time while taking ACT CELECOXIB you experience any signs or symptoms of problems with your heart or blood vessels such as chest pain, shortness of breath, weakness, or slurring of speech, seek emergency medical treatment immediately.
Interactions with this medication
Talk to your health care provider and pharmacist if you are taking any other medication (prescription or non-prescription) such as any of the following (NOT a complete list):
- Acetylsalicylic acid (ASA) or other NSAIDs (e.g. diclofenac, ibuprofen, indomethacin, ketorolac, meloxicam, naproxen)
- Antacids or proton pump inhibitors (omeprazole)
- Antidepressants [Selective serotonine receptor uptake inhibitor (SSRIs) (e.g. citalopram, paroxetine, fluoxetine, sertraline]
- Blood pressure medications, such as ACE (angiotensin converting enzyme) inhibitors (e.g. enalapril, lisinopril, perindopril, ramipril), ARBs (angiotensin II receptor blockers) (e.g. candesartan, irbesartan, losartan, valsartan), beta blockers (e.g. metoprolol)
- Blood thinners (to prevent blood clots), such as warfarin, apixaban, rivaroxaban, dabigatran, ASA, clopidogrel
- Corticosteroids (including glucocorticoids) e.g. prednisone
- Cyclosporin
- Digoxin
- Diuretics such as furosemide, hydrochlorothiazide
- Fluconazole
- Lithium
- Dextromethorphan (found in some cough medications)
- Tacrolimus
Using ACT CELECOXIB with a blood thinner such as warfarin increases the risk of bleeding, which can be fatal, especially in older patients.
Your health care provider may prescribe low dose ASA (acetylsalicylic acid) as a blood thinner for the prevention of having a heart attack or stroke while you are taking ACT CELECOXIB. Take only the amount of ASA prescribed by your health care provider. You are more likely to upset or damage your stomach if you take both ACT CELECOXIB and ASA than if you take ACT CELECOXIB alone.
Proper use of this medication
Dose
18 years of age and older only
| Medical Condition | Starting Dose | Maximum Dose (per day) | Maximum Duration of Treatment (days) |
|---|---|---|---|
| Osteoarthritis (18 years of age and older) | 200 mg once a day or 100 mg twice a day | 200 mg | not specified |
| Rheumatoid Arthritis (18 years of age and older) | 100 mg twice a day | 400 mg | not specified |
| Ankylosing Spondylitis (18 years of age and older) | 200 mg once a day or 100 mg twice a day | 200 mg | not specified |
| Pain (18 years of age and older) | 400 mg on first day, then 200 mg once a day | 400 mg | 7 days |
Take ACT CELECOXIB only as directed by your health care provider. Do NOT take more of it, do NOT take it more often and do NOT take it for a longer period of time than your health care provider recommended. If possible, you should take the lowest dose of this medication for the shortest time period. Taking too much ACT CELECOXIB may increase your chances of unwanted and sometimes dangerous side effects, especially if you are elderly, have other diseases or take other medications.
If you will be using ACT CELECOXIB for more than 7 days, see your health care provider regularly to discuss whether this medicine is working for you and if it is causing you any unwanted effects.
This medication has been prescribed specifically for you. Do NOT give it to anyone else. It may harm them, even if their symptoms seem to be similar to yours.
ACT CELECOXIB is NOT recommended for patients under 18 year of age since safety and effectiveness have NOT been established.
ACT CELECOXIB can be taken with or without food.
Overdose
If you think you have taken too much ACT CELECOXIB, contact your healthcare professional, hospital emergency department or regional poison control centre immediately, even if there are no symptoms.
Missed Dose
Take the dose you missed as soon as you remember, then take the next dose at the scheduled time.
Side effects and what to do about them
ACT CELECOXIB may cause some side effects, especially if used for a long time or in large doses. When these side effects occur, you may require medical attention. Report all symptoms or side effects to your health care provider.
ACT CELECOXIB may cause you to become drowsy or tired. Be careful about driving or participating in activities that require you to be alert. If you become drowsy, dizzy or light-headed after taking ACT CELECOXIB, do NOT drive or operate machinery.
ACT CELECOXIB may cause you to become more sensitive to sunlight. Any exposure to sunlight or sunlamps may cause sunburn, skin blisters, skin rash, redness, itching or discolouration, or vision changes. If you have a reaction from the sun, check with your health care provider.
ACT CELECOXIB can cause abnormal laboratory test results. Your doctor will decide when to perform laboratory tests and will interpret the results. They may check kidney function, liver function, amount of blood cells and other functions.
Your doctor will decide when to measure the amount of your amniotic fluid during pregnancy.
Check with your health care provider IMMEDIATELY if you develop chills, fever, muscle aches or pains, or other flu-like symptoms occur, especially if they occur before or together with a skin rash. These symptoms may be the first signs of a SERIOUS ALLERGIC REACTION to this medication.
| Symptom / effect | STOP taking drug and get emergency medical attention IMMEDIATELY | STOP taking drug and talk to your health care provider |
|---|---|---|
| Bloody or black tarry stools | ✔ | |
| Shortness of breath, wheezing, any trouble breathing or chest tightness | ✔ | |
| Skin rash, hives, swelling or itching | ✔ | |
| Blurred vision or other visual disturbance | ✔ | |
| Sudden severe headache or worsening of headache, vomiting, dizziness, fainting, disturbance of vision or speech, or weakness or numbness in the face, arm or leg | ✔ | |
| Serious skin reactions: skin rash, blisters or breakdown of your skin, fever, swollen glands | ✔ | |
| Change in urine (amount or colour) (dark red or brown) | ✔ | |
| Pain or difficulty urinating | ✔ | |
| Feet or lower leg swelling; weight gain | ✔ | |
| Vomiting or persistent indigestion, nausea, stomach pain or diarrhea | ✔ | |
| Yellow discolouration of the skin or eyes with or without itchy skin | ✔ | |
| Malaise, fatigue, or loss of appetite | ✔ | |
| Headaches, stiff neck | ✔ | |
| Mental confusion or depression | ✔ | |
| Dizziness or light-headedness | ✔ | |
| Hearing problems | ✔ | |
| Pneumonitis (symptoms include trouble breathing, dry cough, tiredness) | ✔ |
This is NOT a complete list of side effects. If you develop any other symptoms while taking ACT CELECOXIB, see your health care provider.
How to store
Store at room temperature, between 15°C -30°C.
Do NOT keep outdated medicine or medicine no longer
needed. Any outdated or unused medicine should be returned to
your pharmacist.
Keep out of reach and sight of children and pets.
Reporting side effects
You can report any suspected side effects associated with the use of health products to Health Canada by:
- Visiting the Web page on Adverse Reaction Reporting (https://www.canada.ca/en/healthcanada/services/drugs-health-products/medeffectcanada/adverse-reaction-reporting.html) for information on how to report online, by mail or by fax; or
- Calling toll-free at 1-866-234-2345.
NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice.
More information
NOTE: This INFORMATION FOR THE CONSUMER
leaflet provides you with the most current information at the
time of printing.
This document plus the full product monograph, prepared for
health professionals can be found by contacting the sponsor, Teva
Canada Limited, at: 1-800-268-4127 ext. 3
This leaflet was prepared by:
Teva Canada Limited
30 Novopharm Court
Toronto, Ontario
M1B 2K9
www.tevacanada.com
Last revised: September 9, 2020