Polmacoxib is a selective COX2 inhibitor NSAID, with a dual action that includes mild carbonic anhydrase inhibition. Designed to reduce pain and inflammation like conventional NSAIDsbut with a lower gastrointestinal risk profile. elkosgroup.inSteris OnlineWikipedia
Mechanism of Action
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COX2 Inhibition: Suppresses inflammatory prostaglandins to relieve pain and swelling.
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Carbonic Anhydrase Inhibition: Facilitates targeted drug delivery to inflamed joints, minimizing systemic exposure. elkosgroup.inSteris OnlineWikipedia
Indications
Used for managing inflammation and pain in:
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Osteoarthritis (hip & knee)
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Rheumatoid arthritis
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Ankylosing spondylitis
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Chronic musculoskeletal pain (e.g. low back, soft tissue)
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Postoperative pain
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Other inflammatory joint disorders where COX2 inhibition is beneficial elkosgroup.inSteris Online
Dosage & Administration
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Standard adult dose: 2mg orally once daily, taken with or after meals. Do not exceed 2mg/day. elkosgroup.ininvisionmedi.comSteris Online+1
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Take at the same time each day to maintain consistent drug levels. Steris Online+1TrueMeds
Key Benefits
Polmacoxib offers:
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Effective, long-lasting pain relief
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Better gastrointestinal safety than non-selective NSAIDs
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Reduced cardiovascular risk relative to older agents
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Supports improved mobility and joint function in chronic cases
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Allows once-daily dosing for convenience
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Potential synergy with DMARDs or corticosteroids Steris Online
Possible Side Effects
While generally well-tolerated, side effects may include:
Common (mild):
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Nausea, heartburn, indigestion, stomach pain, gas, constipation, diarrhea
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Headache, dizziness Apollo PharmacySteris Online+1sarthilifesciences.com
Serious/Rare:
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Cardiovascular: Risk of heart attack, strokeespecially with long-term use Steris Online+1Synapse
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Gastrointestinal: Bleeding, ulcers, perforation (though less common) Apollo PharmacySynapseSteris Online
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Renal: Impaired kidney function or acute renal failure Apollo PharmacySteris OnlineSynapse
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Liver: Elevated liver enzymes or hepatotoxicity (rare) Steris OnlineSynapse
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Allergic: Skin rash, swelling, difficulty breathingseek immediate help Steris OnlineSynapse
Precautions & Contraindications
Avoid or use with extreme caution in patients with:
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History of GI bleeding or ulcers
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Cardiovascular disease, uncontrolled hypertension, or heart failure
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Kidney or liver impairment
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Pregnancy and breastfeeding
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Known NSAID or sulfonamide allergies Steris Online+1Apollo Pharmacy
Drug Interactions
Use cautiously with:
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Captopril (risk of kidney issues & elevated potassium)
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Anticoagulants (e.g., warfarin)enhanced bleeding risk
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ACE inhibitors, ARBs, diureticsmay impair renal function
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Methotrexate, lithiumpotential toxicity
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Co-administration with other NSAIDs or corticosteroids increases GI and renal risks invisionmedi.comSteris Online
Overdose & Missed Dose
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Overdose signs: Nausea, vomiting, abdominal pain, drowsiness, dizzinessseek medical help. TrueMeds
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Missed dose: Take as soon as remembered unless close to the next dose. Never double up. TrueMeds
Storage
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Store at below 25C, in a cool, dry place, away from sunlight
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Keep sealed and out of childrens reach Apollo Pharmacybsapharmainc.in