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At a glance

Rofecoxib is a COX-2 inhibitor NSAID used for osteoarthritis, rheumatoid arthritis, migraine, and menstrual pain. It reduces pain and inflammation by inhibiting prostaglandin synthesis with fewer gastrointestinal side effects.

Indications
  • Osteoarthritis
  • Rheumatoid arthritis
  • Acute pain relief (migraine, menstrual pain)
Pharmacology

Rofecoxib selectively inhibits COX-2 enzyme, responsible for prostaglandin synthesis in inflammation. With minimal COX-1 inhibition, it has fewer gastrointestinal side effects compared to non-selective NSAIDs.

Dosage

Adult Dose (Oral):

  • Osteoarthritis: 12.5 mg/day (max 25 mg/day)
  • Rheumatoid arthritis: 25 mg/day
  • Acute pain: 50 mg/day (first dose); then 25-50 mg/day (not more than 5 days)
  • Hepatic impairment: max 12.5 mg/day
Side effects

Common Side Effects:

  • Flu-like symptoms
  • Peripheral edema
  • Dizziness and headache
  • Dyspepsia and indigestion
  • Increased blood pressure
Use in pregnancy

Use in Pregnancy: May be unsafe; animal studies show harmful effects; use only if clearly needed; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not use in patients with recent heart attack
  • Caution in history of peptic ulcer or GI bleeding
  • Caution in hypertension, heart, kidney, or liver disease
  • Do not use in pregnancy, planning pregnancy, or breastfeeding
  • Monitor liver function during long-term therapy
Overdose effects

Limited overdose information; excessive doses may cause GI and kidney issues; consult your doctor.

Storage conditions

Store in a cool and dry place, protected from light; keep out of reach of children.

Rofecoxib — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.