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Overview

Certane Forte 25mg Tablet

Manufacturer :  Shreya Life Sciences Pvt Ltd
Medicine Composition :  Rofecoxib
Prescription vs OTC : Prescription by Doctor required

About Certane Forte 25mg Tablet

Certane Forte 25mg Tablet is an anti-inflammatory non-steroidal drug used to address various types of pain, particularly from menstrual cramps as well as osteoarthritis. Certain chemicals such as prostaglandins are the main cause behind the inflammation and its resulting symptoms of fever, pain, tenderness and swelling. This medicine blocks those enzymes that secrete prostaglandins, thus reducing inflammation. Certane Forte 25mg Tablet differs from NSAIDs in the way that they result in lesser ulceration and irritation of the intestine and the stomach and also doesn’t hamper the process of blood clotting.

Few common side effects associated with Certane Forte 25mg Tablet include headache, pain in the abdomen, dyspepsia, heartburn, diarrhea, nausea and retention of water by the body. Other less likely side effects include urinary retention, hypertension that aggravates, heart failure, pain in the chest, tinnitus, insomnia, intestinal and stomach ulcers, blurred vision, increase in weight, bleeding, fatigue, drowsiness and symptoms similar to flu. Allergies are also common with prolonged use of Certane Forte 25mg Tablet. Individuals who are susceptible to allergic reactions due to the intake of other NSAIDs should not take Certane Forte 25mg Tablet.

Certane Forte 25mg Tablet should be administered in low dosages. For managing osteoarthritis, usual dose of this medicine is about 12.5 mg, once daily with 25 mg being the maximum. The dosage is 50 mg (once daily) when it comes to managing acute pain that is a result of menstrual cramps.

Prolonged intake of Certane Forte 25mg Tablet along with aspirin or other non-steroidal anti- inflammatory drugs may induce side effects such as bleeding and ulceration of the intestinal lining. Since NSAIDs lead to an increase of lithium levels in the body, the body’s lithium concentration should be monitored prior to, during and post therapy.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    What are the uses of Certane Forte 25mg Tablet

    • Osteoarthritis

      Certane Forte 25mg Tablet is used to treat pain and swelling associated with Osteoarthritis.

    • Rheumatoid Arthritis

      Certane Forte 25mg Tablet is used for relieving swelling, stiffness, and pain of joints caused due to Rheumatoid Arthritis.

    • Ankylosing Spondylitis

      Certane Forte 25mg Tablet is also used for the symptomatic treatment of Ankylosing spondylitis. This disease causes swelling of the spine and large joints.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    What are the contraindications of Certane Forte 25mg Tablet ?

    • Allergy

      This medicine is not recommended for use if you are allergic to it or any other component of the medicine.

    • Peptic Ulcer

      This medicine is not recommended if you have peptic ulcer or other conditions that cause swelling and bleeding of the stomach. It could cause severe swelling and bleeding in the stomach, colon, and anus as well.

    • Heart Diseases

      This medicine is not recommended for use in patients having a history of heart conditions. The risk of fatal adverse effects are even higher if you have an active condition like heart block, rhythm disorder etc.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    What are the side effects of Certane Forte 25mg Tablet ?

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    Key highlights of Certane Forte 25mg Tablet

    • How long is the duration of effect?

      The effect of this medicine lasts for an average duration of 16-20 hours.

    • What is the onset of action?

      The effect of this medicine can be observed within 1-3 hours of administration.

    • Are there any pregnancy warnings?

      This medicine is not recommended for use if you are pregnant or planning a pregnancy in near future. Your doctor may prescribe a safer alternative if the use of a painkiller is absolutely necessary.

    • Is it habit forming?

      No habit forming tendencies were reported.

    • Are there any breast-feeding warnings?

      This medicine is not recommended for use if you are breastfeeding. Your doctor may prescribe a safer alternative if the use of a painkiller is absolutely necessary.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    What are the substitutes for Certane Forte 25mg Tablet ?

    Below is the list of medicines, which have the same composition, strength and form as Certane Forte 25mg Tablet , and hence can be used as its substitute.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    What are the dosage instructions?

    • Missed Dose instructions

      Take the missed dose as soon as you remember. The missed dose should be skipped if it is almost time for the next scheduled dose.

    • Are there any overdose instructions?

      Contact your doctor immediately if an overdose is suspected. Symptoms of overdose may include skin rashes, confusion, chest pain, blurred vision etc.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

    Where is the Certane Forte 25mg Tablet approved?

      Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

      How does this medication work?

      Certane Forte 25mg Tablet is a non-steroidal anti-inflammatory drug which is used to treat osteoarthritis and dysmenorrhea. COX-2 regulates the synthesis of the prostaglandins which are responsible for inflammation and pain. Rofecoxib selectively inhibits COX-2 and relieves pain.

        Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Rheumatologist before using this medicine.

        What are the interactions of Certane Forte 25mg Tablet ?

        Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

          test
        • Interaction with Alcohol

          Ethanol

          Restrict or minimize the use of alcohol while taking this medicine. Report any instances of heartburn or stomach discomfort like severe cramps and pain to the doctor on priority.
        • Interaction with Lab Test

          Lab

          Information not available.
        • Interaction with Medicine

          Lithium

          Report the use of Lithium to the doctor before receiving Certane Forte 25mg Tablet. You may require a safety test to determine the levels of lithium in the body before taking Etoricoxib for appropriate dose adjustments.

          Ramipril

          Report the use of Ramipril or any other medication used for the treatment of hypertension to the doctor. You may require an adjusted dose of Certane Forte 25mg Tablet while using it together with the blood pressure medications. It is also advised to monitor the blood pressure levels on a regular basis.

          Warfarin

          Report the use of Warfarin to the doctor before receiving this medicine. You may require a dose adjustment based on the blood clotting time. Any symptoms like unusual bleeding, vomiting, the presence of blood in urine and stools should be reported to the doctor immediately.

          Ethinyl Estradiol

          Report the use of Ethinyl estradiol or any other oral contraceptive to the doctor. Your doctor may prescribe an adjusted dose of Ethinyl estradiol for coadministration with Etoricoxib.

          Rifampicin

          Report the use of either of the medicine to the doctor. You may require an adjusted dose of Certane Forte 25mg Tablet and more frequent clinical monitoring of symptoms.
        • Interaction with Disease

          Heart Diseases

          This medicine should be used with extreme caution if you are suffering from any heart-related conditions. Report the incidence of stroke, heart attack or heart failure to the doctor before receiving this medication. Your doctor may prescribe a more suitable medicine based on the severity of the condition.

          Liver Disease

          This medicine should be used with extreme caution in patients having an active liver disease especially if the liver function is severely impaired. Suitable dose adjustment and safety monitoring may be required in such cases.

          Gastro-Intestinal Disease

          This medicine should be used with caution if you have any disease of the stomach or intestine. The risk of worsening of symptoms is very high while using this medicine. Report any such instance, whether historic or active, to the doctor.
        • Interaction with Food

          Food

          Information not available.

        References

        • Rofecoxib-Drug Information Portal [Internet].druginfo.nlm.nih.gov 2022 [Cited 31 May 2022].Available from:

          https://druginfo.nlm.nih.gov/drugportal/name/rofecoxib

        • Rofecoxib-DrugBank Online [Internet].go.drugbank.com 2022 [Cited 31 May 2022].Available from:

          https://go.drugbank.com/drugs/DB00533

        Disclaimer : The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

        Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

        Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.
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        Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
        Reviewed By
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        Reviewed ByDr. Garima SharmaMBBS, Master in Healthcare Administration, Diploma in Occupational HealthGeneral Physician
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