Vioxx is the brand name for the generic drug Rofecoxib which is manufactured by Merck & Co., Inc. It is an NSAID or non-steroidal anti-inflammatory drug and is available in tablets of 12.5 mg, 25 mg and 50 mg as well as in an oral suspension of 12.5 or 25 mg.
Indications
This drug is prescribed for rheumatoid arthritis for the pain and the swelling. It is also used to treat menstrual cramps and migraine attacks.
Action
This NSAID works by inhibiting prostaglandinsynthesis by blocking the enzymes that manufacture the prostaglandins in the body. While it is not clear what the exact mechanism is, this action stops or curtails the inflammation and that in turn reduces the swelling, pain and fever.
Side Effects
The side effects that this drug could have are headaches, stomach ache, stiff neck, yellow eyes or skin and tiredness. The hands and feet could swell up and there could be a change in the amount of urine passed. Another side effect is itching and rash on the skin. There could be bleeding internally in the stomach and the intestine as well so you should keep a watch to see if there are any dark colored stools. Dark colored urine could also be a side effect as well as dizziness, shortness of breath and mood swings. There could be nausea and vomiting which resembles coffee grounds.
Caution
There are people who are allergic to this drug so you must tell your doctor if you suffer from any allergies, especially to aspirin. If you are not sure, tests might need to be done before you are prescribed this drug. Do inform your doctor about any medications that you might be taking as well as your medical history. He will want to know if you have high blood pressure, any heart, kidney or liver ailments, any blood disorders, diabetes, infections, respiratory disorders, etc. You also need to tell him if you smoke or drink because alcohol and tobacco use will have to be severely curtailed if not stopped. Otherwise it could lead to severe bleeding in the stomach.
Contraindications
The drug is contraindicated in people who are allergic to this line of drugs. It should also not be given during the last three months of pregnancy. In fact, it is best avoided right through pregnancy and when the mother is nursing her baby. It is also to be avoided by people who suffer from asthma or urticaria. It is not recommended in very young children or in very old people nor should it be prescribed when people are on anticoagulant drugs or oral corticosteroids.
