Valcox
Valcox Uses, Dosage, Side Effects, Food Interaction and all others data.
Valcox was removed from the Canadian, U.S., and E.U. markets in 2005 due to concerns about a possible increased risk of heart attack and stroke.
Valcox, a selective cyclooxygenase-2 (COX-2) inhibitor, is classified as a nonsteroidal anti-inflammatory drug (NSAID). Valcox is used for its anti-inflammatory, analgesic, and antipyretic activities in the management of osteoarthritis (OA) and for the treatment of dysmenorrhea or acute pain. Unlike celecoxib, valdecoxib lacks a sulfonamide chain and does not require CYP450 enzymes for metabolism.
Trade Name | Valcox |
Availability | Discontinued |
Generic | Valdecoxib |
Valdecoxib Other Names | Valdecoxib |
Related Drugs | Humira, Buprenex, aspirin, prednisone, ibuprofen, acetaminophen, tramadol, meloxicam, naproxen, diclofenac |
Weight | 20mg, 40mg |
Type | Tablet, Injection |
Formula | C16H14N2O3S |
Weight | Average: 314.359 Monoisotopic: 314.072513014 |
Protein binding | 98% |
Groups | Approved, Investigational, Withdrawn |
Therapeutic Class | |
Manufacturer | Unichem Laboratories Ltd |
Available Country | India |
Last Updated: | September 19, 2023 at 7:00 am |
Uses
Valcox is a COX-2 inhibitor used to treat osteoarthritis and dysmenorrhoea.
For the treatment of osteoarthritis and dysmenorrhoea
Valcox is also used to associated treatment for these conditions: Osteoarthritis (OA), Primary Dysmenorrhoea, Rheumatoid Arthritis
How Valcox works
Both COX-1 and COX-2 catalyze the conversion of arachidonic acid to prostaglandin (PG) H2, the precursor of PGs and thromboxane. Valcox selectively inhibits the cyclooxygenase-2 (COX-2) enzyme, important for the mediation of inflammation and pain. Unlike non-selective NSAIDs, valdecoxib does not inhibit platelet aggregation.
Toxicity
Symptoms following acute NSAID overdoses are usually limited to lethargy, drowsiness, nausea, vomiting, and epigastric pain, which are generally reversible with supportive care. Gastrointestinal bleeding can occur. Hypertension, acute renal failure, respiratory depression and coma may occur, but are rare.
Food Interaction
- Avoid alcohol. Ingesting alcohol may increase the risk of gastrointestinal bleeding.
- Take with or without food.
Valcox Drug Interaction
Moderate: amikacin, candesartan / hydrochlorothiazide, entecavir, carbamazepine, desogestrel / ethinyl estradiolUnknown: amphotericin b lipid complex, albumin human, zolpidem, ipratropium, amoxicillin / clavulanate, calcium / vitamin d, calcium carbonate, Allergy , albuterol / ipratropium, rosuvastatin, glucose, acetaminophen / phenyltoloxamine, esomeprazole, acetaminophen, acetaminophen
Volume of Distribution
- 86 L
Elimination Route
Oral bioavailability is 83%.
Half Life
8-11 hours
Clearance
- oral cl=6 L/h
- 6 – 7 L/h [In patients undergoing hemodialysis]
- 6 – 7 L/h [healthy elderly subjects]
Elimination Route
Valcox is eliminated predominantly via hepatic metabolism with less than 5% of the dose excreted unchanged in the urine and feces. About 70% of the dose is excreted in the urine as metabolites, and about 20% as valdecoxib N-glucuronide.
Innovators Monograph
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