Product Information:

STARCOX 120mg Tablets contain Etoricoxib 120mg, a selective COX-2 inhibitor belonging to the class of nonsteroidal anti-inflammatory drugs (NSAIDs). It provides potent anti-inflammatory, analgesic (pain-relieving), and antipyretic (fever-reducing) effects by selectively inhibiting the cyclooxygenase-2 (COX-2) enzyme involved in inflammation and pain, while sparing COX-1 (which protects the stomach lining).

This high-strength formulation is reserved for short-term management of acute severe pain or specific inflammatory conditions under medical supervision.

⚠️ Important Safety Note:

Etoricoxib carries an increased risk of cardiovascular events (heart attack, stroke), especially with long-term use or in patients with pre-existing heart disease. Use the lowest effective dose for the shortest duration possible.

Uses of (STARCOX 120MG TABLETS):

1. Short-term treatment of acute gouty arthritis
2. Management of postoperative dental pain
3. Relief of acute severe pain (e.g., musculoskeletal injury, renal colic)
4. Symptomatic treatment of osteoarthritis, rheumatoid arthritis, or ankylosing spondylitis (in some regions, though 120mg is typically for acute use only)

Key Benefits of (STARCOX 120MG TABLETS):

1. Rapid and potent pain relief (onset within 1–2 hours)
2. Lower risk of gastric ulcers and bleeding compared to traditional NSAIDs (e.g., diclofenac, ibuprofen)
3. Once-daily dosing for convenience
4. Effective in inflammatory and acute pain conditions

How To Use (STARCOX 120MG TABLETS):

1. Take one tablet (120mg) once daily, with or without food.
2. Swallow whole with water—do not crush or chew.
3. Duration:
4. Acute gout: Up to 8 days
5. Dental pain: Up to 3 days
6. Other acute pain: As short as possible (typically ≤5–7 days)
7. Not for chronic daily use without specialist supervision.

When Not to Use (STARCOX 120MG TABLETS):

Do not use if you have:

1. Active peptic ulceration or GI bleeding
2. Severe heart failure, recent myocardial infarction, or stroke
3. Uncontrolled hypertension
4. Severe hepatic impairment (Child-Pugh C) or creatinine clearance <30 mL/min
5. Hypersensitivity to etoricoxib, aspirin, or other NSAIDs
6. Pregnancy (especially third trimester) or breastfeeding

Side Effects of (STARCOX 120MG TABLETS):

Common:

1. Headache, dizziness
2. Edema (swelling of legs/ankles)
3. Palpitations, hypertension
4. Abdominal pain, dyspepsia

Less common:

1. Nausea, diarrhea, flatulence
2. Rash, fatigue

Serious (rare but require monitoring):

1. Cardiovascular thrombotic events (MI, stroke)—risk increases with dose and duration
2. GI perforation or bleeding (less than traditional NSAIDs but still possible)
3. Hepatotoxicity (jaundice, elevated liver enzymes)
4. Renal impairment (especially in elderly or dehydrated patients)
5. Discontinue and seek help if chest pain, shortness of breath, black stools, or yellowing of skin occurs.

Dosage: (STARCOX 120MG TABLETS):

1. Acute gout: 120mg once daily for up to 8 days
2. Postoperative dental pain: 90–120mg once daily for up to 3 days
3. Maximum daily dose: 120mg
4. Not recommended for patients >65 years unless benefits outweigh risks

Who It’s For (STARCOX 120MG TABLETS):

Adults requiring short-term, high-intensity pain relief for acute inflammatory conditions, who are at low cardiovascular risk and cannot tolerate traditional NSAIDs due to GI concerns.

Warnings & Precautions:

1. Avoid in patients with history of heart disease, stroke, or uncontrolled hypertension
2. Monitor blood pressure regularly during therapy
3. Use caution in elderly, volume-depleted, or renal-impaired patients
4. Discontinue 24–48 hours before surgery (increased bleeding risk)
5. Not a substitute for disease-modifying therapy in chronic arthritis

Drug Interactions:

1. Anticoagulants (warfarin): ↑ Risk of GI bleeding
2. ACE inhibitors, ARBs, diuretics: ↓ Antihypertensive effect; ↑ Risk of renal impairment
3. Lithium, methotrexate: ↑ Levels of these drugs—monitor toxicity
4. Aspirin: May reduce cardioprotective effect of low-dose aspirin
5. Always inform your doctor about all medications.

Additional Information:

Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children. Do not use after the expiration date. Available by prescription only in Pakistan.